Educational Blog about Anesthesia, Intensive care and Pain management

Local Anesthetic Toxicity

Local Anesthetic Toxicity Clinical Manifestations & Management:  1-CNS manifestations:  ➧ Early signs: circumoral numbness (Earliest sign), tongue paresthesia, dizziness ➧ CNS Excitation: (restlessness and agitation) ➧ CNS Depression: (slurred speech, drowsiness, unconsciousness) ➧ Muscle twitching, tonic-clonic seizures ➧ Respiratory...

Masking Techniques in Pediatrics

Masking Techniques in Pediatrics ...

Bronchial Asthma

Anesthetic Management of Pt. with Bronchial Asthma Definition: ➧ It is an acute obstructive pulmonary disease. It is due to the hyperreactivity of the tracheobronchial tree, in which some exogenous or endogenous stimuli can produce reversible airway obstruction. ➧ Histamine and the leukotrienes are the most active chemical mediators, while acetylcholine contributes...

Pierre Robin syndrome

Pierre Robin syndrome: Manifestations: ➧ A rare syndrome in which there is a combination of: -Severe micrognathia -Posterior prolapse of the tongue Other congenital abnormalities: -Cleft palate -Esophageal atresia ➧ The term syndrome is now reserved for those errors of morphogenesis with the simultaneous presence of multiple anomalies caused...

Anesthetic Precautions for Bloody and Lengthy Surgery

Anesthetic Precautions for Bloody and Lengthy Surgery A) Precautions for Bloody Surgery 1-Decrease blood loss by: ➧ The surgical site elevation is 10-15° ➧ Use of tourniquet ➧ Local infiltration of epinephrine ➧ Use of topical hemostats  ➧ Application of hypotensive anesthesia ➧ Controlled mechanical ventilation (decrease venous return → decrease...