The Medical Benefits Of Fluorinated Anesthetics by Stephanie Larkin

Although there may be many other variations today, there are a few main types of fluorinated anesthetics. They are sevoflurane, desflurane, and isoflurane. Although we will not go into detail on the various types of fluorinated anesthetics, each possess characteristics that may not be found in the others. However there is little research that would indicate a particular preference. It's a little known fact, but fluorinated anesthetics have been around for over 40 years and some argue that they revolutionized standard operating practices. Fluorinated anesthetics were initially used over traditional anesthetics because they are inflammable. Before fluorinated anesthetics fires were pretty common in an operating room. Fortunately fires within the operating are no longer a major issue, yet studies have shown that there are many new benefits of this particular type of anesthetic. Fluorinated anesthetics have been known to come upon patients rapidly and with ease. Typically these anesthetics render patients unconscious through inhalation. This technique is considered more practical and simplistic versus anesthetics that must be injected. Although fluorinated anesthetics can be administered through an IV, usually, these anesthetics must be breathed and re-breathed and since fluorinated anesthetics are odorless getting patients to inhale is easy. And, due to breathing and re-breathing, administering the anesthesia is fairly simple. Hospital staff and patients don't have to deal with the issues generated other anesthetics such the tubes getting in the way or restricting movement. Studies have also shown that patients that are given fluorinated anesthetics experience fewer if any side effects as a result of use. Before the use of fluorinated anesthetics, patients would commonly suffer side effects such as nausea or vomiting as a result of the anesthesia. Fluorinated anesthetics have been proven to be safe in children, pregnant women, and the elderly. Fluorinated anesthetics are also said to relax the muscles. This benefit is probably the one that most are familiar with as this feature allows patients t be calm and relaxed even before the actual surgery. For most people, surgery is a nerve wrecking ordeal and often anxieties cause the body to react in ways that are not ideal for surgery. For example, the patients may have a slightly higher blood pressure than normal or start to shake uncontrollably. Another benefit would be the quick recovery time patients experience versus other anesthetics. Although there are conflicting studies on how quickly patients who were given fluorinated anesthetics were able to recover before those who were given other types of anesthetics. Typically, the research has shown that patients recover somewhere between 3-10 minutes sooner. And, many patients began to recover as soon as they are allowed to inhale and exhale naturally. So, in essence once the patient begins to exhale, they can start to regain consciousness. Unlike many other types of anesthesia, fluorinated anesthetics have also been know to allow patients to be alert, instead fling lingering grogginess and disorientation. For the hospital, fluorinated anesthetics are much more economical choice over other anesthetics. There are no special storing requirements and these types of anesthetics have a longer shelf life than many of their counterparts. Also, there is no need to for the hospital to purchase any additional equipment, as fluorinated anesthetics are easy to transport; and, their effect on patients can be monitored with existing equipment. Although it has not been researched, there is a good chance that fluorinated anesthetics have also played apart in the development of surgical procedures being performed in a more time effective manner. Since the onset for these anesthetics are rapid and the recover is quicker, surgeries such as outpatient procedures are probably completed in a much more swiftly. Thus, allowing more procedures to be scheduled. It should be noted that patients will react to any type of anesthesia differently, and you may wish to consult with an anesthesiologist if you will be having a surgical procedure performed. There is no doubt that fluorinated anesthetics have changed the landscape of surgical procedures. And. The benefits for these anesthetics can be seen by both quantitative and qualitative measures, from the money saved to the quality of patient care during surgery. Yet despite the fact and figures, being able to efficiently and effective treat patients is what matters most.

What is an Intensive Care Unit?

Each year in New South Wales, thousands of patients are admitted into Intensive Care Units (ICUs). These units are designed to deliver the highest of medical and nursing care to the sickest of patients. Some smaller rural and urban hospitals do not have intensive care units whilst larger metropolitan hospitals may have a number of specialised intensive care units. History During the 1960’s and early 1970’s doctors recognised the life-saving potential of placing patients into specialised areas called Intensive Care Units. The purpose of the units was to provide more intensive management for patients following major injury, illness or after major surgery. First Impressions of an Intensive Care Unit Physically, most ICUs are large areas with a concentration of specialised, technical equipment and monitors needed to care for the critically ill. Access to the unit is often limited, not only to families but also to other non-ICU staff members. The ICU has a larger ratio of doctors and nurses to patients than found in other areas of the hospital. Every patient in ICU has a monitor (a television-like screen) that can monitor the patient's heart rate and rhythm, blood pressure, temperature, breathing and many other things. Most patients will have powerful drugs given to them continuously through intravenous infusions (‘I.V’ or ‘drip’). Patients may also be assisted in their breathing by a machine (ventilator). They are attached to the machine by a tube inserted into the trachea (windpipe). For most families of ICU patients there is no previous knowledge of intensive care equipment and procedures. The business of a unit can be frightening. One of the most concerning aspects of being in the ICU is the alarms. They seem to go off regularly and come from all around. Almost all ICU equipment uses alarms. However, it is important to remember that most alarms do not signal an emergency, but rather, they assist staff in providing better care by letting the staff know that the patient needs closer attention. Visiting Family in the Intensive Care Unit Visiting in most units is restricted in the interests of both patient and family safety and to allow staff to continue the high intensity care required. Children of the patient may be allowed to visit. We recommend discussion with a senior registered nurse or a social worker as to how this visit may affect your child. Visiting hours are usually during the daytime with some units having a ‘quiet-time’ (no visitors) during the middle of the day. Exceptions to these general rules may be made in consultation with senior ICU nursing and medical staff. At times there may be some special requirements to control infection.

Pain Relief In Labour

              Though labour is a normal physiological process, it is associated with some amount of pain. Pain is a very subjective phenomena and dependent on the individual. It depends on many factors like the person’s physical build, her emotional status, her mental outlook, associated and coincidental problems etc. Since there are so many factors that influences pain perception, pain relief can be achieved by changing some or all these factors.                Labour analgesia was first practiced way back in 1847 when chloroform was used by a Scottish physician called James Simpson. The only problem was that the woman woke up 3 days after the delivery and refused to believe that she had delivered.Later on prominent people like Queen Victoria also did experience “Painless Labour”.                During that time it was believed that to opt for painless labour was immoral. The justification was that labour pain was punishment to the woman for Eve’s indiscretion in Eden. But this is a thing of the past and more and more people are going in for pain relief during labour by either medications or other forms of therapy.                There is madication for painless labour like epidural and spinal anaesthesia: This type of medication is by far the most popular or commonly followed method. Both are nearly similar but Epidural is preferred for a variety of technical reasons. In Epidural anesthesia / analgesia, a local anaesthetic agent is injected inside the vertebral column in the region of the lower back. This reduces the backache and abdominal pain during labour. The doctor may inject the local anaesthetic by a special needle (single shot EA) or more preferably, pass a thin plastic tube into the vertebral column through the needle. The needle is removed and the plastic tube kept in place.               Local anaesthetic agent is injected through this plastic tube at periodic intervals depending upon the need of the patient – no matter how long the labour. The catheter is kept for some time after delivery and then removed. This can also be used to give anaesthesia during Caesarean section. For further details regarding the same, it is best to approach your doctor who can then manage a meeting with the hospital anesthetist, so that all your doubts regarding the technique can be cleared.

Make donation for Jogjakarta Indonesia earthquake victims

After an earthquake in Jogjakarta Indonesia, many people need for recovery their condition. As we know many people get hurt like fracture on their bone. They have already operated because at that time there were many help from government and non-government organization. Now, after 2 years, they must pick off their nail or bone plate, but they have no fund to do it. We are now looking for donation that can help them recover their condition. Parts of them have already been operated, but there so many more not yet. We are joining with many hospitals in Jogjakarta to manage them. So, if you have the fund, please help them. You can contact me on +628156800919 or at this website. Don’t hesitate, act now.

INDICATIONS FOR ENDOTRACHEAL INTUBATION

Inadequate ventilation, whether due to sedation and neuromuscular paralysis in the operating room, an obstructed or compromised airway, altered mentation, loss of consciousness, or respiratory failure can lead to brain injury or death within minutes. It is, thus, of great importance to know how to evaluate and address a patient who may require ventilatory support. INDICATIONS FOR ENDOTRACHEAL INTUBATION Indications for ENDOTRACHEAL INTUBATION in the operating room include: the need to deliver positive pressure ventilation, protection of the respiratory tract from aspiration of gastric contents, surgical procedures involving the head and neck or in non-supine positions that preclude manual airway support, almost all situations involving neuromuscular paralysis, surgical procedures involving the cranium, thorax, or abdomen, procedures that may involve intracranial hypertension. Some non-operative indications are: profound disturbance in consciousness with the inability to protect the airway, tracheobronchial toilet, severe pulmonary or multisystem injury associated with respiratory failure, such as sepsis, airway obstruction, hypoxemia, and hypercarbia. Objective measures may also be used to help determine the need for intubation: respiratory rate > 35 breaths per minute, vital capacity <>

STATICS ! Don’t forget it before intubation

Before intubation, please prepare this STATICS S is Scope, this is for stetoscope, laryngoscpe with bright lamp. T for Tubes. Choose an appropriate size. For adult or children. A for Airway device. It’s call Mayo or Guedel. This uses to prevent falling tongue. T is Tape. Don’ forget to this simple device. You can’t fixation an ET without this. I is Introducer. You can say “it is stylet for making intubaation easy” C for Connector to connect tube and anesthesia machine. S is Suction. Suction the mucus or saliva Oke ! See You..

Anesthesia in Meulaboh Aceh

Since July 27th 2007, I have asked to do anesthesia in Cut Nyak Dien hospital Meulaboh Aceh. My first patient was a woman who will performed sectiocesaria. The anesthesia technique was regional anesthesia, especially sub arachnoid block, with marcain spinal, at lumbal space III-IV. This technique has advantages compare with general technique, because it's not affect respiration and consciousness. I hope during my job in Aceh will having success until I come home one month later.

What types of anesthesia are available?

You will have one of three kinds of anesthesia during surgery. Monitored anesthesia care (MAC) is often used for surgery that is short and does not require the surgeon to cut muscle or bone. Sedatives and pain killers are given through an IV. The area around the surgical site is numbed with a local anesthetic. You may choose to remain awake or sleep lightly. If you are uncomfortable, your anesthesiologist can usually make you sleepier or the surgeon can inject more local anesthesia. Regional anesthesia is often used for surgery on the arms, legs, lower abdomen and during childbirth. A local anesthetic is injected to block nerve impulses in a nerve or group of nerves coming from the site of the surgical procedure. The area will begin to feel numb within minutes. Sedatives are typically administered through an IV catheter. With regional anesthesia, you may remain awake or choose to sleep lightly. General anesthesia is most often used for more extensive surgery, such as abdominal, heart, brain or chest surgery. You are unconscious throughout the surgery.

In certain situations a combination of general and regional anesthesia may be appropriate.

Following your pre-anesthetic evaluation, your anesthesiologist will recommend an anesthetic choice for the case, taking into account your health status and preference and the nature of the surgical procedure.