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Related Concept Videos

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...
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...
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...
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...
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.
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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Articles linked to this work by shared authors, journal, and citation graph.

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[Simultaneously monitoring end tidal CO2 and other parameters versus anesthesia management].

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae·2001
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[Application of rigid bronchoscopy in airway management after lobectomy of lung].

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae·1997
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Comparison of the cardiovascular effects of intravenous, epidural and intrathecal sufentanil analgesia as a supplement to general anaesthesia for abdominal aortic aneurysm surgery.

European journal of anaesthesiology·1993
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A haemodynamic comparison of epidural versus intrathecal sufentanil to supplement general anaesthesia for abdominal aortic surgery.

European journal of anaesthesiology·1992
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A postoperative analysis of the patient's view of anaesthesia in a Netherlands' teaching hospital.

Anaesthesia·1990
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Bronchoscopy performed by the anaesthesiologist in children with severe airway problems.

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood·1988

Related Experiment Video

Updated: Jul 17, 2026

Proper Positioning and Restraint of a Rat Hind Limb for Focused High Resolution Imaging of Bone Micro-architecture Using In Vivo Micro-computed Tomography
04:24

Proper Positioning and Restraint of a Rat Hind Limb for Focused High Resolution Imaging of Bone Micro-architecture Using In Vivo Micro-computed Tomography

Published on: November 22, 2017

Safe anesthesia: some general considerations

B Smalhout

    Acta Anaesthesiologica Belgica
    |January 1, 1978
    PubMed
    Summary

    Anesthesia safety assessments should not solely rely on mortality rates. A defined scope of anesthesiologist responsibility and objective complication coding are crucial for accurate safety evaluation.

    Area of Science:

    • Anesthesiology
    • Patient Safety
    • Medical Quality Assessment

    Background:

    • Traditional anesthesia safety metrics often focus narrowly on mortality.
    • This approach is fallacious as it doesn't account for the expanding role of anesthesiologists.
    • Anesthesiology has evolved, necessitating a re-evaluation of assessment criteria.

    Purpose of the Study:

    • To challenge the sole reliance on mortality as a criterion for anesthesia safety.
    • To advocate for a clear definition of the anesthesiologist's responsibilities in safety assessments.
    • To introduce and report on the utility of a coding system for anesthetic complications.

    Main Methods:

    • Critically reviewed existing safety assessment methods in anesthesia.
    • Proposed a framework emphasizing defined anesthesiologist responsibilities.

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  • Implemented and analyzed data from a coding system for anesthetic complications.

    • Main Results:

    • Mortality as the sole criterion for anesthesia safety is deemed fallacious.
    • A defined scope of responsibility is essential for assessing anesthesiologist contribution to outcomes.
    • A coding system for anesthetic complications facilitates objective safety evaluation.

    Conclusions:

    • Anesthesia safety assessment requires a broader perspective beyond mortality.
    • Objective evaluation through complication coding is vital for improving patient safety.
    • Adopting updated methodologies, including comprehensive monitoring, is essential in anesthesiology.