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Introduction to Anesthesiology! Nathaen Weitzel, M.D.! Assistant Professor of Anesthesiology! Department of Anesthesiology! Overview / Objectives! •  Housekeeping details: ! – Grading, Evaluations! – Case Report! – Professionalism! •  Comments to improve anesthesia / surgical experience! •  Overview of Anesthesia! •  Historical perspective! •  Introduction to current drugs / techniques! What is anesthesia?! an es thesi a! (an es-the ze-a).! 1. Loss of sensation resulting from pharmacologic depression of nerve function or from neurologic dysfunction. ! 2. Broad term for anesthesiology as a clinical specialty.! Why do we need Anesthesia?! •  Fanny Burney: artist from 19th century: ! •  Received a wine cordial as her sole anesthetic ! •  Also had seven male assistants to hold her down for her mastectomy.! When the dreadful steel was plunged into the “ breast, cutting though veins-arteries-ﬂesh- nerves- I needed no injunction not to restrain my cries. I began a scream that lasted unintermittently during the whole time of the incision & I almost marvel that it rings not in my ears still! So excruciating was the agony. I then felt the knife racking against the breast bone – scraping it! This performed while I yet remained in utterly speechless torture. ! ” (The Journals and Letters of Fanny Burney)! The Objectives of Anesthesia! •  Loss of awareness / Amnesia! •  If Desired! •  Analgesia! •  Reduce movement in response to stimuli! •  Minimize autonomic responses to surgical stimuli! •  Muscle relaxation- if required! •  Autonomic Regulation! What is balanced anesthesia?! All of these objectives can be achieved with one drug, but at the expense of side effects and toxicity.! Balanced anesthesia uses a combination of agents, to limit the dose and toxicity of each drug.! Who are Anesthesiologists?! •  Physicians caring for wide variety of patients ! •  Practice clinical pharmacology and physiology! •  Administrators of medications to alter physiology and pathology: immediate response! •  Analysts and rapid problem solvers! •  Team leaders. Our working environment: complex, technical, requires multi-tasking! •  Leaders in Clinical and Basic Research! The Anesthesiologist s Skill Set! ʼ •  Assessment of patient readiness for “ ” surgery. Our Expertise includes:! •  •  Airway management! Regional anesthesia! •  •  Pharmacology! Oxygen transport! •  •  Resuscitation! Operative stress reduction! •  •  Fluid replacement! Applied Clinical and Basic •  Research! Postoperative pain control! Leaders in Patient Safety! June 21, 2005 Over 20 years, mortality due to anesthesia decreased from 1 in 5000 cases to 1 in 200,000-300,000 cases!!

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Introduction to. Anesthesiology! Nathaen Weitzel, M.D.! Assistant Professor of Anesthesiology! Department of Anesthesiology! When the dreadful steel was plunged into the breast, cutting though veins-arteries-flesh- nerves- I needed Practice clinical pharmacology and physiology! • Administrators

Intro to anesthesia PDF

55 Pages·2012·2.49 MB·English

by Helen Macfarlane

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by Helen Macfarlane| 2012| 55 pages| 2.49| English

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Introduction to. Anesthesiology! Nathaen Weitzel, M.D.! Assistant Professor of Anesthesiology! Department of Anesthesiology! When the dreadful steel was plunged into the breast, cutting though veins-arteries-flesh- nerves- I needed Practice clinical pharmacology and physiology! • Administrators

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Author:	Helen Macfarlane
Publication Year:	2012
Pages:	55
Language:	English
File Size:	2.49
Format:	PDF
Price:	FREE

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