IV Anesthesia Flashcards
MAC stands for
Monitored Anesthesia Control
Minimal Alveolar Concentration
Goal of IV anesthesia
Hypnosis, Amnesia, Analgesia, Immobility
Advantage of MAC
pt independently maintains airway, no CV or respiratory supression
Disadvantage of MAC
unpredictable! constant monitoring!
non-opioid IVs
benzos, barbs, propofol
Benzo anecdote
Flumazenil
Anterograde amnesia
Benzos
Why use Benzos
Pre-op!
Peds = prevents PTSD
IV induction
IV sedation
dissociative anesthesia
Ketamine
Use in kids
Ketamine, Fentanyl
Prior to using Propofol, use
Barbs for induction
Barbs have no
Analgesics
Acute intermittent porphyria is contraindicated in…
Barbs!
Use to treat intracranial pressure
Barbs
Egg yolk
Propofol
Milk of anesthesia
Propofol
Induces GA
Propofol
Infusion Syndrome
Propofol, rhabdomyolysis, metabolic and sytemic shutdown, often FATAL!
Alternative to Propofol (egg allergy) and Barbs (compromised myocardial contractility)
Etomidate
Etomidate
- Hynosis
- No analgesia
- PONV
Itchy nose
Fentanyl
Pre-medication, adjunct to GA or RA anesthesia
Fentanyl
Awake fiberoptic tracheal intubation
Dexmedetomidine
Short term sedation, intubated and ventilated patients
Dexmedetomidine
Good for pts at risk of aspirating
Thiopental
Addiction of choice vets
Ketamine