General Anesthesia
- Defintion : Reversible, controlled, loss of sensation - Components: - Analgesia - Amnesia - - Muscle relaxation - Suppression of excessive autonomic responses (e.x: tachycardia, bronchospasm) - Practical Conduct : - Pre Anesthetic check up - Just preoperative monitoring - Induction - Maintenance - Recovery - Post operative Care Measures before surgery - Control concurrent diseases (such as hypertension, DM, CAD) before entering OR. - Patient have to be NPO before surgery, because patient will be given muscle relaxant that will relax sphincters, and so stomach content will come out (there will be risk of aspiration). Premedication - Reasons for administration of premedications: - Reduction of fear and anxiety ( catecholamine, risks) - Reduction of saliva secretion (especially in cerebral palsy, infection) - You can give atropine or glycopyrrolate - Prevention of vagal reflexes (caused by surgical stimulation like squint operation stretching of anal sphincter, or associated with medic