DR PRADEEP KULKARNI,

M.D.(ANAESHESIOLOGY)
LMRC, PUNE
ROLE OF TECHNICIAN IN OT
SAFE PROCEDURES- MINOR/MAJOR,
DIAGNOSTIC/THERAPEUTIC
HELPING SURGEON/ANAESTHESIOLOGIST/
NURSES
OWN RESPONSIBILITIES- PREPARING THE
PATIENT, PREMEDICATION, PAPERS
CHECKING INSTRUMENTS, MACHINES, DRUGS
RECORD KEEPING
PROPER SHIFTING THE PATIENT
HANDING OVER TO RECOVERY ROOM/ICU
ANAESTHESIA
THE WORD ANAESTHESIA IS DERIVED FROM
THE GREEK: MEANING INSENSIBLE OR WITHOUT
FEELING.
INSENSIBLE DOES NOT NECESSARY IMPLY LOSS
OF CONSCIOUSNESS.
GENERAL/ TOPICAL/LOCAL/REGIONAL
 ANAESTHETIC MACHINE
1. Oxygen gas supply.
2. Nitrous oxide gas supply.
3. Flow meter
4. Vaporizer specific for every agent
5. Mechanical ventilator
6. Tubes for connection.
ANAESTHESIA
MACHINE
PREPARING THE PATIENT
PSYCHOLOGICAL SUPPORRT
PAPERS- CONSENT, PROPER NAME, TYPE OF
SURGERY, SURGEON, OT NUMBER
PREMEDICATION- CALMING, ANAESTHESIA,
SISTER WILL GIVE
PREPARING THE PART- ASEPSIS
HELPING TO START IV LINE
ECG LEADS- THREE LEADS
CHECKING THE MACHINE
GASES- OXYGEN, NITROUS OXIDE, SAFETY FOR
CYLINDERS(COLOUR, PIN INDEX)
CANNISTER- SODALIME, WETNESS, COLOUR
INHALATIONAL AGENTS-HALOTHANE,
ISOFLURANE, SEVOFLURANE
MONITORS- PULSE OXYMETER, ETCO2
MONITOR, MULTIPARAMONITOR(BP, ECG, RATE,
O2)
CHECKING THE DRUGS
ASA GRADING AND PROBABLE TYPE OF
ANAESTHESIA
EMERGENCY DRUGS IN OT
IV FLUIDS- ADEQUACY, TURBIDITY
BLOOD PRODUCTS IF REQUIRED
MONITOR AND DEFIBRILLATOR- CHARGED
PREMEDICATIONS
MIDAZOLAM
ANXIOLYTICS- MAY BE EARLIER
ANTISECRETORY DRUGS- ATROPINE,
GLYCOPYRROLATE
SPECIAL DRUGS-ANTIHYPERTENSIVES, BETA
BLOCKERS, ANTITHYROIDS, ANTIANGINAL
INDUCING AGENTS
THIOPENTONE SODIUM
PROPOFOL
KETAMINE
RARELY MORPHINE, MIDAZOLAM
INHALATIONAL AGENTS
HALOTHANE/ISOFLURANE/SEVOFLURANE/ETHE
R
MUSCLE RELAXANTS
DEPOLARISING- SUCCINYL CHLORIDE

NON DEPOLARISING- PANCURONIUM,

VECURONIUM, ATRACURIUM

REVERSAL AGENTS- ANTICHOLINESTERASE AND

VAGOLYTIC AGENT
LARYNGOSCOPY –
ENDOTRACHEAL INTUBATION
LARYNGOSCOPY –
ENDOTRACHEAL INTUBATION
LARYNGEAL MASK AIRWAY
OROPHARYNGEAL AND
NASOPHARYNGEAL AIRWAYS
ANAESTHESIA- GENERAL
INDUCTION- IV / INHALATIONAL,
PREOXYGENATION
PARALYSIS- SHORT ACTING MUSCLE RELAXANT
INTUBATION- WHY, SIZES OF TUBE, HELP
 MAINTAINANCE OF ANAESTHESIA-
INHALATIONAL/ RELAXANTS
REVERSAL- STOP INHALATIONAL,
ANTICHOLINESTERASES
EXTUBATION- AFTER MONITORING ALL VITALS
ANAESTHESIA- SPINAL
PREPARING THE BACK
STERALISATION- SPINAL TRAY
LUMBAR PUNCTURE NEEDLES
REACHING THE SPACE- IDENTIFYING
DRUGS- XYLOCAINE, BUPUVACAINE,
ROPIVACAINE
POSITION- PILLOW, HEAD LOW, FOOT END
IV FLUIDS AND MONITORING-BP/RESP/PULSE
SHIFTING AND LATER PRECAUTIONS
SPINAL EPIDURAL
NEEDLES NEEDLES
Spinal

Epidural
ANAESTHESIA- EPIDURAL
WHEN TO PREFER
ADVANTAGES- BP, CONTINUOUS, POST OP PAIN
RELEF
HOW TO IDENTIFY SPACE
INJECTING THE DRUG
MONITORING- BP/RESP/PULSE/POSITIION
SHIFTING- CATHETER CARE/ LABELLING/
POSITION
CAUDAL EPIDURAL
ANAESTHESIA- REGIONAL
BLOCKS
LOCAL ANAESTHETICS IN NERVE AREA
LAND MARKS/NERVE STIMULATOR/ USG GUIDED
PRECAUTONS WHILE INJECTING
MONITORING
SHIFTING
TOPICAL
TYPES OF IV FLUIDS
CRYSTALLOIDS- 5%DEXTROSE, NORMAL SALINE,
RINGER LACTATE

COLLOIDS- HAEMACCOEL, LOMODEX, STARCH

BLOOD PRODUCTS- BLOOD, PLATELETS, PACKED

CELL VOLUMES
EQUIPMENTS IN OT
MULTIPARA MONITOR- BLOOD PRESSURE,
PULSE RATE, RESPIRATION, TEMPERATURE, ECG,
SPO2
MONITOR DEFIBRILLATOR
TOURNIQUET- PRESSURE, TIME ELAPSED,
RELEASE BEFORE SHIFT
MOPS, SURGICAL EQUIPMENTS
SUCTION APPARATUS
CENTRAL GASES
 MONITORING
1. PULSE, ECG
2. BLOOD PRESSURE
3. OXYGEN SATURATION.
4. END TIDAL CO2
5. TEMPERATURE
6. URINE OUTPUT, CVP, EEG, BISPECTRAL INDEX,
MUSCLE TONE, ECHO, DRUG CONCENTRATION.
EMERGENCIES IN OT
SHOCK- HYPOVOLEMIC
MYOCARDIAL INARCTION AND SHOCK
BLEEDING
CARDIAC ARREST- PREVENTION
DRUGS/ PROCEDURE RELATED- CONVULSIONS
ELECTRIC HAZARDS
PRECAUTIONS WHILE WORKING IN
OT
KNOW THE PATIENT- DECIDE REQUIREMENTS
ASEPTIC PRECAUTIONS
TAKE CARE OF YOURSELF- VACCINATION,
GLOVES, MASK
SHIFTING AND LIFTING CAN BE DIFFICULT
WORK IN TEAM
BE ALWAYS HELPFUL
NO ASSIGNED JOB PERFECTLY
SHIFTING FROM OT
CHECK VITALS- CONCIOUSNESS, PULSE, BP,
RESPIRATION.
MOVE ON STRETCHER OR BED
ALONG WITH MONITORS, O2, RESUSCITATIVE
MEASURES
POSITION, VITALS, HAND OVER
RECORD WITH HELP OF NURSING STAFF
STERALISATION
TEMPERATURE AND PRESSURE-AUTOCLAVING
KILLING OF BACTERIA/SPORES, INSTRUMENT
SERALISATION
WET STERALISATION
DRY STERALISATIONS- UV/ ETHYLENE OXIDE
HYPOCHLORIDE SOLUTIONS
BIOMEDICAL WASTE