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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

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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...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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...
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Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

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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.
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Stages of General Anesthesia01:22

Stages of General Anesthesia

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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...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

889
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...
889
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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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...
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Consensus statement on anaesthesia for day care surgeries.

Satish Kulkarni1, S S Harsoor2, M Chandrasekar3

  • 1Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

Indian Journal of Anaesthesia
|March 3, 2017
PubMed
Summary

Day-care surgery offers faster, safer, and cost-effective patient care, reducing infection risks. This consensus statement guides its expansion in India, addressing the need for mindset shifts among healthcare professionals and patients.

Keywords:
Ambulatory surgical proceduresanaesthesiaday careearly ambulationpain managementpatient dischargepost-operative nausea and vomiting

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Area of Science:

  • Anesthesiology
  • Surgical Care
  • Health Economics

Background:

  • Day-care surgery facilitates early patient recovery and return home.
  • Potential benefits include reduced thromboembolism and hospital-acquired infections.
  • Day-care surgery can lower treatment costs by up to 70% compared to inpatient procedures.

Purpose of the Study:

  • To establish a consensus statement for day-care anesthesia in India.
  • To provide guidance for expanding day-care surgery services in India.
  • To address the need for a mindset change among clinicians, surgeons, anesthesiologists, and patients regarding day-care surgery.

Main Methods:

  • A consensus statement was formulated by nine senior consultants in India.
  • Discussions covered various aspects of day-care surgery.
  • Statements were derived from peer-reviewed literature and international guidelines.

Main Results:

  • The consensus statement is the first of its kind for the Indian scenario.
  • It serves as a guidance tool for day-care anesthesia in India.
  • Interpretive comments are provided where evidence is inadequate or contradictory.

Conclusions:

  • Day-care surgery presents a significant opportunity for India due to its high disease burden and limited hospital beds.
  • A shift in mindset is crucial for the successful expansion of day-care surgery.
  • The consensus statement aims to promote faster, safer, and cost-effective patient turnover.