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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Anaesthesia for day surgery.

Kim Russon1, Anthony Thomas

  • 1Sheffield Teaching Hospitals.

Journal of Perioperative Practice
|August 19, 2007
PubMed
Summary

Achieving 75% day case surgery requires careful patient selection and optimized anesthetic techniques. Minimizing postoperative nausea, vomiting, and pain is crucial to prevent unplanned admissions and ensure successful day surgery outcomes.

Area of Science:

  • Anesthesiology
  • Health Services Research
  • Surgical Patient Pathways

Background:

  • The UK Department of Health aims for 75% of elective surgeries to be day cases.
  • Traditional patient selection and care pathways may need modification to meet this target.
  • Optimizing the patient journey is essential for successful day surgery implementation.

Purpose of the Study:

  • To explore necessary modifications in patient selection and anesthetic techniques for increased day case surgery.
  • To identify key factors influencing the success of day surgery procedures.
  • To reduce unplanned patient admissions following day surgery.

Main Methods:

  • Review of current literature and guidelines on day case surgery criteria.
  • Analysis of anesthetic techniques and patient preparation strategies.

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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

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  • Examination of patient pathways from booking to discharge.

    • Main Results:

    • Successful day surgery necessitates careful patient selection and psychological preparation.
    • Minimally invasive surgery combined with effective pain management and PONV (postoperative nausea and vomiting) avoidance is key.
    • Multidisciplinary input throughout the patient pathway, including nurse-led discharge, is vital.

    Conclusions:

    • Achieving higher day case surgery rates requires a holistic approach, integrating optimized anesthetic techniques and patient management.
    • Effective pain control and prevention of PONV are critical to minimize unplanned readmissions.
    • A well-coordinated, multidisciplinary patient pathway is fundamental for the success of day surgery.