How to prepare infusions Wt >20 kg In 50 ml dilution 10-20kg In 50 ml dilution <10 kg In 50 ml dilution DOPA DOBUT-AMINE 3 mg/kg 5ml=5mcg/kg/min 6mg/kg 2.5ml=5mcg/kg/min 15mg/kg 1ml=5mcg/kg/min NTG SNP 0.3mg/kg 5ml=0.5mcg/kg/min 0.6mg/kg 2.5ml=0.5mcg/kg/min 1.5mg/kg 1ml=0.5mcg/kg/min ADR NORAD ISOPRE. 0.03mg/kg 5ml=0.05 mcg/kg/min 0.06mg/kg 2.5ml=0.05mcg/kg/min 0.15mg/kg 1ml=0.05mcg/kg/min
Continue ReadingLabour Analgesia
Analgesia for normal labor and delivery Introduction: The experience of child birth ranges from agony to ecstasy. One of the most thrilling and gratifying experience in mother life will be the birth of her child. Labour pain rank among the most intense pain, as recorded on McGill pain questionnaire 1 and it is typically worse […]
Continue ReadingVenous Air Embolism
Venous Air Embolism in Neuro Surgery (VAE) Rate of occurrence of VAE depand on Procedure Intra-operative Position Method of detection Associated – principally hazard of post. fossa procedures Surgery → performed in sitting position and upper cervical spine Can occur with supratentorial procedures like facine menigiomas encroaching post. half of sagital sinus, craniosynostosis. Pin sites […]
Continue ReadingIntracranial Aneurysms
Contemporary management of intracranial aneurysm after Sub arachnoid haemorrhage (SAH) calls for early intervention Early – within 72 hrs of SAH Ultra early → within 18 hrs of SAH Intervention applied to I to IV grades of “world federation of neurosurgeons SAH scale”( WFNS) or I to III of “hunt –Hess classification” WFNS classification → […]
Continue ReadingEffects of Anaesthetic agents on cerebral physiology
Effects of Anaesthetic agents on cerebral Physiology Most general anaesthetics have favourable effect on the CNS by reducing electrical Activity Carbohydrate metabolism energy stores in the form of ATP, phosphocreatine & ADP ↑ Effect of specific agent is complicated by concomitant administration of other drugs and ➤ Surgical stimulation ➤ Intracranial compliance ➤ BP ➤ […]
Continue ReadingJourney of Labour Analgesia
Introduction The experience of child birth ranges from agony to ectacy. One of the most thrilling and gratifying experience in mother life will be the birth of her child. Labour pain rank among the most intense pain, as recorded on McGill pain questionnaire 1 and it is typically worse than a toothache, back pain, & […]
Continue ReadingScientists in Anaesthesia
Humphry Davy Born in Cornwell Son of Wood Carver At the age of 17 he experimented with N2O and its effects of inhalation Treatment of pulmonary TB by inhalation of gases like N2O Oxygen Hydrogen Water gas Carbon dioxide Published book, Researches, clinical and philosophical Chiefly concerning N2O. Suggested that nitrous oxide inhalation might be […]
Continue ReadingAirways
A fundamental responsibility of the anaesthesia provider is to maintain a patent airway. The purpose of an airway is to lift the tongue and epiglottis away from the posterior pharyngeal wall and prevent them from obstructing the space above the larynx. An oral or nasal airway decreases the work of breathing during spontaneous breathing using […]
Continue ReadingFace Masks
➤ It allows gas administration to the patient from the breathing system without introducing any apparatus into the patient’s mouth. ➤ Masks come in a variety of sizes 0,1,2,3,4,5,6 and shapes ➤ Face Mask may be constructed of a number of substances, including black rubber, clear plastic, an elastomeric material, or a combination of these. […]
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