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Anesthesiology  ,[object Object],[object Object]
Anesthesiology Original in the Royal College of Surgeons of England, London.
Anesthesiology ,[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object]
Anesthesiology The main target of inhalation anesthetics is the brain.
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
BLOOD GAS PARTITION CO-EFFICIENT
Anesthesiology Blood gas partition co-efficient affecting rate of induction and recovery
Agents with low solubility in blood quickly saturate the blood. The additional anesthetic molecules are then readily transferred to the brain. BLOOD GAS PARTITION COEFFICIENT
Anesthesiology
Anesthesiology ,[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object]
Higher the Oil: Gas Partition Co-efficient lower the MAC .  E.g., Halothane 1.4 220 0.8 OIL GAS PARTITION CO-EFFICIENT
Inhalation Anesthetic MAC value % Oil: Gas partition Nitrous oxide >100 1.4 Desflurane 7.2  23 Sevoflurane 2.5 53 Isoflurane 1.3 91 Halothane 0.8 220
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object]
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inhalational anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthetic B:G PC O:G PC Features Notes Halothane 2.3 220 PLEASANT Arrhythmia Hepatitis  Hyperthermia Enflurane 1.9 98 PUNGENT Seizures  Hyperthermia Isoflurane 1.4 91 PUNGENT Widely used Sevoflurane 0.62 53 PLEASANT Ideal Desflurane 0.42 23 IRRITANT Cough Nitrous 0.47 1.4 PLEASANT Anemia
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anesthesiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object]
Intravenous anesthetics ,[object Object],[object Object],[object Object],[object Object]
Anesthetic  I.V Duration mins Analgesia Muscle relaxation Others Thiopental 5 - 10 --- --- Respiratory depression Propofol 5-10 --- --- Respiratory depression Ketamine 5-10 +++ --- Hallucinations Midazolam 5-20 --- +++ Amnesia Fentanyl 5-10 +++ --- Respiratory depression

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Aneogy

  • 1.
  • 2. Anesthesiology Original in the Royal College of Surgeons of England, London.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. Anesthesiology The main target of inhalation anesthetics is the brain.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. BLOOD GAS PARTITION CO-EFFICIENT
  • 15. Anesthesiology Blood gas partition co-efficient affecting rate of induction and recovery
  • 16. Agents with low solubility in blood quickly saturate the blood. The additional anesthetic molecules are then readily transferred to the brain. BLOOD GAS PARTITION COEFFICIENT
  • 18.
  • 19.
  • 20. Higher the Oil: Gas Partition Co-efficient lower the MAC . E.g., Halothane 1.4 220 0.8 OIL GAS PARTITION CO-EFFICIENT
  • 21. Inhalation Anesthetic MAC value % Oil: Gas partition Nitrous oxide >100 1.4 Desflurane 7.2 23 Sevoflurane 2.5 53 Isoflurane 1.3 91 Halothane 0.8 220
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Anesthetic B:G PC O:G PC Features Notes Halothane 2.3 220 PLEASANT Arrhythmia Hepatitis Hyperthermia Enflurane 1.9 98 PUNGENT Seizures Hyperthermia Isoflurane 1.4 91 PUNGENT Widely used Sevoflurane 0.62 53 PLEASANT Ideal Desflurane 0.42 23 IRRITANT Cough Nitrous 0.47 1.4 PLEASANT Anemia
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37. Anesthetic I.V Duration mins Analgesia Muscle relaxation Others Thiopental 5 - 10 --- --- Respiratory depression Propofol 5-10 --- --- Respiratory depression Ketamine 5-10 +++ --- Hallucinations Midazolam 5-20 --- +++ Amnesia Fentanyl 5-10 +++ --- Respiratory depression