anesthesia Flashcards
1
Q
Oliver Wendell Holmes
A
coined “anesthesia” when ether was discovered
2
Q
reversal agents for muscle relaxants
A
edrophonium, neostigmine, pyridostigmine
3
Q
antidotes for benzodiazepines (valium, versad, midazolam)
A
flumazenil (still retain intraop amnesia)
4
Q
protein receptor theory
A
-certain # of receptor sites in CNS need to be filled before movement to noxious stimuli is stopped
5
Q
Meyer-Overton Theory
A
- aka critical volume hypothesis
- relationship bt lipid solubility and anesthetic potentcy
6
Q
endogenous endorphin theory
A
anesthesia=opiate like substance
7
Q
4 stages of anesthesia progression
A
- initial administration
- excitement
- intrasx
- failure/death
8
Q
cricoid pressure
A
- occlude esophagus to prevent aspiration during ET placement (esp in emergency cases/crash induction)
- downward pressure w/ thumb and index on cricoid cartilage
9
Q
MH s/s
A
- ****inc. end tidal CO2
- tachycardia
- jaw muscle rigid
- inc. K, lactic acidosis, O2 demand, temp (late), intracellular calcium
10
Q
common MH trigger
A
succinylcholine
