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Related Concept Videos

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.
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...
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...
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...
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...
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...

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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
09:47

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

Published on: June 2, 2022

Anesthesia for fetal surgery.

Kha M Tran1

  • 1Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. trank@email.chop.edu

Seminars in Fetal & Neonatal Medicine
|June 23, 2009
PubMed
Summary
This summary is machine-generated.

Anesthesia for fetal surgery presents unique challenges, requiring combined obstetric and pediatric expertise. Further research is needed to understand anesthetic effects on the developing fetus and optimize care.

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Area of Science:

  • Medical research
  • Anesthesiology
  • Fetal medicine

Background:

  • Fetal surgery treats the developing fetus as a patient, advancing medical paradigms.
  • Anesthesia for fetal procedures is complex, demanding integration of obstetric and pediatric practices.
  • The dual patient (mother and fetus) scenario offers minimal room for error.

Purpose of the Study:

  • To highlight the challenges in providing anesthesia for fetal surgery.
  • To underscore the need for further research into anesthetic effects on fetal development.
  • To identify areas requiring investigation for optimal anesthetic regimens.

Main Methods:

  • This study is a review of current challenges and research gaps in fetal surgery anesthesia.
  • It synthesizes information from obstetric and pediatric anesthesia practices.
  • It identifies areas for future research, including neurotoxicity and stress effects.

Main Results:

  • Anesthesia for fetal surgery requires a multidisciplinary approach with effective communication.
  • Significant knowledge gaps exist regarding anesthetic neurotoxicity and fetal stress.
  • Optimal anesthetic strategies for fetal surgery are yet to be determined.

Conclusions:

  • Fetal surgery anesthesia is a complex, high-stakes field requiring specialized expertise.
  • Further research is critical to address safety concerns and optimize anesthetic protocols.
  • Understanding the long-term effects of anesthesia on the developing fetal brain is paramount.