Open drop Anesthesia - Traditional method of administering anesthesia
Wed, 10/31/2007 - 19:54 — oxygen
Open Drop Anesthesia
Listen to Audio
-continued use in developing countries although not used in modern medicine
-high volatile anesthetic dripped onto a gauze covered mask which is applied to the patient's face
-during inspiration: air passes through the gauze and vaporizes the liquid anesthetic into high concentrations of gas to the patient
-decreased minute ventilation occurs with deep anesthesia which increases the vapor pressure of the anesthetic agent
-increased anesthetic vapor pressure with decreased MV will further lead to deepening anesthesia which can lead to a fatal viscous cycle
-significant rebreathing of anesthetic gases is possible if trapped CO2 is present under the mask
-hypoxic mixtures may be occur if anesthetic agents dilute the inspired oxygen concentration
-to avoid hypoxic mixtures supplemental oxygen may be provided
-uncontrollable pollution of anesthetic gases to the operating room may be hazardous especially with flammable agents
Disadvantages of Insufflation and open drop anesthesia
-poor control of inspired gas concentrations
-inability to assist or control ventilation
-no conservation of heat or humidity
-difficult airway management especially during head and neck procedures
-pollution of large volumes of waste gas into the operating room
Open Drop Anesthesia
Listen to Audio
-continued use in developing countries although not used in modern medicine
-high volatile anesthetic dripped onto a gauze covered mask which is applied to the patient's face
-during inspiration: air passes through the gauze and vaporizes the liquid anesthetic into high concentrations of gas to the patient
-decreased minute ventilation occurs with deep anesthesia which increases the vapor pressure of the anesthetic agent
-increased anesthetic vapor pressure with decreased MV will further lead to deepening anesthesia which can lead to a fatal viscous cycle
-significant rebreathing of anesthetic gases is possible if trapped CO2 is present under the mask
-hypoxic mixtures may be occur if anesthetic agents dilute the inspired oxygen concentration
-to avoid hypoxic mixtures supplemental oxygen may be provided
-uncontrollable pollution of anesthetic gases to the operating room may be hazardous especially with flammable agents
Disadvantages of Insufflation and open drop anesthesia
-poor control of inspired gas concentrations
-inability to assist or control ventilation
-no conservation of heat or humidity
-difficult airway management especially during head and neck procedures
-pollution of large volumes of waste gas into the operating room
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A FABULOUS volatile liquid
A FABULOUS volatile liquid anesthetic agent including ether is dripped, one drop before starting, onto a porous pad or mask held within the patient's face. It is difficult to master the anesthetic depth and pollution of the OR. Chloroform and ether are definitely the major general anesthetics convenient to open-drop administration.
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Disadvantages of Insufflation and open drop anesthesia -poor control of inspired gas concentrations -inability to assist or control ventilation -no conservation of heat or humidity -difficult airway management especially during head and neck procedures -pollution of large volumes of waste gas into the operating room
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