PPT-Propofol

Dr S Parthasarathy MD DA DNB MD Acu Dip Diab DCA Dip Software statistics PhD physiology IDRA History 1970 discovery 1977 found the hypnotic use 1986 only popular use . 36 year-old female, ASA 1, under went an elective repeat caesarean section under spinal anesthesia using hyperbaric . bupivacaine. . 15mg . + . fentanyl. 10 . ug. . She delivered a 3.0 k baby boy, 30 minutes after cutting. After which she complained of nausea and vomiting. . Keywords: Case Report A 27-year old man with no known medical problems presented electively for laparoscopic pylorotomy for achalasia. Achalasia is a primary esophageal motility disorder characteriz Keywords: Case Report A 27-year old man with no known medical problems presented electively for laparoscopic pylorotomy for achalasia. Achalasia is a primary esophageal motility disorder characteriz 45 Indian J. Anaesth. 2006 1.M.D., D.M. (Neuroanaesthesiology),2.M.D., Prof.3.M.D., Asst. Prof. Dr. P. K. Bithal Dr. H. Prabhakar Keywords : Propofol, Myoclonus, Laryngeal mask airway, Airway p Dep. Of Anaesthesia. University Medical Center Groningen. The Netherlands. Sedation 2012. ASA . definition. of . levels. of . sedation. Copyright. ®. [1999] American Society of . Anesthesiologists. USE . in the . ED. By Carmen . Lau. Pharmacy . Year . 4. December 27. th. , 2013. Procedural sedation and analgesia (PSA). Definition: A technique of administering sedatives w/ or w/o analgesics to induce a state that allows for unpleasant procedures, also referred to as conscious sedation. Go live: APRIL 24th. Why These Changes?. Per the Cal Dept of Public Health (ie, the “state”) and CMS (federal) nurses cannot push an anesthetic drug for procedural sedation. This includes propofol, ketamine, barbituates and etomidate. . MODERATED BY : Dr Priyanka Gupta. Presented by : Dr J S Rahul . GOALS IN NEUROANESTHESIOLOGY . Haemodynamic stability . ICP control . technique and accidental awareness. Volatile maintenance . – ETAG concentration can be measured and if alarms are turned on and set at 0.7 MAC this reduces the risk of awareness*. But two thirds of the cases of AAGA reported to NAP5 did not occur during maintenance. Natania Axe,CRNA, MSN, BSN Holy Spirit Hospital Geisinger Affiliate T alk R ely A nticipate I ntervention N euromonitoring Team WHAT IS TIVA  TIVA  The exclusive use of IV anesthetics to pro or To Gas or Not to Gas That is the QuestionDaniel J Janik MDUniversity of Colorado at Denver and Health Sciences CenterDisclosures -NoneYour AnestheticBalanced technique opiate/volatileTIVA propofol/ Dr. S. Parthasarathy . MD., DA., DNB, MD (. Acu. ), . Dip. . Diab.DCA. , Dip. Software . statistics,Phd. (. physio. ). Mahatma Gandhi Medical college and research institute , . puducherry. , India. MALIGNANT HYPERTHERMIA (MH) Disease of Muscle Associated with MHhandful of the numerous diseases of muscle have been associated with MH. Muscular Dystrophy and MHThe Muscular Dystrophies were thought The duration of sleep is short. It has also been used in a continuous infusion to maintain anaesthesia. On cessation of infusion, the drug decays rapidly.. Dosage and administration. In healthy, unpremedicated adults, a dose of 1.5-2.5 mg/ Kg is used to induce anaesthesia. The dose should be reduced in elderly, an initial dose of 1.25 mg/Kg is appropriate. In children, a dose of 3-3.5mg/Kg is required, the drug is not recommended for use in children less than 3 years of age. Lower doses are required for induction in premedicated patients. Sedation during regional analgesia or endoscopy can be achieved with doses of 1.5-4.5mg/Kg/h..