PRINCIPLES OF SMALL ANIMAL ANESTHESIA & PERIOPERATIVE ANALGESIA Obiettivo n 24 - Sanità veterinaria. MODULE 1: May 8, 2014

Size: px
Start display at page:

Download "PRINCIPLES OF SMALL ANIMAL ANESTHESIA & PERIOPERATIVE ANALGESIA Obiettivo n 24 - Sanità veterinaria. MODULE 1: May 8, 2014"

Transcription

1 UNIVERSITÀ DEGLI STUDI DI TORINO Provider: Università degli Studi di Torino - (ID 173) PRINCIPLES OF SMALL ANIMAL ANESTHESIA & PERIOPERATIVE ANALGESIA Obiettivo n 24 - Sanità veterinaria Università degli Studi di Torino - Scuola di Agraria e Medicina Veterinaria - Dipartimento di Scienze Veterinarie - Aula Monti - Via Leonardo da Vinci, 44 - Grugliasco (TO) MODULE 1: May 8, INTRODUCTION TO THE COURSE AND COURSE OBJECTIVES PREANESTHETIC ANIMAL EVALUATION, PHYSICAL STATUS AND RISK ASSESSMENT; OWNER CONSENT FORM; ANIMAL PREPARATION PHARMACOLOGY OF PREMEDICATION DRUGS (α 2 -Agonists; Phenothiazines) Sostituto: ZARUCCO PHARMACOLOGY OF PREMEDICATION DRUGS (Benzodiazepines, Anticholinergics) PHARMACOLOGY OF PREMEDICATION DRUGS (Opioids Part I) PHARMACOLOGY OF PREMEDICATION DRUGS (Opioids Part II) PURPOSE OF PREMEDICATION AND SELECTION CRITERIA FOR VARIOUS PREMEDICATION Protocols May 9, BRIEF REVIEW OF LECTURES 1-7 & QUESTION/ANSWER (Q/A) SESSION PHARMACOLOGY OF INJECTABLE ANESTHETICS (Thiopental, Propofol, Etomidate) PHARMACOLOGY OF INJECTABLE ANESTHETICS (Ketamine, Tiletamine-Zolazepam; Opioids) APPLIED PHARMACOKINETICS FOR THE ANESTHETIST (Delivery, distribution & elimination of injectable agents used in anesthesia) 1

2 DRUG PROTOCOLS USED FOR INDUCTION OF ANESTHESIA IN SMALL ANIMALS & SELECTION CRITERIA TOTAL (TIVA) & PARTIAL INTRAVENOUS ANESTHESIA (PIVA) FOR MAINTENANCE OF ANESTHESIA PHARMACOLOGY OF INHALANT ANESTHETICS (Isoflurane, sevoflurane, [desflurane]; N 2 O) PART I May 10, BRIEF REVIEW OF LECTURES 9-14 & Q/A SESSION PHARMACOLOGY OF INHALANT ANESTHETICS (Isoflurane, sevoflurane, [desflurane]; N 2 O) PART II UPTAKE, DISTRIBUTION, METABOLISM & ELIMINATION OF INHALANT ANESTHETICS USING COMPUTER SIMULATIONS LOW AND HIGH FLOW ANESTHESIA WITH INHALANT ANESTHETICS USING COMPUTER SIMULATIONS PREVIOUS LECTURES 1-13 PREVIOUS LECTURES BRIEF REVIEW OF LECTURES & Q/A SESSION MODULE 2: May 29, Titolo/argomento Relatori ANESTHESIA MACHINE, ANESTHESIA CIRCUITS, VAPORIZERS & RELATED EQUIPMENT, PART I ANESTHESIA MACHINE, ANESTHESIA CIRCUITS, VAPORIZERS & RELATED EQUIPMENT, PART II Sostituto: Sostituto: TECHNIQUES OF ENDOTRACHEAL INTUBATION & RELATED EQUIPMENT SIGNS OF ANESTHESIA/RECOGNIZING STAGES OF ANESTHETIC DEPTH / KEEPING AN ANESTHESIA RECORD PHYSIOLOGY OF THE CARDIOVASCULAR SYSTEM & COMMON CARDIOVASCULAR MONITORING TECHNIQUES CAUSES OF HEMODYNAMIC IMPAIRMENT Sostituto: Sostituto: Sostituto: Sostituto: 2

3 May 30, BRIEF REVIEW OF LECTURES & Q/A SESSION MONITORING AND MANAGEMENT OF HEMODYNAMIC IMPAIRMENTS READING THE ECG Sostituto: Sostituto: CAUSES AND TREATMENT OF COMMON CARDIAC RHYTHM DISTURBANCES, PART I CAUSES AND TREATMENT OF COMMON CARDIAC RHYTHM DISTURBANCES, PART II CAUSES, RECOGNITION, AND TREATMENT OF CARDIAC ARREST (CPR) PERIANESTHETIC FLUID THERAPY (crystalloids, colloids, blood products) May 31, 2014 Sostituto: Sostituto: Sostituto: Sostituto: Titolo/argomento Relatori BRIEF REVIEW OF LECTURES & Q/A SESSION DIAGNOSIS AND TREATMENT OF ABNORMAL ACID-BASE STATUS DURING THE PERIANESTHETIC PERIOD DIAGNOSIS AND TREATMENT OF ABNORMAL ELECTROLYTE STATUS DURING THE PERIANESTHETIC PERIOD PHYSIOLOGY OF THE RESPIRATORY SYSTEM & COMMON RESPIRATORY FUNCTION MONITORING TECHNIQUES Sostituto: Sostituto: Sostituto: RESPIRATORY FUNCTION MONITORING TECHNIQUES WITH FOCUS ON CAPNOMETRY/-GRAPHY RESPIRATORY FUNCTION MONITORING TECHNIQUES WITH FOCUS ON BLOOD GAS ANALYSIS CAUSES AND EFFECTS OF RESPIRATORY DYSFUNCTION ON THE ANESTHETIZED ANIMAL BRIEF REVIEW OF LECTURES & Q/A SESSION Sostituto: Sostituto: Sostituto: 3

4 MODULE 3: June 26, Titolo/argomento Relatori INDICATIONS AND EFFECTS OF MECHANICAL VENTILATION ON THE ANESTHETIZED ANIMAL TYPES OF MECHANICAL VENTILATORS, MODES OF MECHANICAL VENTILATION, AND VENTILATOR SETTINGS PHARMACOLOGY OF NEUROMUSCULAR BLOCKING AGENTS (NMBs; focus: [cis-]atracurium), mivacurium, edrophonium; INDUCING PERIPHERAL MUSCLE PARALYSIS MONITORING & REVERSING PERIPHERAL MUSCLE PARALYSIS (focus:neostigmine, edrophonium) PREVIOUS LECTURES PREVIOUS LECTURES June 27, 2014 Sostituto: BRIEF REVIEW OF LECTURES & Q/A SESSION PATHOPHYSIOLOGY OF PERIOPERATIVE PAIN SIGNS OF NOCICEPTION & DISTRESS AND PAIN ASSESSMENT IN SMALL ANIMALS MANAGEMENT OF PERIOPERATIVE NOCICEPTION - MULTIMODAL ANALGESIA IN SMALL ANIMALS; PART I MANAGEMENT OF PERIOPERATIVE NOCICEPTION - MULTIMODAL ANALGESIA IN SMALL ANIMALS; PART II PHARMACOLOGY OF DRUGS USED IN LOCO-REGIONAL ANESTHESIA & ANALGESIA TECHNIQUES IN SMALL ANIMALS EPIDURAL ANESTHESIA & ANALGESIA & OTHER COMMON LOCO- REGIONAL ANESTHESIA & ANALGESIA TECHNIQUES IN SMALL ANIMALS June 28, 2014 Sostituto: Titolo/argomento Relatori BRIEF REVIEW OF LECTURES & Q/A SESSION PREVIOUS LECTURES EMERGENCE FROM INJECTABLE AND INHALANT ANESTHESIA 4

5 MANAGING COMMON ANESTHETIC EMERGENCIES Sostituto: PRINCIPLE APPROACH TO ANESTHESIA FOR THE EMERGENCY PATIENT ANESTHESIA FOR THE PATIENT WITH CARDIAC DISEASE, PART I ANESTHESIA FOR THE PATIENT WITH CARDIAC DISEASE, PART II BRIEF REVIEW OF LECTURES & Q/A SESSION Sostituto: Sostituto: MODULE 4: September 18, Titolo/argomento Relatori ANESTHESIA FOR THE PATIENT WITH CENTRAL NERVOUS SYSTEM DISEASE INCLUDING ANESTHESIA FOR THE ANIMAL UNDERGOING MRI AND/OR CT SCANNING ANESTHESIA FOR THE PATIENT WITH ENDOCRINE DISEASE Sostituto: Sostituto: ANESTHESIA FOR THE PATIENT WITH GASTRO-INTESTINAL DISEASE ANESTHESIA FOR THE PATIENT WITH LIVER DISEASE ANESTHESIA FOR THE PATIENT WITH RENAL DISEASE ANESTHESIA FOR THE PATIENT WITH EYE DISEASE AND EYE LACERATIONS September 19, 2014 Sostituto: Sostituto: BRIEF REVIEW OF LECTURES & Q/A SESSION ANESTHESIA OF THE PEDIATRIC AND SENILE PATIENTS INTRODUCTION TO THE ANESTHESIA OF RABBITS AND POCKET PETS Sostituto: Sostituto: INTRODUCTION TO THE ANESTHESIA OF BIRDS PREVIOUS LECTURES Sostituto: 5

6 PREVIOUS LECTURES BRIEF REVIEW OF LECTURES & Q/A SESSION September 20, REVIEW OF COURSE MATERIAL OF DAY 10 (self-study time) REVIEW OF COURSE MATERIAL OF DAY 10 (self-study time) September 21, 2014 Titolo/argomento Relatori HANDING OUT OF COURSE EXAM RESULTS AS WELL AS COURSE ATTENDANCE CERTIFICATES*- CONCLUSION OF THE COURSE Sostituto: ZARUCCO *Il tempo dedicato alla verifica NON è compreso nelle ore totali del corso TOTALE ORE DELL INIZIATIVA FORMATIVA 84 ORE 6

NARKOVET CONSULTING's Clinical Training Program: Practice of Anesthesia & Perioperative Analgesia in Small Animals

NARKOVET CONSULTING's Clinical Training Program: Practice of Anesthesia & Perioperative Analgesia in Small Animals Page 1 NARKOVET CONSULTING's Clinical Program: Practice of Anesthesia & Perioperative Analgesia in Small Animals Participants: 3-4 (minimum 3) Prerequisite: Veterinarian or Licensed Veterinary Technician,

More information

General anesthetics. Dr. Shamil AL-Noaimy Lecturer of Pharmacology Dept. of Pharmacology College of Medicine

General anesthetics. Dr. Shamil AL-Noaimy Lecturer of Pharmacology Dept. of Pharmacology College of Medicine General anesthetics Dr. Shamil AL-Noaimy Lecturer of Pharmacology Dept. of Pharmacology College of Medicine Rationale General anesthesia is essential to surgical practice, because it renders patients analgesic,

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Acetaminophen, for geriatric surgical patients, 569 570 Acute kidney injury, critical care issues in geriatric patients with, 555 556

More information

General Anesthesia. Mohamed A. Yaseen

General Anesthesia. Mohamed A. Yaseen General Anesthesia Mohamed A. Yaseen M.S,c Surgery Before Anesthesia General Anesthesia ( GA ) Drug induced absence of perception of all sensation allowing surgery or other painful procedure to be carried

More information

HST-151 Clinical Pharmacology in the Operating Room

HST-151 Clinical Pharmacology in the Operating Room Harvard-MIT Division of Health Sciences and Technology HST.151: Principles of Pharmocology Instructors: Dr. Carl Rosow, Dr. David Standaert and Prof. Gary Strichartz 1 HST-151 Clinical Pharmacology in

More information

Feline Anesthesia Fluid Therapy Treatment of Anesthetic Complications

Feline Anesthesia Fluid Therapy Treatment of Anesthetic Complications Feline Anesthesia Fluid Therapy Treatment of Anesthetic Complications Rebecca A. Krimins, DVM, MS April 29, 2018 DCVR Annual Spring Symposium Email: drkrimins@gmail.com Cat Anesthesia There is no single

More information

ANESTHETIZING DISEASED PATIENTS: URINARY; NEUROLOGICAL; TRAUMATIZED

ANESTHETIZING DISEASED PATIENTS: URINARY; NEUROLOGICAL; TRAUMATIZED ANESTHETIZING DISEASED PATIENTS: URINARY; NEUROLOGICAL; TRAUMATIZED Lyon Lee DVM PhD DACVA Patients with Urinary Tract Diseases General considerations Three main factors to consider in anesthetizing urinary

More information

Pharmacology: Inhalation Anesthetics

Pharmacology: Inhalation Anesthetics Pharmacology: Inhalation Anesthetics This is an edited and abridged version of: Pharmacology: Inhalation Anesthetics by Jch Ko, DVM, MS, DACVA Oklahoma State University - Veterinary Medicine, February

More information

Chapter 25. General Anesthetics

Chapter 25. General Anesthetics Chapter 25 1. Introduction General anesthetics: 1. Analgesia 2. Amnesia 3. Loss of consciousness 4. Inhibition of sensory and autonomic reflexes 5. Skeletal muscle relaxation An ideal anesthetic: 1. A

More information

Research Anesthesia Skills

Research Anesthesia Skills Research Anesthesia s A minimum of 80% of the skills must be mastered. s must be cross-referenced in your case logs. Some skills may require more than one corresponding case references. Mastery is defined

More information

Introduction to Anesthesia

Introduction to Anesthesia Introduction to Anesthesia Objectives for the MS111 7000 Clerkship Understand the principles of pre-procedure preparation and post- procedure care Understand the range of anesthetic options available to

More information

ANESTHETIC MANAGEMENT OF COMPROMISED PATIENTS. L. S. Pablo, DVM MS DACVA College of Veterinary Medicine University of Florida Gainesville, FL 32610

ANESTHETIC MANAGEMENT OF COMPROMISED PATIENTS. L. S. Pablo, DVM MS DACVA College of Veterinary Medicine University of Florida Gainesville, FL 32610 Introduction ANESTHETIC MANAGEMENT OF COMPROMISED PATIENTS L. S. Pablo, DVM MS DACVA College of Veterinary Medicine University of Florida Gainesville, FL 32610 Small animal patients that need anesthesia

More information

problems with, 29, 98 psychiatric patients, 96 rheumatic conditions, 97

problems with, 29, 98 psychiatric patients, 96 rheumatic conditions, 97 180 ACE inhibitors, 26 acetaminophen, see paracetamol acupressure, anti-emetic effect, 143 acute drugs, 64 5 adenoidectomy, 161 adrenaline, 64 α-2-chloroprocaine, 74, 81 age impact on patient selection,

More information

Measure Abbreviation: PONV 01 (MIPS 430)

Measure Abbreviation: PONV 01 (MIPS 430) Measure Abbreviation: PONV 01 (MIPS 430) *PONV 01 is built to the specification outlined by the Merit Based Incentive Program (MIPS) 430: Prevention of Post-Operative Nausea and Vomiting (PONV) Combination

More information

CHAPTER 11. General and Local Anesthetics. Anesthetics. Anesthesia. Eliza Rivera-Mitu, RN, MSN NDEG 26 A

CHAPTER 11. General and Local Anesthetics. Anesthetics. Anesthesia. Eliza Rivera-Mitu, RN, MSN NDEG 26 A CHAPTER 11 General and Local Anesthetics Eliza Rivera-Mitu, RN, MSN NDEG 26 A Anesthetics Agents that depress the central nervous system (CNS) Depression of consciousness Loss of responsiveness to sensory

More information

Kurt Baker-Watson, MD Associate Professor

Kurt Baker-Watson, MD Associate Professor Kurt Baker-Watson, MD Associate Professor Anesthetics Previous types, complications, satisfaction, familial history of complications, acute and chronic pain issues Airway Dentition/dental appliances, temporomandibular

More information

Measure Abbreviation: PONV 01 (MIPS 430)

Measure Abbreviation: PONV 01 (MIPS 430) Measure Abbreviation: PONV 01 (MIPS 430) *PONV 01 is built to the specification outlined by the Merit Based Incentive Program (MIPS) 430: Prevention of Post-Operative Nausea and Vomiting (PONV) Combination

More information

Anaesthesiology and Intensive Care in Lithuania. Prof. Juozas Ivaškevičius

Anaesthesiology and Intensive Care in Lithuania. Prof. Juozas Ivaškevičius Anaesthesiology and Intensive Care in Lithuania Prof. Juozas Ivaškevičius Historical facts Present situation Education and trainig The future VILNIUS L.Lechavičius (1811-1880) W.T.G.Morton 16 th October,

More information

Advanced Medical Care: Improving Veterinary Anesthesia. Advanced Medical Care: Improving Veterinary Anesthesia

Advanced Medical Care: Improving Veterinary Anesthesia. Advanced Medical Care: Improving Veterinary Anesthesia Advanced Medical Care: Improving Thursday, April 23, 2009 By Tamara Grubb, DVM, MS, DACVA AAHA gratefully acknowledges the following for their sponsorship of this Web Conference: Advanced Medical Care:

More information

TTC Catalog - Respiratory Care (RES)

TTC Catalog - Respiratory Care (RES) 2018-2019 TTC Catalog - Respiratory Care (RES) RES 110 - Cardiopulmonary Science I This course focuses on assessment, treatment evaluation of patients with cardiopulmonary disease. RES 121 Restrictions:

More information

Pharmacology of the Neuromuscular Junction (NMJ)

Pharmacology of the Neuromuscular Junction (NMJ) Pharmacology of the Neuromuscular Junction (NMJ) Edward JN Ishac, Ph.D. Professor Smith Building, Room 742 eishac@vcu.edu 828 2127 Department of Pharmacology and Toxicology Medical College of Virginia

More information

May 2013 Anesthetics SLOs Page 1 of 5

May 2013 Anesthetics SLOs Page 1 of 5 May 2013 Anesthetics SLOs Page 1 of 5 1. A client is having a scalp laceration sutured and is to be given Lidocaine that contains Epinephrine. The nurse knows that this combination is desgined to: A. Cause

More information

Hypotension after induction, corrected with 20 mg ephedrine x cc LR EBL 250cc Urine output:

Hypotension after induction, corrected with 20 mg ephedrine x cc LR EBL 250cc Urine output: Terry C. Wicks, CRNA, MHS Catawba Valley Medical Center Hickory, North Carolina 63 y.o., 5 2, 88 kg female for hand assisted laparoscopic tranversecolectomy Co-morbidities include: Hypertension controlled

More information

Subspecialty Rotation: Anesthesia

Subspecialty Rotation: Anesthesia Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper

More information

Anesthesia and Mitochondrial Cytopathies Bruce H. Cohen, MD, John Shoffner, MD, Glenn DeBoer, MD United Mitochondrial Disease Foundation, 1998

Anesthesia and Mitochondrial Cytopathies Bruce H. Cohen, MD, John Shoffner, MD, Glenn DeBoer, MD United Mitochondrial Disease Foundation, 1998 Introduction Anesthesia and Mitochondrial Cytopathies Bruce H. Cohen, MD, John Shoffner, MD, Glenn DeBoer, MD United Mitochondrial Disease Foundation, 1998 This article will outline some basic aspects

More information

Proceedings of the 36th World Small Animal Veterinary Congress WSAVA

Proceedings of the 36th World Small Animal Veterinary Congress WSAVA www.ivis.org Proceedings of the 36th World Small Animal Veterinary Congress WSAVA Oct. 14-17, 2011 Jeju, Korea Next Congress: Reprinted in IVIS with the permission of WSAVA http://www.ivis.org 14(Fri)

More information

Original Date of issue: 01/11/2005 Last Reviewed: 01/05/2011 Version:4 Page 1 of 7

Original Date of issue: 01/11/2005 Last Reviewed: 01/05/2011 Version:4 Page 1 of 7 Original Date of issue: 01/11/2005 Last eviewed: 01/05/2011 Version:4 Page 1 of 7 15: Anaesthesia 15.1 General anaesthesia 15.1.1 Intravenous anaesthesia Etomidate Injection (20mg/10ml) Ketamine Injection

More information

SEDATION FOR SMALL PROCEDURES

SEDATION FOR SMALL PROCEDURES SEDATION FOR SMALL PROCEDURES Sinno Simons Erasmus MC Sophia Children s Hospital Rotterdam, the Netherlands s.simons@erasmusmc.nl SEDATION in newborns How and when How to evaluate How to dose Why to use

More information

Pharmacology of intravenous induction agents

Pharmacology of intravenous induction agents Pharmacology of intravenous induction agents Ákos Csomós MD, PhD Professor, Head of Department Medical Centre, Hungarian Defence Force, Budapest What do we have in the market? Thiopental Metohexital Etomidate

More information

Pharmacology of the Neuromuscular Junction (NMJ)

Pharmacology of the Neuromuscular Junction (NMJ) Pharmacology of the Neuromuscular Junction (NMJ) Edward JN Ishac, Ph.D. Professor Smith Building, Room 742 eishac@vcu.edu 828 2127 Department of Pharmacology and Toxicology Medical College of Virginia

More information

Inhalational Anesthesia. Munir Gharaibeh, MD, PhD, MHPE School of Medicine The University of Jordan February, 2018

Inhalational Anesthesia. Munir Gharaibeh, MD, PhD, MHPE School of Medicine The University of Jordan February, 2018 Inhalational Anesthesia School of Medicine The University of Jordan February, 2018 mgharaib@ju.edu.jo Inhalational Anesthesia n Gases or volatile liquids n Administration and Elimination is by the lungs

More information

Childhood Obesity: Anesthetic Implications

Childhood Obesity: Anesthetic Implications Childhood Obesity: Anesthetic Implications The Changing Practice of Anesthesia 2015 UCSF Department of Anesthesia and Perioperative Care Marla Ferschl, MD Associate Professor of Anesthesia University of

More information

Pain & Sedation Management in PICU. Marut Chantra, M.D.

Pain & Sedation Management in PICU. Marut Chantra, M.D. Pain & Sedation Management in PICU Marut Chantra, M.D. Pain Diseases Trauma Procedures Rogers Textbook of Pediatric Intensive Care, 5 th ed, 2015 Emotional Distress Separation from parents Unfamiliar

More information

The Top 5 Anesthetic Complications Donna M. Sisak, CVT, LVT, VTS (Anesthesia/Analgesia) Seattle Veterinary Specialists Kirkland, WA

The Top 5 Anesthetic Complications Donna M. Sisak, CVT, LVT, VTS (Anesthesia/Analgesia) Seattle Veterinary Specialists Kirkland, WA The Top 5 Anesthetic Complications Donna M. Sisak, CVT, LVT, VTS (Anesthesia/Analgesia) Seattle Veterinary Specialists Kirkland, WA dsisak@svsvet.com COMPLICATION (medical definition): An unanticipated

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Adverse drug events, polypharmacy and perioperative considerations in elderly patients, 377 389 Age, and risk of postoperative urinary retention,

More information

General surgery. Thyroid surgery. Physiological response to pneumoperitoneum. Bowel resection

General surgery. Thyroid surgery. Physiological response to pneumoperitoneum. Bowel resection General surgery Thyroid surgery Physiological response to pneumoperitoneum Bowel resection General surgery 3.D.9.1 James Mitchell (December 24, 2003) Thyroid surgery Preoperative Assessment Routine, plus

More information

Drugs for Local and General Anesthesia. Copyright 2017, 2014, 2011 Pearson Education, Inc. All Rights Reserved

Drugs for Local and General Anesthesia. Copyright 2017, 2014, 2011 Pearson Education, Inc. All Rights Reserved Drugs for Local and General Anesthesia Anesthesia Local affecting a limited part of the body General resulting in loss of consciousness Local Anesthetics Five techniques for applying local anesthesia Topical

More information

MD (Anaesthesiology) Title (Plan of Thesis) (Session )

MD (Anaesthesiology) Title (Plan of Thesis) (Session ) S.No. 1. COMPARATIVE STUDY OF CENTRAL VENOUS CANNULATION USING ULTRASOUND GUIDANCE VERSUS LANDMARK TECHNIQUE IN PAEDIATRIC CARDIAC PATIENT. 2. TO EVALUATE THE ABILITY OF SVV OBTAINED BY VIGILEO-FLO TRAC

More information

Chapter 18. Skeletal Muscle Relaxants (Neuromuscular Blocking Agents)

Chapter 18. Skeletal Muscle Relaxants (Neuromuscular Blocking Agents) Chapter 18 Skeletal Muscle Relaxants (Neuromuscular Blocking Agents) Uses of Neuromuscular Blocking Facilitate intubation Surgery Agents Enhance ventilator synchrony Reduce intracranial pressure (ICP)

More information

General anesthesia. No single drug capable of achieving these effects both safely and effectively.

General anesthesia. No single drug capable of achieving these effects both safely and effectively. General anesthesia General anesthesia is essential to surgical practice, because it renders patients analgesic, amnesia, and unconscious reflexes, while causing muscle relaxation and suppression of undesirable

More information

ANESTHESIA EXAM (four week rotation)

ANESTHESIA EXAM (four week rotation) SPARROW HEALTH SYSTEM ANESTHESIA SERVICES ANESTHESIA EXAM (four week rotation) Circle the best answer 1. During spontaneous breathing, volatile anesthetics A. Increase tidal volume and decrease respiratory

More information

Core Safety Profile. Pharmaceutical form(s)/strength: 5mg/ml and 25 mg/ml, Solution for injection, IM/IV FI/H/PSUR/0010/002 Date of FAR:

Core Safety Profile. Pharmaceutical form(s)/strength: 5mg/ml and 25 mg/ml, Solution for injection, IM/IV FI/H/PSUR/0010/002 Date of FAR: Core Safety Profile Active substance: Esketamine Pharmaceutical form(s)/strength: 5mg/ml and 25 mg/ml, Solution for injection, IM/IV P-RMS: FI/H/PSUR/0010/002 Date of FAR: 29.05.2012 4.3 Contraindications

More information

Analgesic-Sedatives Drug Dose Onset

Analgesic-Sedatives Drug Dose Onset Table 4. Commonly used medications in procedural sedation and analgesia Analgesic-Sedatives Fentanyl Morphine IV: 1-2 mcg/kg Titrate 1 mcg/kg q3-5 minutes prn IN: 2 mcg/kg Nebulized: 3 mcg/kg IV: 0.05-0.15

More information

NQS Domain: Patient Safety. Measure Type: Process

NQS Domain: Patient Safety. Measure Type: Process Measure Abbreviation: PONV 02 (MIPS 463) *PONV 02 is built to the specification outlined by the Merit Based Incentive Program (MIPS) 463: Prevention of Post-Operative Vomiting (POV) Combination Therapy

More information

SEEING KETAMINE IN A NEW LIGHT

SEEING KETAMINE IN A NEW LIGHT SEEING KETAMINE IN A NEW LIGHT BobbieJean Sweitzer, M.D., FACP Professor of Anesthesiology Director of Perioperative Medicine Northwestern University Bobbie.Sweitzer@northwestern.edu LEARNING OBJECTIVES

More information

OBJECTIVES OF TRAINING FOR THE ANAESTHESIA TERM

OBJECTIVES OF TRAINING FOR THE ANAESTHESIA TERM College of Intensive Care Medicine of Australia and New Zealand ABN: 16 134 292 103 Document type: Training Date established: 2007 Date last reviewed: 2014 OBJECTIVES OF TRAINING FOR THE ANAESTHESIA TERM

More information

Setting The setting was a hospital (tertiary care). The economic study was carried out in Ankara, Turkey.

Setting The setting was a hospital (tertiary care). The economic study was carried out in Ankara, Turkey. Inhalation versus total intravenous anesthesia for lumbar disc herniation: comparison of hemodynamic effects, recovery characteristics, and cost Ozkose Z, Ercan B, Unal Y, Yardim S, Kaymaz M, Dogulu F,

More information

Cancer in the United States

Cancer in the United States https://www.cancer.gov/aboutcancer/understanding/statistics https://www.cancer.gov/aboutcancer/understanding/statistics 09/05/2018 Anesthesia for Cancer Surgery: How we can impact survival Paul G. Tarasi

More information

NEUROMUSCULAR BLOCKING AGENTS

NEUROMUSCULAR BLOCKING AGENTS NEUROMUSCULAR BLOCKING AGENTS Edward JN Ishac, Ph.D. Associate Professor, Pharmacology and Toxicology Smith 742, 828-2127, Email: eishac@vcu.edu Learning Objectives: 1. Understand the physiology of the

More information

2017 ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives

2017 ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives 2017 ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives Shock Syndromes and Sepsis, Pulmonary Disorders, Hepatic Failure/GI/Endocrine Emergencies, Supportive and

More information

ISPUB.COM. Review Of Currently Used Inhalation Anesthetics: Part II. O Wenker SIDE EFFECTS OF INHALED ANESTHETICS CARDIOVASCULAR SYSTEM

ISPUB.COM. Review Of Currently Used Inhalation Anesthetics: Part II. O Wenker SIDE EFFECTS OF INHALED ANESTHETICS CARDIOVASCULAR SYSTEM ISPUB.COM The Internet Journal of Anesthesiology Volume 3 Number 3 O Wenker Citation O Wenker.. The Internet Journal of Anesthesiology. 1998 Volume 3 Number 3. Abstract SIDE EFFECTS OF INHALED ANESTHETICS

More information

Anaesthesia pearls and pitfalls in periodic paralysis

Anaesthesia pearls and pitfalls in periodic paralysis Biannual Meeting of the PPA Orlando, FL, 2013 Anaesthesia pearls and pitfalls in periodic paralysis Department of Neurology Military Hospital Ulm Germany Frank Weber Frank Lehmann Horn, Senior Research

More information

ABSTRACT the first chapter,

ABSTRACT the first chapter, ABSTRACT To induce the anesthesia, specially injectable general anesthesia, it supposes the use of an increased number of substances, that usually overcome 4 to 8 number, and which may reach in certain

More information

HOW LOW CAN YOU GO? HYPOTENSION AND THE ANESTHETIZED PATIENT.

HOW LOW CAN YOU GO? HYPOTENSION AND THE ANESTHETIZED PATIENT. HOW LOW CAN YOU GO? HYPOTENSION AND THE ANESTHETIZED PATIENT. Donna M. Sisak, CVT, LVT, VTS (Anesthesia/Analgesia) Seattle Veterinary Specialists Kirkland, WA dsisak@svsvet.com THE ANESTHETIZED PATIENT

More information

Intubation sedation intubation

Intubation sedation intubation Intubation sedation Mar 29, 2017. When a paralytic agent is used for intubation without sedation, the patient may be fully aware of his or. Oct 11, 2016. This post will review sedation and analgesia regimens

More information

AUSTRALIAN PRODUCT INFORMATION REMIFENTANIL APOTEX (REMIFENTANIL HYDROCHLORIDE) POWDER FOR INJECTION

AUSTRALIAN PRODUCT INFORMATION REMIFENTANIL APOTEX (REMIFENTANIL HYDROCHLORIDE) POWDER FOR INJECTION AUSTRALIAN PRODUCT INFORMATION REMIFENTANIL APOTEX (REMIFENTANIL HYDROCHLORIDE) POWDER FOR INJECTION 1 NAME OF THE MEDICINE Remifentanil (as hydrochloride) 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each

More information

Evaluation of Postoperative Complications Occurring in Patients after Desflurane or Sevoflurane in Outpatient Anaesthesia: A Comparative Study

Evaluation of Postoperative Complications Occurring in Patients after Desflurane or Sevoflurane in Outpatient Anaesthesia: A Comparative Study Original article Evaluation of Postoperative Complications Occurring in Patients after Desflurane or Sevoflurane in Outpatient Anaesthesia: A Comparative Study Shishir Ramachandra Sonkusale 1, RajulSubhash

More information

Intraoperative neurophysiological monitoring for the anaesthetist

Intraoperative neurophysiological monitoring for the anaesthetist Intraoperative neurophysiological monitoring for the anaesthetist Part 2: A review of anaesthesia and its implications for intraoperative neurophysiological monitoring Abstract Van Der Walt JJN, MBChB,

More information

Dexamethasone Compared with Metoclopramide in Prevention of Postoperative Nausea and Vomiting in Orthognathic Surgery

Dexamethasone Compared with Metoclopramide in Prevention of Postoperative Nausea and Vomiting in Orthognathic Surgery Article ID: WMC002013 2046-1690 Dexamethasone Compared with Metoclopramide in Prevention of Postoperative Nausea and Vomiting in Orthognathic Surgery Corresponding Author: Dr. Agreta Gashi, Anesthesiologist,

More information

January 27, 1992 to November 26, A total of 120 patients (60/site) were enrolled in the study as follows: PATIENT ENROLLMENT

January 27, 1992 to November 26, A total of 120 patients (60/site) were enrolled in the study as follows: PATIENT ENROLLMENT STUDY SYNOPSIS Study Number: Title: GHBA-533 A Phase II, Randomized, Open-Label Study to Compare the Safety and Efficacy of Sevoflurane Versus Halothane Administered with Nitrous Oxide and Oxygen in ASA

More information

ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives

ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives ACCP/SCCM Critical Care Preparatory Review and Recertification Course Learning Objectives Module 1 Critical Care Pharmacy Evolution and Validation, Practice Standards, Training, and Professional Development,

More information

Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery

Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery Martha Cordoba Amorocho, MD Iuliu Fat, MD Supplement to Cordoba Amorocho M, Fat I. Anesthetic techniques in endoscopic sinus and skull base

More information

Cardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center

Cardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical

More information

FOR REPRESENTATIVE EDUCATION

FOR REPRESENTATIVE EDUCATION Neuromuscular Blockade in the ICU NIMBEX Indication 1 NIMBEX (cisatracurium besylate) is indicated as an adjunct to general anesthesia to facilitate tracheal intubation in adults and in pediatric patients

More information

ASSESSMENT OF THE PAEDIATRIC NEEDS ANAESTHESIOLOGY DISCLAIMER

ASSESSMENT OF THE PAEDIATRIC NEEDS ANAESTHESIOLOGY DISCLAIMER European Medicines Agency Evaluation of Medicines for Human Use ASSESSMENT OF THE PAEDIATRIC NEEDS ANAESTHESIOLOGY London, October 2006 Doc. Ref: EMEA/405166/2006 DISCLAIMER The Paediatric Working Party

More information

GENERAL ANAESTHESIA. Jozef Firment, MD PhD. Department of Anaesthesiology & Intensive Care Medicine Šafárik University Faculty of Medicine, Košice

GENERAL ANAESTHESIA. Jozef Firment, MD PhD. Department of Anaesthesiology & Intensive Care Medicine Šafárik University Faculty of Medicine, Košice GENERAL ANAESTHESIA Jozef Firment, MD PhD Department of Anaesthesiology & Intensive Care Medicine Šafárik University Faculty of Medicine, Košice DEFINITION (an) aisthetos = (un) perception general anaesthesia

More information

Acute And perioperative care of the burn-injured patient. Anesthesiology, V 122, No 2

Acute And perioperative care of the burn-injured patient. Anesthesiology, V 122, No 2 Acute And perioperative care of the burn-injured patient Anesthesiology, V 122, No 2 Reporter:R4 沈士鈞 Supervisor: 蔡欣怡醫師 Pathophysiology Initial evaluation and management Anesthetic managemen nt Pathophysiology

More information

Anesthesia For The Elderly. Yasser Sakawi, M.D. Associate Professor Anesthesiology Department

Anesthesia For The Elderly. Yasser Sakawi, M.D. Associate Professor Anesthesiology Department Anesthesia For The Elderly Yasser Sakawi, M.D. Associate Professor Anesthesiology Department Topics of Discussion General concepts and definitions Aging and general organ function Cardiopulmonary function

More information

Cardiovascular Effects of Anesthesia for Cesarean Delivery in the Cardiac Patient

Cardiovascular Effects of Anesthesia for Cesarean Delivery in the Cardiac Patient Cardiovascular Effects of Anesthesia for Cesarean Delivery in the Cardiac Patient Katherine W. Arendt, M.D. Associate Professor of Anesthesiology Mayo Clinic, Rochester, Minnesota Cardiac Problems in Pregnancy

More information

Foundation in Critical Care Nursing. Airway / Respiratory / Workbook

Foundation in Critical Care Nursing. Airway / Respiratory / Workbook Foundation in Critical Care Nursing Airway / Respiratory / Workbook Airway Anatomy: Please label the following: Tongue Larynx Epiglottis Pharynx Trachea Vertebrae Oesophagus Where is the ET (endotracheal)

More information

ULTIVA. Remifentanil hydrochloride

ULTIVA. Remifentanil hydrochloride ULTIVA Remifentanil hydrochloride QUALITATIVE AND QUANTITATIVE COMPOSITION Remifentanil for injection is a sterile, preservative-free, white to off white, lyophilised powder, to be reconstituted before

More information

General Anesthesia. My goal in general anesthesia is to stop all of these in the picture above (motor reflexes, pain and autonomic reflexes).

General Anesthesia. My goal in general anesthesia is to stop all of these in the picture above (motor reflexes, pain and autonomic reflexes). General Anesthesia General anesthesia is essential to surgical practice, because it renders patients analgesic, amnesia and unconscious reflexes, while causing muscle relaxation and suppression of undesirable

More information

Inhalation anesthesia. Somchai Wongpunkamol,MD Anes., CMU

Inhalation anesthesia. Somchai Wongpunkamol,MD Anes., CMU Inhalation anesthesia Somchai Wongpunkamol,MD nes., CMU Inhalation anesthetics is agent that possess anaesthetic qualities that are administered by breathing through an anaesthesia mask or ET tube connected

More information

A Nondepolarizing Neuromuscular Blocking (NMB) Agent

A Nondepolarizing Neuromuscular Blocking (NMB) Agent DOSING GUIDE A Nondepolarizing Neuromuscular Blocking (NMB) Agent Easy to remember dosing for the 0.20 mg/kg adult intubating doses of NIMBEX 1 *: For every 10 kg, give 1 ml of NIMBEX (2 mg/ml concentration)

More information

Induction of Anaesthesia

Induction of Anaesthesia American Society of Anesthesiologists (ASA) Classification Year Group: BVSc3 + Document Number: CSL_A08 Equipment for this station: Equipment list: There is no specific equipment for the station other

More information

3 years experience of working in OB&GYN, general surgery operating room of the Ershad hospital, Karaj

3 years experience of working in OB&GYN, general surgery operating room of the Ershad hospital, Karaj ALIREZA JAFARI APT#4.N#14.Sarab Ave,Azarshahr St, Shariati St Tehran,IRAN PHONE;00982122887568 00989123021232(cell) alirezajaffari@sbmu.ac.ir Personal Information Marital status :married Nationality :Iranian

More information

Pet owners are often very anxious about veterinary procedures that involve anesthesia. This handout attempts to alleviate some of these concerns.

Pet owners are often very anxious about veterinary procedures that involve anesthesia. This handout attempts to alleviate some of these concerns. Printable Version Anesthesia for Cats Pet owners are often very anxious about veterinary procedures that involve anesthesia. This handout attempts to alleviate some of these concerns. The word anesthesia

More information

Neuromuscular Junction

Neuromuscular Junction Muscle Relaxants Neuromuscular Junction Cholinergic antagonists Neuromuscular-blocking agents (mostly nicotinic antagonists): interfere with transmission of efferent impulses to skeletal muscles. These

More information

Capnography Connections Guide

Capnography Connections Guide Capnography Connections Guide Patient Monitoring Contents I Section 1: Capnography Introduction...1 I Section 2: Capnography & PCA...3 I Section 3: Capnography & Critical Care...7 I Section 4: Capnography

More information

Kinetics and Monitoring of Inhaled Anesthetics. Copyright , James H Philip, all rights reserved

Kinetics and Monitoring of Inhaled Anesthetics. Copyright , James H Philip, all rights reserved Kinetics and Monitoring of Inhaled Anesthetics Copyright 1980-2014, James H Philip, all rights reserved Ready Kinetics and Monitoring of Inhaled Anesthetics James H. Philip, M.E.(E.), M.D. Anesthesiologist

More information

Effect of 1- and 10-Day Administration of Tepoxalin on Minimum Alveolar Concentration of Isoflurane and Sevoflurane in Dogs*

Effect of 1- and 10-Day Administration of Tepoxalin on Minimum Alveolar Concentration of Isoflurane and Sevoflurane in Dogs* M. A. Crist, N. S. Matthews, N. L. Oberle, and C. Pappas Effect of 1- and 10-Day Administration of Tepoxalin on Minimum Alveolar Concentration of Isoflurane and Sevoflurane in Dogs* M. A. Crist, DVM a

More information

MASTER SYLLABUS

MASTER SYLLABUS MASTER SYLLABUS 2018-2019 A. Academic Division: Health Science B. Discipline: Respiratory Care C. Course Number and Title: RESP 2490 Practicum IV D. Course Coordinator: Tricia Winters, BBA, RRT, RCP Assistant

More information

Volume of practice and workplace-based assessment requirements for each of the ANZCA Clinical Fundamentals

Volume of practice and workplace-based assessment requirements for each of the ANZCA Clinical Fundamentals Appendix Four Volume of practice and workplace-based assessment requirements for each of the ANZCA Clinical Fundamentals This appendix contains tables setting out both the volume of practice and workplace-based

More information

Anesthesia of robotic thoracic surgery

Anesthesia of robotic thoracic surgery Robotic Thoracic Surgery Column Page 1 of 7 Anesthesia of robotic thoracic surgery Yinan Zhang 1, Shumin Wang 2, Yingjie Sun 1 1 Department of Anesthesiology, 2 Department of Thoracic Surgery, Northern

More information

ULTIVA GlaxoSmithKline

ULTIVA GlaxoSmithKline ULTIVA GlaxoSmithKline Remifentanil QUALITATIVE AND QUANTITATIVE COMPOSITION Remifentanil for injection is a sterile, endotoxin-free, preservative-free, white to off white, lyophilised powder, to be reconstituted

More information

Sedation For Cardiac Procedures A Review of

Sedation For Cardiac Procedures A Review of Sedation For Cardiac Procedures A Review of Sedative Agents Dr Simon Chan Consultant Anaesthesiologist Department of Anaesthesia and Intensive Care Prince of Wales Hospital Hong Kong 21 February 2009 Aims

More information

Anesthesia Monitoring

Anesthesia Monitoring Anesthesia Monitoring Horatiu V. Vinerean, DVM, DACLAM Anesthesia Monitoring Anesthesia can be divided into four progressive phases. The signs relating to a certain phase are based upon the presence or

More information

Sedation in children and young people. Appendix J. Sedation for diagnostic and therapeutic procedures in children and young people

Sedation in children and young people. Appendix J. Sedation for diagnostic and therapeutic procedures in children and young people SEDATION IN CHILDREN AND YOUNG PEOPLE 1 Sedation in children and young people Sedation for diagnostic and therapeutic procedures in children and young people Appendix J 2 SEDATION IN CHILDREN AND YOUNG

More information

Uniformed Services University Nurse Anesthesia Program Anesthesia Pharmacology Note Set

Uniformed Services University Nurse Anesthesia Program Anesthesia Pharmacology Note Set Uniformed Services University Nurse Anesthesia Program Anesthesia Pharmacology Note Set AUGUST, 2004 Fourth Revision i Table of Contents CHAPTER 1: Pharmacokinetic Principles 1 Absorption 2 First Pass

More information

University of Wisconsin - Madison Cardiovascular Medicine Fellowship Program UW CICU Rotation Goals and Objectives

University of Wisconsin - Madison Cardiovascular Medicine Fellowship Program UW CICU Rotation Goals and Objectives Background: The field of critical care cardiology has evolved considerably over the past 2 decades. Contemporary critical care cardiology is increasingly focused on the management of patients with advanced

More information

Preoperative Anxiety

Preoperative Anxiety Alyssa Brzenski Case You are called by a parent of a child who you took care of a week and a half ago. The child, a 4 year old boy, came to IR for the first of many sclerotherapy of a Venous Malformation

More information

ANAPHYLAXIS IN ANESTHESIA

ANAPHYLAXIS IN ANESTHESIA ANAPHYLAXIS IN ANESTHESIA Content I. Definition II. Epidemiology III. Etiology IV. Recognition V. Diagnosis VI. Observation and follow up VII.Drugs Definition Prophylaxis : protection Anaphylaxis : against

More information

Index. Note: Page numbers of article titles are in boldface type

Index. Note: Page numbers of article titles are in boldface type Index Note: Page numbers of article titles are in boldface type A Acute coronary syndrome, perioperative oxygen in, 599 600 Acute lung injury (ALI). See Lung injury and Acute respiratory distress syndrome.

More information

LOCAL ANESTHETIC NERVE BLOCKS and ANALGESIA. Carolyn Cartwright, RVT, VTS (Anesthesia/Analgesia)

LOCAL ANESTHETIC NERVE BLOCKS and ANALGESIA. Carolyn Cartwright, RVT, VTS (Anesthesia/Analgesia) LOCAL ANESTHETIC NERVE BLOCKS and ANALGESIA Carolyn Cartwright, RVT, VTS (Anesthesia/Analgesia) Effective approach for optimum pain management requires a practical multimodal anesthesia and analgesia protocol.

More information

Supplemental Digital Content: Definitions Based on the International Classification of Diseases, Ninth Revision, Clinical Modification

Supplemental Digital Content: Definitions Based on the International Classification of Diseases, Ninth Revision, Clinical Modification Supplemental Digital Content: Definitions Based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnose and Procedures Codes 1. ICD-9-CM definition of

More information

ANAESTHESIA EDY SUWARSO

ANAESTHESIA EDY SUWARSO ANAESTHESIA EDY SUWARSO GENERAL REGIONAL LOCAL ANAESTHESIA WHAT DOES ANESTHESIA MEAN? The word anaesthesia is derived from the Greek: meaning insensible or without feeling. The adjective will be ANAESTHETIC.

More information

The following criteria must be met in order to obtain pediatric clinical privileges for pediatric sedation.

The following criteria must be met in order to obtain pediatric clinical privileges for pediatric sedation. Pediatric Sedation Sedation of children is different from sedation of adults. Sedatives are generally administered to gain the cooperation of the child. The ability of the child to cooperate depends on

More information

Anesthesia Monitoring. D. J. McMahon rev cewood

Anesthesia Monitoring. D. J. McMahon rev cewood Anesthesia Monitoring D. J. McMahon 150114 rev cewood 2018-01-19 Key Points Anesthesia Monitoring: - Understand the difference between guidelines & standards - ASA monitoring Standard I states that an

More information

ICU Management of Minimally Invasive Cardiac Surgery

ICU Management of Minimally Invasive Cardiac Surgery ICU Management of Minimally Invasive Cardiac Surgery Benjamin A. Kohl, MD, FCCM Chief of Critical Care, Aria-Jefferson Health Professor of Anesthesiology Thomas Jefferson University Sidney Kimmel Medical

More information

Monitoring Consciousness Using the Bispectral Index During Anesthesia

Monitoring Consciousness Using the Bispectral Index During Anesthesia Monitoring Consciousness Using the Bispectral Index During Anesthesia A Pocket Guide for Clinicians COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and/or internationally

More information