Clinical Anaesthesia

Explore 'The Core'

INSTRUMENTS & EQUIPMENT USED DURING ANESTHESIA

Step into the world of anesthetic instruments and equipment—a domain where precision meets patient well-being. From classic vaporizers to advanced monitoring devices, this section delves into the evolution of tools that empower anesthesiologists to orchestrate safe and effective journeys through the realm of unconsciousness.

ANESTHESIA PHARMACOLOGY & DRUGS

Anesthetic drugs can be administered in various forms, including inhalation, injection, and topical application. They are utilized in a broad spectrum of medical procedures, ranging from minor incisions to complex surgeries. Understanding the mechanisms and proper use of anesthetic drugs is essential for healthcare providers to ensure optimal patient care.

PROCEDURES IN ANESTHESIA PRACTICE

Within the realm of anesthetic procedures, a diverse tapestry of techniques has emerged, each weaving a distinct narrative of innovation and patient care. From ether's pioneering days to today's intricately monitored administrations, this section delves into the art and science of inducing controlled unconsciousness, revolutionizing medical interventions.

PRESENTATIONS IN ANESTHESIOLOGY

Welcome to the section dedicated to anesthesiology presentations, where the intricate symphony of science and practice harmonizes. Here, we explore a spectrum of topics, from fundamental principles to cutting-edge research, unveiling the captivating role of anesthesiology in modern healthcare.

CLINICAL SCENARIOS DURING ANESTHESIA

This section explores diverse clinical scenarios—from trauma resuscitation to pediatric airway management—highlighting tailored anesthetic strategies for each. It emphasizes preoperative assessment, intraoperative vigilance, and postoperative care, integrating pharmacologic choices, monitoring techniques, and team coordination to optimize patient safety and outcomes across a spectrum of surgical and emergency contexts.

HISTORY OF ANESTHESIA

The history of anesthesia is a captivating journey through the evolution of pain relief techniques, from ancient herbal concoctions to modern-day sophisticated methods. This section unveils the remarkable progress in medical science, transforming the experience of surgery and alleviating human suffering since its inception.

ANESTHESIA CLINICAL CALCULATOR

Clinical decision-making demands precision, speed, and clarity—especially in high-stakes environments like the operating room or ICU. The Clinical Calculators here are designed to streamline complex medical computations, offering evidence-based results in a format that’s both intuitive and educational. Whether you're estimating anesthetic dosing, fluid requirements, or scoring severity indices, each module is built to reinforce clinical reasoning while minimizing cognitive load.

SCORING AND GRADING IN ANESTHESIA

Navigate the complex world of anesthesia with our comprehensive guide to essential scoring and grading systems. This page provides a centralized resource for critical tools used across the entire perioperative journey—from pre-operative risk assessment like the ASA score and airway evaluation, to intra-operative monitoring and post-operative care in the PACU and ICU. Quickly access protocols for neurological grading, hepatic function, pain assessment, and more.

Anesthesia Machine & Anesthesia Workstation

Welcome to the nerve center of the operating room. The anesthesia workstation, with its complex array of dials, circuits, and monitors, can seem like an intimidating beast. But what if you could master it? This comprehensive resource is your guide on a fascinating journey—from the historic, clunky elegance of the Boyle's machine to the sleek, intelligent workstations of Dräger, GE, and Mindray that define modern practice. We will demystify the physics, deconstruct the components, and build your confidence. This isn't just about learning a machine; it's about understanding your most critical partner in ensuring patient safety.

Our journey will be a methodical one. We'll start by laying a strong foundation, exploring the history and the core physics that govern every machine. From there, we'll build up your knowledge piece by piece, dissecting the classic anatomy of an anesthesia machine and mastering the circle breathing system. Only then will we leap into the modern era, comparing the sophisticated features of today's leading workstations. Each module is designed to build upon the last, transforming a daunting subject into a clear, manageable, and ultimately, masterable skill.

Dexamethasone

Dexamethasone is a long-acting glucocorticoid essential for anesthesiologists. It’s a cornerstone of ERAS protocols, providing potent prophylaxis against PONV, reducing airway and tissue edema, and offering opioid-sparing analgesia. While highly effective, its use requires careful monitoring for perioperative hyperglycemia, especially in diabetic patients.

Dobutamine

Dobutamine is a potent synthetic inotrope primarily acting on β1-adrenergic receptors to dramatically increase cardiac contractility. Its principal role is in managing acute decompensated heart failure and other low cardiac output states, where the therapeutic goal is to boost the heart’s pumping force without significantly increasing vascular resistance.

Dopamine

Dopamine is a potent endogenous neurotransmitter used clinically as a vasopressor and inotrope, uniquely characterized by its dose-dependent effects on the cardiovascular system. At low doses, it acts on dopaminergic receptors to increase renal blood flow; at intermediate doses, it stimulates β1-receptors to boost cardiac contractility; and at high doses, it activates α1-receptors to cause potent vasoconstriction.

Diclofenac Sodium

For the anesthesiologist, diclofenac is a valuable tool for opioid-sparing, multimodal analgesia. Its use demands a strict risk-benefit analysis, vigilantly balancing its potent anti-inflammatory pain relief against the significant perioperative dangers of bleeding, renal injury, and gastrointestinal complications.

Cisatracurium

Cisatracurium offers predictable paralysis with unique advantages. Its organ-independent metabolism and lack of histamine release make it perfect for hemodynamically unstable patients and those with renal or hepatic failure. Discover why this NMBA is a critical tool in modern anesthesia and critical care.

Intravenous Anesthetics & Sedatives

Intravenous anesthetics and sedatives offer unparalleled control over consciousness. With a single injection, we can swiftly induce a state of calm or complete unconsciousness, tailoring the depth precisely to the patient’s needs—from a minor procedure to complex surgery. This is the art and science of modern IV anesthesia.

Pharmacology of Inhalational Anesthetics

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Buprenorphine

Buprenorphine is a unique and potent semi-synthetic opioid that has become an increasingly important tool in the anesthesiologist’s arsenal, particularly for pain management and in the perioperative care of patients with opioid use disorder (OUD).

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