Understanding Anaesthesia For Physiotherapist
Understanding Anaesthesia For Physiotherapist
Understanding Anaesthesia For Physiotherapist
Thangamani ramalingam
PT, MSc(PSY), MIAP
Anesthesia, or an aesthesia
( from Greek an-, "without";
and aesthesis, "sensation"),
traditionally meant the
condition of having
sensation (including the
feeling of pain) blocked or
Types of anesthesia
local anesthesia
regionalanesthesia
spinal anesthesiaand
epidural anesthesia.
general anesthesia
dissociative anesthesia.
Local anesthesia
Surface anesthesia
Infiltration anesthesia
Nerve block
Field block
Spinal anesthesia
Extra dural
caudal
General anesthesia
Stage
Stage
Stage
Stage
of
of
of
of
analgesia
excitement
surgical anesthesia
impending over dose
local anesthetics
Each of them have the suffix "-caine"
in their names.
procaine
amethocaine
cocaine
lidocaine (also known as Lignocaine)
prilocaine
bupivacaine
levobupivacaine
ropivacaine
mepivacaine
dibucaine
Inhalational anesthetic
Desflurane
Enflurane
Halothane
Isoflurane
Methoxyflurane
Nitrous oxide
Sevoflurane
Xenon(rarely used)
Intravenous
agents -nonBarbiturates
Amobarbital (trade name: Amytal)
opioid
Intravenous opioid
analgesic agents
following opioids have short
onset and duration of action
and are frequently used
during general anesthesia:
Alfentanil
Fentanyl
Remifentanil
Sufentanil
Buprenorphine
Butorphanol
Hydromorphone
and duration
Methadone
Morphine
Nalbuphine
Oxymorphone
Pentazocine
Muscle relaxants
Depolarizing muscle
relaxants
Succinylcholine(also
known
assuxamethoniumin the
UK, New Zealand, Australia
and other countries,
"Celokurin" or "celo" for
short in Europe)
Decamethonium
Non-depolarizing muscle
relaxants
Short acting
Mivacurium
Rapacuronium
Intermediate acting
Atracurium
Cisatracurium
Rocuronium
Vecuronium
Long acting
Alcuronium
Doxacurium
Gallamine
Metocurine
Pancuronium
Pipecuronium
Tubocurarine
Intravenous reversal
agents
Spinal anesthesia
Fall in BP due to paralysis of
symp.nervous system
Headache
Meningitis
Vomiting
Toxic reactions
Neurological complications
advantages
Profound relaxation
Retention of consciousness
No chances of chest complications
Unwanted effects
Thank you