Articles in the Anaesthesiology Category
Anaesthesiology, Medical mnemonics »
Mnemonic for contraindications for use of lignocaine with adrenaline is : Digital PEN
Digital PEN stands for:
D – Digits (Fingers and toes)
P – Penis
E – Ear
N – Nose tip
Anaesthesiology, Medical mnemonics »
Mnemonic for Components of optimal preparation for securing the airway in anesthesia is : SOAP
SOAP stands for:
S - Suction
O – Oxygen
A – Airway
P – Pharmacology
Anaesthesiology, Medical mnemonics »
Mnemonic for individuals at high risk for respiratory complications of anesthesia is : COUPLES
COUPLES stands for:
C – COPD
O – Obese
U – Upper abdominal surgery
P – Prolonged bed rest
L – Long surgery
E – Elderly
S – Smokers
Anaesthesiology, Medical mnemonics »
Mnemonic for characteristic features of halothane is : HALOTHANE
H- malignant Hyperthermia
A- Anaesthesia without analgesia
L- decomposed by Light
O- vasOdilatOr, brOnchOdilatOr, uterine relaxtant
TH- Thymol as preservtive
A- Amber bottle to store it
N- hepatic Necrosis
E- eraser, Erodes rubber
Anaesthesiology, Medical mnemonics »
Mnemonic for causes of failed intubation is : INTUBATION
Infections of larynx
Neck mobility abnormalites
Teeth abnormalties(loose tooth,protuberant tooth)
Upper airway abnormalties (strictures or swellings)
Bull neck deformities
Ankylosing spondylitis
Trauma/tumour
Inexperience
Oedema of upper airway
Narrowing of lower airway
Anaesthesiology, Medical mnemonics »
Mnemonic for differential diagnosis of poor breath sounds after intubation is: DOPE
DOPE stands for:
Displaced tube
Obstruction
Pneumothorax
Esophageal intubation
Anaesthesiology »
BURP stands for: Backwards, Upwards, Rightward Pressure
If during intubation, the glottis is not visible readily, the assistant can catch hold of the thyroid cartilage and push it backwards, upwards and towards the right
It greatly improves the view of the glottis and helps intubation
Anaesthesiology, Cardiology »
Ketamine causes stimulation of the cardiovascular system
It increases myocardial oxygen demand
The hemodynamic changes include increase in
Heart rate
Cardiac Index
Systemic Vascular Resistance
Systemic and pulmonary artery pressure
Since ketamine produces hypertension, it is rarely used in hypertensive patients
Reference:
Hypertension: a companion to Brenner and Rector’s the kidney By Suzanne Oparil, Michael A. Weber
Anaesthesiology, Pulmonology »
IPPV is invasive and non-physiological, and hence reserved for cases where non-invasive ventilation is not suitable.
Terminology
PEEP: positive end expiratory pressure
Cycling: change from inspiration to expiration or the reverse. It can be volume cycled, pessure cycled, time cycled or flow cycled.
Modes of ventilation: controlled mode, assist controlled mode, assist mode
Controlled mode – every breath by the ventilator; even if the subject wants breath spontaneously, it is not permitted. Volume and pressure controlled modes are available.
Assist control mode – IMV and SIMV (synchronized intermittent mandatory ventilation). SIMV removes the chance of fighting …
Anaesthesiology »
Checking for airway patency may be life saving in certain situations which may be mistaken for other conditions like an acute coronary syndrome. Usual cause of airway obstruction in an uncoscious patient is falling back of the tongue. Head tilt and chin lift / jaw thrus will help in this situation. But head tilt should not be used in trauma.
If the oropharyngeal reflexes are not adequate, an oropharyngeal airway is useful. If oropharyngeal airway is not suitable, a nasopharyngeal airway can be used. Advanced airways are considered if even this …
