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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

259
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...
259
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

175
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.
175
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

705
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...
705
Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

474
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
474
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

474
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...
474

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Laparoscopic Technique for Serial Collection of Liver and Mesenteric Lymph Nodes in Macaques
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What does the anesthesiologist need to know about monkeypox?

Chao Tong Teo1,2, Jiawei Sean Wu3, Karen Chan4

  • 1Department of Anesthesia, National University Hospital, Singapore, Singapore. chao_tong_teo@nuhs.edu.sg.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|March 10, 2023
PubMed
Summary
This summary is machine-generated.

Healthcare professionals must prepare for mpox (monkeypox) surgical cases. Develop protocols for recognizing, isolating, and managing infected patients to minimize viral transmission and protect staff and other patients.

Keywords:
anesthesiainfection controlmonkeypoxmpoxsurgery

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Surgical Management

Background:

  • Mpox (monkeypox) is an emerging infectious disease with global transmission.
  • The 2022 outbreak featured atypical presentations, posing challenges for healthcare.
  • Limited familiarity exists in managing mpox risks in surgical and anesthesia settings.

Purpose of the Study:

  • To provide essential information on mpox.
  • To guide the management of suspected or confirmed mpox cases in surgical settings.

Main Methods:

  • Review of recommendations from global health authorities (WHO, CDC, etc.).
  • Emphasis on developing hospital and local protocols for mpox patient care.
  • Highlighting the need for anesthesiologist and surgeon awareness and training.

Main Results:

  • Public health and hospital systems must prepare for mpox.
  • Protocols are needed to minimize nosocomial transmission and healthcare worker (HCW) risk.
  • Antiviral drug considerations for severe mpox cases impact anesthetic choices.

Conclusions:

  • Clear protocols for surgical patient transfer and management are essential.
  • Proper use of personal protective equipment (PPE) and material handling are critical.
  • Post-exposure prophylaxis risk stratification for staff is necessary.