Anesthesia Flashcards
Define Sedation
Calm state usually accompanied by drowsiness
Define Tranquilization
Calmness without drowsiness or loss of consciousness, no loss of pain
Define Analgesia
Decreased sensitivity to pain without loss of consciousness
Define Local anesthesia
Loss of sensation in peripheral nerves of a specific area without loss of consciousness
Define general anesthesia
Temporary, controllable, reliable loss of sensation and consciousness
What are the main risks of anesthesia?
Changes in BP, respiratory rate, HR, CNS function
What are pre-anesthetic drugs?
drugs that are administered before general anesthetic
What are the pre-anesthetic drug classes?
Tranquilizers, Analgesics, Anticholinergics
What is an example of a tranquilizer?
Diazepam
What is an example of an analgesic?
Buprenorphine
What are Anticholinergics?
Prevent slow heart rate and hyper salivation.
What are Induction drugs?
Create a rapid and smooth transition from conciousness to unconsciousness. Ex. Propofol.
What are Maintenance drugs?
Produce general anesthesia including loss of conciousness and muscle relaxation. Ex. Isoflurane
What is the goal of the Maintenance phase of anesthesia?
To keep unconscious enough while avoiding overdose.
What is CRI?
Continuous Rate Infusion
What happens during recover stage of anesthesia?
Put them on O2, leave tracheal tube in.
Then check swallow reflex
Monitor and observe
What equipment is used to monitor HR and rhythm?
Stethoscope, ECG monitor, Doppler
What is pulse deficit?
When hear rate and pulse are different.
What is a Esophageal Stehescope?
Long thin tube placed down esophagus.
What is used to monitor BP?
Doppler,
Oscillometric
What is an apnea monitor?
Sounds alarm when no breaths are detected.
What is a pulse oximeter?
Measures amount of O2 in blood.
What is a Capnograph?
Measures amount of CO2 in blood.
How can you measure blood loss?
Suction pump for large amount,
squares of gauze saturated
What are some equipment used for thermoregulation?
Circulating hot water blanket.
Bair hugger (air blowing)
Hot water bottles
Electric blanket
What are the reflexes to check?
Palpebral (blink) Swallow Pedal (pinch webbing) Ear flick (touch ear hairs) Laryngeal Muscle tone Eye position and pupil size
What are the parts to an anesthetic machine?
Gas cylinder Flowmeter Vaporizer Resevoir Unidirectional valves Breathing hoses O2 flush valve Pop-off valve C02 absorption canister Pressure manometer
What is a Gas cylinder?
Contains O2, always green.
What is a Flowmeter?
Controls flow of O2 in L/minute
What is a vaporizer?
vaporizes anesthetic into a gas.
What is the role of unidirectional valves?
Makes sure gas is only flowing in one direction
What do the breathing hoses do?
Connects endotracheal tubes in lungs to machine
What is the Oxygen flush valve?
Adds O2 to system without anesthetic
What does the pop off valve do?
Prevents gas from leaving system.
What does a pressure manometer measure?
How much pressure in system.
What is a rebreathing system?
Closed circuit system that recycles CO2.
Only used in patients over 10 kg
What is a non-rebreathing system?
Open circuit system, does not reuse CO2. Used on smaller patients.
Uses more gas.
What are Endotracheal tubes?
Brings O2 to patient.
What are the common endotracheal tube sizes?
4.5 for cats,
8-14 for dogs.
Don’t use in rabbits
What is a laryngoscope?
Gives clear view of trachea
What is a stylet?
gives rigidity to smaller endotracheal tubes.
What is Lidocaine spray for?
Local anesthetic to prevent vocal folds from closing
What is lubricating gel for?
Prevents irritation to trachea
What are some other anesthetic equipments?
Gauze, elastics, tubing, syringes, opthamic ointment, face masks.
What are the 4 stages of Anesthetic Management?
Pre-anesthesia
Induction
Maintenance
Recovery
What is happening during Pre-anesthesia?
Everything leading up to anesthesia
Fasting, Physical exam, history
What is happening during Induction phase?
Going from conscious to unconscious
IV drugs
Can be done via inhalation
What phases are considered the 2 danger zones?
Induction and Recovery
What is happening during maintenance phase of anesthesia?
Enough to keep unconscious but not overdose
What is happening during Recovery phase of anesthesia?
Procedure is done
Still getting O2
need to be monitored
sometimes wake up in excitement phase