1 - Introduction To Anestesiology
1 - Introduction To Anestesiology
1 - Introduction To Anestesiology
ANESTESIOLOGY
• PERIOPERATIVE MEDICINE
• LIFE SUPPORT
• CRITICAL CARE
ANESTHESIOLOGY
• ANESTHESIA PROCEDURE :
- Operating Room
- Non Operating Room
ANESTHETIC MACHINE
ANESTHESIOLOGY
Operating Room
- In-patient elective surgery
- Out-patient, ambulatory, one day surgery
- Emergency operation
ANESTHESIOLOGY
PAIN MANAGEMENT :
• Acute pain : postoperative pain (Acute
Pain Service)
• Chronic pain : Cancer pain, neuropathic
etc
• Painless Labour : analgesia epidural,
intrathecal labour analgesia)
CRITICAL CARE :
• Mass Disaster : triage, resuscitation, transportation
• Prehospital : airway management, resuscitation,
transportation,
• Emergency unit : airway management, fluid
resuscitation , Cardio Pulmonar Resuscitation
• Operating Room : life support & monitoring
• Recovery Room : monitoring, treat
complication/side effects
• ICU : intensive therapy
ANESTHESIA TECHNIQUE
FASILITATE SURGERY
GENERAL ANESTHESIA :
•Inhalation Anesthesia
•Intravenous Anesthesia
REGIONAL ANESTHESIA
•Epidural Anesthesia
•Spinal Anethesia (Intrathekal)
PROCEDURE OF GENERAL
ANESTHESIA
1. PREMEDICATION
2. INDUCTION
3. AIRWAY MANAGEMENT
4. MAINTENANCE ANESTHESIA
5. EMERGENCE
6. POSTOPERATIVE CARE
STEPS OF GENERAL ANESTHESIA
induction extubation
postop
----
Maintance of anesthesia
premedication
Emergence of anesthesia
Intubation/
Airway management
MAINTENANCE ANESTHESIA
DRUGS :
- INHALATION AGENTS :
✔ ETHER
✔ N2O
❖ FLUOTHANE
❖ ENFLURANE
❖ ISOFLURANE
❖ SEVOFLURANE
❖ DESFLURANE
ANESTHESIA DRUGS :
- MUSCLE RELAXANTS :
❖ SUCCYNILCHOLIN
❖ ATRACURIUM
❖ PANCURONIUM
❖ VECURONIUM
❖ ROCURONIUM
CHOICE OF ANESTHESIA
TECHNIQUE
GENERAL ANESTHESIA :
• Balance Anestesia
• Intravenous Anesthesia
• Total I.V. Anesthesia
• Hypotensive Anestesia
LOCAL/REGIONAL ANALGESIAL :
• Infiltration
• Nerve Block, Plexus Block
• Epidural Analgesia
• Spinal Analgesia
• I.V. Regional Analgesia
✔OBSTETRIC ANESTHESIA
✔ PEDIATRIC ANESTHESIA
✔ THORAC CARDIOVASCULAR ANESTHESIA
✔ NEURO ANESTHESIA
✔ AMBULATORY ANESTESIA
✔ REGIONAL ANESTESIA
✔ INTENSIVE CARE
Pre-hospital
PRE-HOSPITAL IN THE
AMBULANCE
High roof for
more space
High head-clearance
for ambulance personnel
treat the patients while
transporting
EMERGENCY /RESUSITATION ROOM
INTRA-HOSPITAL FACILITY
IN THE OPERATION ROOM
IN THE INTENSIVE CARE UNIT
2
LOCATION OF DISASTER
FIELD HOSPITAL
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