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Anesthesia Advantages And Disadvantages

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TIVA may be favoured as the anesthetic technique of choice for the following reasons ADVANTAGES OF TIVA: 1. Rapid smooth induction and maintenance of anesthesia Induction of anesthesia with propofol is smooth and associated with a low incidence of excitatory side effects. Doses of 1 to 2.5 mg/kg (depending on patient age, physical status, and use of premedicant drugs) induce anesthesia in approximately 30 seconds. The speed of onset and the dose of propofol needed for induction are dependent on the administration rate. (Sear, 2012) One advantage of propofol as an induction agent is the greater depression of pharyngeal and laryngeal reactivity. This can be of benefit during upper airway instrumentation and insertion of the laryngeal mask airway. …show more content…

The exposure of anesthetist to inhalational anesthetics is higher as compared to other operation theater personals and may even cross the limits of environmental tolerance. (Sukhminder & Jasbir, …show more content…

Environment friendly as eliminates waste gases Anesthetics are commonly used during surgery with the aim of providing the patient with an experience free of sights, sounds, and any other unpleasant sensations. The major atmospheric effects that may arise from emission of volatile anesthetics are their contributions to ozone depletion in the stratosphere and to greenhouse warming in the troposphere. (Yasny & White, 2012) Over the years there have been significant improvements in the control of environmental contamination by anesthetic gases. These have been accomplished through the use and improved design of scavenging systems, installation of more effective general ventilation systems, and an increased attention to equipment maintenance and leak detection, as well as careful anesthetic practice. TIVA is one of the main methods to achieve this as it totally eliminates these waste gases. (Yasny & White, 2012) 6. Ideal operating conditions for neurologic surgery with reduced cerebral brain flow, decreased intracranial pressure, and decreased cerebral metabolic rate for oxygen, and in the case of propofol, preservation of cerebral autoregulation and vascular

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Then the patient exhales passively. Increasingly, PSV is used in ICUs as the primary ventilation mode. PSV is thought to improve the endurance of respiratory muscles (Morton & Fontaine, 2013). This mode is not for patients who are sedated, or receiving neuromuscular blockade or having any pathological conditions that leads to unreliable breathing PSV is used as a weaning mode, or a recovery mode to boost the patients effort in maintaining a tidal volume. and tidal volume and RR should be monitored to detect any decreased compliance of the lungs.

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Although nitrous oxide is the currently prevalent anesthetic used today, Chloroform is more effective as an anaesthetic. Chloroform’s rapid effects and great potency is due to it’s property of being well absorbed, metabolized, and eliminated rapidly by the body after oral, inhalation, or dermal exposure.

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Anesthesia Plan – This plan notes the various medical conditions to be aware of for anesthesia and recommends the type and levels of anesthesia for the procedure.

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When a medical team deliberately reduces the core body temperature of their patients, they are using a technique called induced hypothermia. A human’s healthy, body temperature will typically hover around 98.6 degrees fahrenheit; however, once hypothermia consumes the patient, their body will reduce to a temperature between 89.6 and 93.2 degrees fahrenheit. Today, there are technologies that will use cooling blankets or cooling catheters, which contain cold saline and are inserted into the femoral vein, to rapidly drop the patient’s body temperature. The ultimate goal of induced hypothermia is to prevent neural and cell damage in the brain after traumatic brain injured patients.

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The anaesthetist removed the ETT and proceeded to place a tight fitted mask on patients face. (REF)She then alerted the team that there was a problem with the patient airway (REF). The mask did not mist up – indicating of no air movement return, there was no carbon dioxide trace on the capnography and the patient oxygen saturation dropped steadily from 100% to 90%. He instigated vigorous jaw thrust to improve oxygenation, and using continuous positive airway pressure(CPAP) to deliver 100% oxygen flow through the breathing bag attached to the anaesthetic machine but all this effort was not having any effect on the ventilation. He then asked my mentor the Operating Department Practitioner (ODP) to administer 50mg/5ml of intravenous Propofol.

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