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General Anesthesia: Overview01:24

General Anesthesia: Overview

274
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...
274
Stages of General Anesthesia01:22

Stages of General Anesthesia

643
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...
643
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

476
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...
476
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

744
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...
744
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

190
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.
190
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

462
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
462

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Related Experiment Video

Updated: Sep 1, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Anesthesia for Global General Thoracic Surgery.

Janey R Phelps1, Henry Lizi2, Bryant A Murphy1

  • 1Department of Anesthesiology, University of North Carolina School of Medicine, N2198 UNC Hospitals, CB#7010 Chapel Hill, NC 27599-7010 USA.

Thoracic Surgery Clinics
|August 12, 2022
PubMed
Summary
This summary is machine-generated.

Anesthesia in low-to-middle income countries (LMICs) requires careful planning due to limited resources and nonphysician providers. Thoracic surgery programs must assess patient status with basic tools and plan for one-lung ventilation and critical care.

Keywords:
AnesthesiaGlobal healthLMICThoracic anesthesia

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Global Health

Background:

  • Anesthesia in low-to-middle income countries (LMICs) is frequently administered by nonphysician anesthetists.
  • Limited training and resources impact anesthesia provision in LMICs.
  • Establishing or expanding thoracic surgery programs in LMICs necessitates a thorough evaluation of these constraints.

Purpose of the Study:

  • To highlight the challenges and considerations for implementing thoracic surgery in resource-limited settings.
  • To emphasize the need for careful preoperative assessment, intraoperative management, and postoperative care in LMICs.
  • To inform strategies for developing safe and effective thoracic surgery services in LMICs.

Main Methods:

  • Review of existing literature and clinical practice guidelines relevant to anesthesia in LMICs.
  • Analysis of the limitations in diagnostic capabilities for assessing patient's pulmonary and cardiovascular status.
  • Discussion of essential components for surgical planning, including patient selection, intraoperative ventilation, and critical care.

Main Results:

  • Access to advanced diagnostic studies (e.g., echocardiograms, pulmonary function tests, MRIs) is often unavailable in LMICs.
  • Patient assessment relies heavily on rudimentary studies, history, and physical examinations.
  • Successful thoracic surgery requires meticulous preoperative evaluation, intraoperative management (including one-lung ventilation), and postoperative critical care.

Conclusions:

  • Thoracic surgery in LMICs demands a tailored approach, prioritizing patient safety within resource constraints.
  • Nonphysician anesthetists require adequate training and support for managing complex thoracic cases.
  • Strategic planning for anesthesia, surgical procedures, and critical care is paramount for expanding thoracic surgery in LMICs.