TOPIC 2 - types of anesthesia Flashcards
types of anesthesia
local, regional block of nerve, moderate to deep sedation, monitored anesthesia care, general anesthesia
differences in anesthesia
each has different risks, severity of side effects, assessment, and complications
anesthesia is chosen based on
site of surgery, clients other conditions, previous reactions to anesthesia, and type of surgery
local anesthesia
site specific, regional nerve block, spinal, epidural
monitored anesthesia care
sedative, anxiolytic, and analgesic drugs used
patients are less responsive and may require airway management
provide max flexibility to meet client needs and procedural requirements
often used in conjunction with regional or local anesthesia
often used for minor therapeutic and diagnostic procedures
moderate to deep sedation
sedative, anxiolytic and analgesic drugs used
patients are responsive and breathe without assistance
clients ability to protect airway is maintained
most often used for simple uncomplicated procedures
main difference between MAC and moderate to deep sedation anesthesia
Monitored Anesthesia Care requires an anesthesiologist or CRNA provider inside the operating room and outside the operating room such as interventional radiology, endoscopy, etc… due to client complexity or a high risk of complications.
general anesthesia
loss of sensation and consciousness,
combination of hypnosis, analgesia and amnesia,
involves use of inhalation agents,
skeletal muscle relaxation,
eliminates cough, gag, vomit, SNS,
requires advanced airway management
what type of anesthesia would you use for procedures that are significant in duration
general anesthesia
complications of anesthesia
anaphylactic reactions
malignant hyperthermia (very rare- s/s: rigid muscles and fever)
autonomic nervous system blockade (occurs with spinal or epidural- s/s: hypotension, bradycardia, nausea, vomit)
postural puncture/headache/back pain/meningitis/isolated nerve injuries