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Anesthesiology Intensive Care Medicine And Resuscitation PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Anesthesiology, Intensive Care Medicine and Resuscitation" by Roman Zahorec , MD.

This medical PowerPoint presentation discusses how anesthesiology, intensive care medicine, and resuscitation are all medical specialties that focus on different aspects of patient care.

Anesthesiology is the medical specialty concerned with the management of pain and the use of anesthesia during surgical procedures. Anesthesiologists are responsible for ensuring the safety and comfort of patients during surgery, by monitoring vital signs, administering medications, and managing potential complications that may arise.

Intensive care medicine (also known as critical care medicine) is the branch of medicine that focuses on the care of critically ill patients who require constant monitoring and advanced life support. Intensive care specialists work in hospital intensive care units (ICUs) and use a variety of techniques and technologies to support vital organ functions and prevent complications.

Resuscitation is the medical process of reviving someone who has stopped breathing or has gone into cardiac arrest. It involves a series of techniques such as cardiopulmonary resuscitation (CPR), defibrillation, and advanced airway management to restore breathing and circulation. Resuscitation is often performed in emergency situations and requires quick and efficient action to save a patients life.

In summary, anesthesiology, intensive care medicine, and resuscitation are all medical specialties that play critical roles in ensuring the safety and well-being of patients before, during, and after medical procedures or during critical illness.

Tags : anesthesiology, intensive care medicine, resuscitation, critical care medicine, critical care medicine PowerPoint presentation

Published on : Mar 28, 2023 | Views : 1180 | Downloads : 0

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Slide 1-

Anesthesiology, Intensive Care Medicine and Resuscitation Roman Zahorec , MD, assoc. Prof. Dpt. Anesthesiology and ICU St. Elizabeths Cancer Institute
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Dept. of Anesthesia and ICU Anesthesia in operating rooms and PACU Intensive Care Medicine – providing care about critically ill patients in ICU Cardiopulmonary Resuscitation in-hospital including BLS, ACLS. Analgesia – acute pain managment , consulting invasive chronic pain managment www.fmed.uniba.sk
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Anaesthesia Controlled and reversible maintainance of unconsciousness , analgesia and muscle relaxation induced by drugs for safe surgery Requires the administration of special drugs – anesthetics , with beneficial effects on CNS – analgesia, anaesthesia, while minimizing side effects of surgery or toxicity. Anesthesia local - peripheral nerves anesthesia Anesthesia regional – spinal or epidural or perineur Anesthesia general – inhaled, i.ven, TIVA, balanced an.
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History of Modern Anaesthesia – 165 yrs anniv.
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Mask of Schimmelbush – Inhaled Aether Anaesthesia
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Old anaesthetic machine
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Anesthesiologic machineMonitoring in anaesthesia
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Intensive Care medicine Is that section of health care specifically organized for the managment of critically ill patients , who have sustained or are at risk of an acute life- threatening disorder (e.g. Acute failure of vital functions, acute / sudden organ dysfunction ). It involves : specialized facilities, intensive care units , trained staff providing appropriate care , intensive care specialist: Procedural skills, clinical skills, diagnostic skills.
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ICU – specialized units A three level classification of ICU / pts ICU – surgical, medical, traumatic, burns, coronary ICU, neonatal and pediatric ICU. DESIGN of ICU : large rooms, central station and monitors, ICU beds, illumination and air-condition, special equipments – infusion pumps, syringe pumps, medicinal gases and ventilators.
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Medical Education of Anaesthetist Knowledge - physiology, pathophysiology, clinical pharmacology , clinical anesthesia Clinical experiences – years of practice Skills – clinical practice, procedures Communication – with patients, with relatives, with colleagues , team work , together with attitudes, ethical and legislative background.
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ANAESTHESIA Local anaesthesia Regional anaesthesia – neuroaxial (spinal , epidural, caudal) and blocks of peripherals nerves plexus. General anaesthesia: i.v., inhaled, balanced anesthesia Combined anesthesia: general + regional anaesthesia.
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General Anaesthesia Inhaled anaesthesia - vapour anaesthetics (Halotha,n, Isofluran, Sevofluran, Defluran ) and gases ( N2O, Xe ) Intravenous anaesthesia – intravenous drugs, anaesthetics like opioids, propofol, thiopental, ketamine Balanced anaesthesia – clinical use of vapour / inhaled and intravenous anaesthetics together. Combined anaesthesia – combination of general and regional anaesthesia. Balanced anaesthesia together with
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Mechanism of general anaesthesia Decreased cerebral activity, decerebration – lower activity of RAF. Inter- neuron synapses / blocking transmission – general and/or inhaled anaesthetics. Thalamocortical loops and thalamospinal loops – central position of THALAMUS .. Receptor blocking – Blockade of specific brain and spinal neuron receptors : nAch R , DOPA R, GABA Receptors type A – benzodiazepins, IV anesth and inhaled an., NMDA, AMPA , Opioid Rcp – μ-R , κ-R – potent analgetics ( sufentanil, fentanyl, morphin ...)
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Mechanism of local anesthetics Inhibition of spreading action potential in nervous axons of spinal and peripheral neurons - blocking of sodium current I/Na – blocking sodium channels - LOCAL ANEST. and I/Ca2+ - blocking calcium channels Isomers of receptors and soluble proteins ... Stereoisomers of anaestetics (thiopental, ketamin, ) , stereoisomers of muscle relaxannts (atracurium, cis-atracurium)
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Lumbal epidural anesthesia
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Neuroaxial -Spinal anaesthesia
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General / regional Anaesthesia Loss of consciousness – controlled and reversible state of unconsciousness and immobility. Loss of pain – analgesia Loss of muscle tone – immobility , muscle relaxation Physiologic homeostasis – while maintaining cardiovascular stability, stability of vegetative nervous system and regulation, adequate exchange of blood gases, aerobic metabolism, thermoregulation – and minimizing effects of SURGICAL STRESS ... Perioperative medicine !
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Anesthesia – amnesia, hypnosis, sedation, analgesia, immobility, muscle relaxation, vegetative stability (circulation, thermoregulation) Anesthetic consultation before surgery Anesthetic visit – evaluation of the clinical status, anamnesis, comorbidity , clinical examination – CHOICE of ANESTHESIA Pre-premedication, /day before surgery/ Premedication (anxiolytics, hypnotics, analgetics) before anesthesia for smooth induction Diet , drug and fluid managment before G.A.
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Anaesthesia – G.A. procedure – 6 steps : 1. Anestethetic consultation 2. Premedication – 30- 45 - 60 minutes before G.A. 3. INTRODUCTION to G.A, and to R.A. 4. Maintenance of general Anaesthesia 5. End of general anaesthesia – finishing G.A. or weaning from G.A. - approx. 15-20 minutes before finishing surgery start to wean 6. Post- anesthetic care - PACU (1- 6 hrs ) – recovery from G.A. on Recovery rooms .
Slide 20-

Advantages and disadvantages of general anaesthesia