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Inhalation Anaesthesia
Basic knowledge
Base of Inhalation Anaesthesia
Definitions:
General
Anaesthesia: Reversible loss of all sensation,
deliberately produced for therapeutic
purposes, in which the reflex responses
to stimuli are diminished or eliminated.
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Base of Inhalation Anaesthesia
Applications:
Intravenous
Anaesthesia: Anaesthesia induced and / or maintained by
the intravenous administration of one or
more drugs.
Paravertebral
Anaesthesia: (Spinal anaesthesia) conduction anaesthesia
Produced by deposition of a suitable agent
on or near the spinal nerves at or near the
intervertebral foramina.
Inhalation
Anaesthesia: Anaesthesia induced and / or maintained by pulmonary
ventilation with anaesthetic vapours and / or gases.
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Base of Inhalation Anaesthesia
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Base of Inhalation Anaesthesia
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The four Components of General Anaesthesia:
- Unconsciousness:
Hypnosis (Loss of Consciousness, sleeping)
- Painless:
Analgesia (Loss of sensitivity to pain)
- Muscle relaxation:
Relaxation (loss of muscle tension)
Base of
Base of Inhalation
Inhalation Anaesthesia
Anaesthesia
Single Anaesthesia:
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Combined Anaesthesia:
Combined Anaesthesia:
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Physical Properties of Inhalation Anaesthesia:
Therapeutic
Concentration 0.2 - 1.5 0.2 - 3.0 0.2 - 2.5 0.2 - 3.0 1 - 10
Range in vol%
Base of Inhalation Anaesthesia
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Base of Inhalation Anaesthesia
MAC
70% N2O 0.50 0.57 0.29 0.66 2.83
30% O2 vol. % vol. % vol. % vol. % vol. %
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Inhalation Anaesthesia
Anaesthesia
Properties:
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Nitrous Oxide (N2O)
Side effects:
(Risk of perforation)
Volatile Anaesthetics:
Properties:
Side effects:
- Bio transformation
(a portion of the gas is not eliminated by the lungs)
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Metabolism of anaesthetic gases:
The anaesthetic agents are stored in the fatty tissue and metabolised in
the liver.
How it works:
inhalated gas
Alveolar
Brain
Loss of Consciousness
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Ventilation Modes for the inhalation Anaesthesia:
-SB (Spontaneous Breathing)
The patient is breathing ambient air without machine help.
Pression
0
Temps
Inspiration Expiration
Respiration spontanée
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Inhalation Anaesthesia
Anaesthesia
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Ventilation Modes for the inhalation Anaesthesia:
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Ventilation Modes for the inhalation Anaesthesia:
P
t
V
t
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Ventilation Modes for the inhalation Anaesthesia:
Open
Semi-Open
Semi-Close
Close