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SURGERY AND ANASTHESIA > ANASTHESIA > Flashcards

ANASTHESIA Flashcards

1
Q

What are the three parts of any good general anaesthetic?

A

Hypnosis
Analgesia
Muscle relaxant

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2
Q

What is the surgical safety checklist?

A

A checklist created by WHO which involves all surgical and medical staff involved in the procedure as well as the patient. It is used to prevent any mistakes from happening.

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3
Q

What is the timeline of anaesthesia?

A

Induction
Maintenance
Emergence
Recovery

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4
Q

What are the two possible methods of induction?

A

Standard IV

Inhalation

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5
Q

In the standard IV induction, what are the two classes of drug required to induce the anasthesia?

A

Analagesics

Hypnotic agent

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6
Q

What is the hypnotic agent usually used in induction?

A

Propofol

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7
Q

What is the drug used in the inhalation method of induction?

A

Sevofluorane with O2 and air or N2O

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8
Q

When would you give a muscle relaxant in induction?

A

If intubation is required

If surgery requires a still patient

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9
Q

What is the classic example of a depolarising muscle relaxant?

A

Suxamethonium

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10
Q

What are examples of non-depolarising muscle relaxants?

A

Atracurium
Doxacurium
Vecuronium

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11
Q

What are the airway manoeuvres used once the muscle relaxant has been induced?

A

Chin tilt jaw thrust
Airway adjuncts
Supralottic devices
Endotracheal intubation

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12
Q

What are the general ways in which we maintain anaethesia?

A

Volatile agents

Intravenous maintenance

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13
Q

What is the normal method of maintenance?

A

Volatile agents

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14
Q

If we decided to maintain anaesthesia intravenously what two drugs would we use?

A

Propofol and an opioid

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15
Q

What are the factors that must be considered as part of the perioperative care?

A 
Positions
Temperature
Fluid balance
Other drugs such as sympathetic drivers (adrenoceptor agonists and anti-muscarinics), antibiotics
Bloods
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16
Q

What are the stages of emergence?

A 
Analgesia
Anti-emetics
Muscular function restored
Maintenance agents switched off
Extubation
Patient wakes up - may be agitated or confused
17
Q

What are the only two groups of drugs that might be stopped prior to an operation?

A

Anti-coagualants

ACE inhibitors

18
Q

A 58 year old man with mild mitral valve disease is about to undergo cholecystectomy. Which single intervention is required at anaesthetic induction?

A. prophylactic intravenous antibiotics
B. salbutamol nebuliser
C. saline nebuliser
D. sedative pre-medication
E. TED stockings
A

TED stockings

SURGERY AND ANASTHESIA (6 decks)

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