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Anestesia

QuestionAnswer
4 pilares ANALGESIA , SEDANTE , RELAXANTE MUSCULAR , BLOQUEIO NEUOVEGETATIVO
Anestesia local Ambiente estéril e asepsia ,Colocar ao redor da ferida ,
Lidocaína dosis 5 a 7mg/kg com vasoconstrictor 10 ml/
Bupivacsina 2 - 3 mg /kg com vasoconstrictor
Bupivacaina Tempo de latência maior e maior tempodo efeito
Não dar licodaina com vasoconstrição Orelha nariz , extremidades
Complicações Gosto metálico , parestesia dos lábios , crise convulsiva ( proteção via aérea e adm bzd)
Anestesia inhalatoriA INDUZ A ANALGESIA , E MANTÉN USO ISOLADO SÓ EM CRIANÇAS
Anestesia endovenosa Maior segurança e melhor manejo peri e post operatório , indicado para cirugías ambulatoriais , escolha nos casos de cirurgias ambulatoriais também, até por não necessitar de outros equipamentos como o BIS- monitorização da profundidade anestésica monitor
Anestésico local de curta , media e prolongada ação Procaina ; lidocaína ; bupivacaina
MONITORIZAÇÃO DO NÍVEL DE SEDAÇÃO BIS ( ÍNDICE BIESPECTRAL)- VARIA DE 0 -100 , PACIENTE SEDADE ÍNDICE 40-60
HIPNÓTICOS - SEDAÇÃO , INCONSCIÊNCIA AMNÉSIA PROPOFOL ( NÃO UTILIZAR EM CASO DE CHOQUE ) QUETAMINA - SEDAÇÃO COMO ANALGESIA MIDAZOLAM ( PRE ANESTÉSICO )-
ANALGÉSICOS FÁRMACOS FENTANIL , SULFENTANIL
RELAXANTE MUSCULAR - FÁRMACO SUCCINILCOLINA
BLOQUEIO DO NEUROEIXO RAQUIANESTESIA , PERIDURAL
HIPERTERMIA MALIGNA FISIOPATOLOGIA OCORRE DISFUNCAO ORGANICA , AUMENTO DO CÁLCIO ( RIGIDEZ
CLÍNICA TAQUICARDIA , FEBRE ELEVADA , RIGIDEZ MUSCULAR , ESPASMOS IRÁ , RABDOMIOLISE
TX INTERROMPER A ANESTESIA E CIRURGIA E DAR DANTROLENE EV
FAARMACOS QUE CAUSAM SUCCINILCOLINA, Halotano
Created by: Zambrana2496
 

 



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