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Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

174
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.
174
General Anesthesia: Overview01:24

General Anesthesia: Overview

256
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...
256
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

384
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...
384
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
Stages of General Anesthesia01:22

Stages of General Anesthesia

535
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...
535
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

697
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...
697

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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
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Recent advances in paediatric anaesthesia.

Ekta Rai1, Vibhavari Naik2, Geeta Singariya3

  • 1Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.

Indian Journal of Anaesthesia
|March 27, 2023
PubMed
Summary
This summary is machine-generated.

Pediatric anesthesia is safer due to enhanced recovery after surgery protocols and improved airway management techniques like paraoxygenation. Ongoing research addresses anesthesia

Keywords:
Airwayenhanced recovery after surgerygeneral anaesthesiamonitoringregional anaesthesia

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Area of Science:

  • Pediatric Anesthesiology
  • Surgical Outcomes

Background:

  • Advances in pediatric anesthesia have significantly improved patient safety.
  • Enhanced Recovery After Surgery (ERAS) protocols aim to optimize surgical outcomes and recovery in children.
  • Key ERAS components include preoperative counseling, minimized fasting, and avoiding routine pharmacological premedication.

Purpose of the Study:

  • To review recent advancements in pediatric anesthetic management.
  • To highlight the role of ERAS and improved airway management in pediatric surgery.
  • To identify areas for future research, including the neurodevelopmental effects of anesthesia.

Main Methods:

  • Review of recent developments in pediatric anesthetic safety.
  • Focus on Enhanced Recovery After Surgery (ERAS) principles.
  • Discussion of airway management innovations, including paraoxygenation.

Main Results:

  • Significant improvements in the safety of anesthetic management for children.
  • Enhanced recovery after surgery protocols contribute to better pediatric surgical outcomes.
  • Paraoxygenation, alongside preoxygenation, reduces desaturation episodes during apnea.

Conclusions:

  • Modern pediatric anesthesia is safer due to technological and procedural advancements.
  • ERAS protocols and improved airway management are crucial for pediatric surgical care.
  • Further investigation is needed on the long-term effects of anesthesia, such as neurodevelopmental impact.