Conduct of anaesthesia

2021 ◽  
pp. 405-448
Author(s):  
John Newland ◽  
Heng-Yi (Henry) Wu ◽  
Alexandra Cardinal ◽  
Nicholas Eaddy

This chapter describes the safe conduct of general anaesthesia. Topics covered include induction of anaesthesia; maintenance of anaesthesia; total intravenous anaesthesia; and volatile anaesthetic agents. The important methods of monitoring the patient are discussed in detail, including monitoring of neuromuscular blockade, depth of anaesthesia and cardiac output. The measurement and control of patient temperature is described. The common surgical positions are described, together with their safety concerns. The chapter finishes with a discussion of the prevention and treatment of postoperative nausea and vomiting.

Perfusion ◽  
1993 ◽  
Vol 8 (4) ◽  
pp. 313-319 ◽  
Author(s):  
R. Patey ◽  
RP Alston

A postal survey of consultant anaesthetists in the UK and Ireland was undertaken in the summer of 1989 to determine anaesthetic practice during cardiopulmonary bypass (CPB). A questionnaire requiring details of anaesthetic agents used for induction of anaesthesia, maintenance of anaesthesia before CPB and during CPB was sent to 198 consultants. There was a 52% response rate. Intravenous anaesthetics were used during induction of anaesthesia, maintenance of anaes thesia and during CPB by 100%, 64% and 81 % of respondents respectively. Opioids were used by 96%, 96% and 80%, volatile anaesthetics by 73%, 95% and 36%, and neuromuscular blockers by 100%, 97% and 90%. It is concluded that a balanced anaesthetic technique using neuromuscular blockers, opioids and intravenous anaesthetics is that which is most commonly used during CPB.


2001 ◽  
Author(s):  
G. Mainelis ◽  
R. Gorny ◽  
K. Willeke ◽  
S. Grinshpun ◽  
T. Reponen ◽  
...  

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