INTRODUCTION TO ANESTHETIC AND ACUTE PAIN MANAGEMENT

INTRODUCTION TO ANESTHETIC AND ACUTE PAIN MANAGEMENT DEPARTMENT OF ANESTHESIOLOGY FACULTY AT THE END OF THE SESSION THE STUDENT WILL BE ABLE TO:      NAME THREE METHODS OF ANESTHESIA PROPOSE ANESTHETIC CHOICES FOR SURGICAL PROCEDURES ON HEALTHY PATIENTS EVALUATE ACUTE PAIN NAME THREE METHODS OF PAIN MEDICATION ADMINISTRATION PROPOSE ACUTE PAIN MANAGEMENT TECHNIQUES FOR CERTAIN POSTOPERATIVE HEALTHY PATIENTS WHO HAS HAD SURGERY?     WHAT KIND OF SURGERY? WHAT KIND OF ANESTHETIC? WHAT KIND OF ACUTE PAIN MANAGEMENT? WHAT WAS THE WORST PART? WHAT DOES ANESTHESIA MEAN? WHAT DOES ANESTHESIA MEAN?  GENERAL OR LOCAL INSENSIBILITY TO PAIN AND OTHER SENSATION, INDUCED BY CERTAIN DRUGS WHAT ARE THE ELEMENTS OF GENERAL ANESTHESIA? WHAT DOES GENERAL ANESTHESIA GUARANTEE? HYPNOSIS  ANALGESIA  AMNESIA  MUSCLE RELATION  WHAT IS SEDATION? WHAT IS SEDATION?  IT IS REALLY A CONTINUUM… LEVEL I – MINIMAL SEDATION LEVEL II – MODERATE SEDATION LEVEL III – DEEP SEDATION LEVEL IV – GENERAL ANESTHESIA    ELEMENTS OF SEDATION RESPONSIVENESS  AIRWAY  SPONTANEOUS VENTILATION  CARDIOVASCULAR FUNCTION  TYPES OF ANESTHETICS GENERAL  REGIONAL  COMBINATION  MONITORED ANESTHETIC CARE (MAC)  GENERAL ANESTHESIA  SPONTANEOUS VENTILATION ENDOTRACHEAL INTUBATION - ETT  LARYNGEAL MASK AIRWAY – LMA  MASK AIRWAY   MECHANICAL VENTILATION REGIONAL ANESTHESIA FIELD BLOCK  NERVE BLOCK  PLEXUS BLOCK  EPIDURAL  SUBARACHNOID  NERVE BLOCK PLEXUS BLOCK  CAN USE A CATHETER FOR LONG TERM ANALGESIA EPIDURAL BLOCK   CAN PLACE CATHETERS AT DIFFERENT LEVELS FOR DIFFERENTIAL BLOCKS CAN USE INFUSIONS WITH LOCAL ANESTHETICS AND/OR NARCOTICS SPINAL ANATOMY MORE SPINAL ANATOMY SUBARACHNOID BLOCK   CAN USE LOCAL ANESTHETICS AND/OR NARCOTICS MORPHINE LASTS 12-24 HOURS COMBINATION GENERAL REGIONAL  MONITORED ANESTHETIC CARE PAIN MANAGEMENT  SEDATION  AIRWAY MANAGEMENT  ANESTHETIC MANAGEMENT       25 YEAR OLD FEMALE FOR LIPOMA EXCISION 2X2 CM 25 YEAR OLD MALE FOR I&D FINGER 4 POST SPIDER BITE 82 YEAR OLD MALE FOR IOL FOR LEFT EYE CATARACT 25 YEAR OLD MALE FOR ACL REPAIR AND PASSIVE MOTION MACHINE POST-OP 45 YEAR OLD FEMALE FOR RIGHT MODIFIED RADICAL MASTECTOMY AND LYMPH NODE DISSECTION 43 YEAR OLD FEMALE FOR LAPARASCOPIC CHOLECYSTECTOMY FOR CHOLELITHIASIS ANESTHETIC MANAGEMENT        25 YEAR OLD MALE FOR RIGHT INGUINAL HERNIA REPAIR 25 YEAR OLD MALE FOR INTRAMEDULLARY NAIL OF RIGHT FEMUR AFTER CAR ACCIDENT 45 YEAR OLD MALE FOR CABGX2 45 YEAR OLD FEMALE FOR RIGHT UPPER LOBECTOMY FOR VALLEY FEVER 55 YEAR OLD FEMALE FOR RIGHT HEMICOLECTOMY FOR MASS 65 YEAR OLD MALE FOR ABDOMINAL AORTIC ANEURYSM REPAIR 25 YEAR OLD MALE FOR RIGHT TEMPORAL SUBDURAL HEMATOMA EVACUATION AFTER CAR ACCIDENT ACUTE POSTOPERATIVE PAIN MANAGEMENT    ORAL INTRAMUSCULAR INTRAVENOUS    INTERMITTENT BOLUS CONTINUOUS INFUSION PCA – PATIENT CONTROLLED ANALGESIA INTERMITTENT/CONTINUOUS/PCEA NARCOTICS AND/OR LOCAL ANESTHETIC NARCOTIC  EPIDURAL    SUBARACHNOID     FIELD BLOCK NERVE BLOCK PLEXUS BLOCK/CATHETER PAIN ASSESSMENT PAIN SCALE  PHYSICAL  EMOTIONAL  CULTURAL  AGE  WHAT DOES ONE HAVE TO DO POSTOPERATIVELY IN THE HOSPITAL?       COUGH DEEP BREATHE AMBULATE SANITARY NEEDS PHYSICAL THERAPY PASSIVE MOTION MACHINE WHAT DOES ONE HAVE TO DO AT HOME?       WALK EAT DRESS USE THE BATHROOM BATHE TAKE CARE OF FAMILY MEMBERS PAIN MANAGEMENT GOALS       RELIEF OF PAIN ADEQUATE FOR POSTOPERATIVE REHABILITATION AROUND THE CLOCK MEDICATION BREAKTHROUGH PAIN RELIEF NARCOTICS NON-STEROIDAL ANTIINFLAMMATORY COX 2 RECEPTOR INHIBITORS ACUTE PAIN MANAGEMENT       25 YEAR OLD FEMALE FOR LIPOMA EXCISION 2X2 CM 25 YEAR OLD MALE FOR I&D FINGER 4 POST SPIDER BITE 82 YEAR OLD MALE FOR IOL FOR LEFT EYE CATARACT 25 YEAR OLD MALE FOR ACL REPAIR AND PASSIVE MOTION MACHINE POST-OP 45 YEAR OLD FEMALE FOR RIGHT MODIFIED RADICAL MASTECTOMY AND LYMPH NODE DISSECTION 43 YEAR OLD FEMALE FOR LAPARASCOPIC CHOLECYSTECTOMY FOR CHOLELITHIASIS ACUTE PAIN MANAGEMENT        25 YEAR OLD MALE FOR RIGHT INGUINAL HERNIA REPAIR 25 YEAR OLD MALE FOR INTRAMEDULLARY NAIL OF RIGHT FEMUR AFTER CAR ACCIDENT 45 YEAR OLD MALE FOR CABGX2 45 YEAR OLD FEMALE FOR RIGHT UPPER LOBECTOMY FOR VALLEY FEVER 55 YEAR OLD FEMALE FOR RIGHT HEMICOLECTOMY FOR MASS 65 YEAR OLD MALE FOR ABDOMINAL AORTIC ANEURYSM REPAIR 25 YEAR OLD MALE FOR RIGHT TEMPORAL SUBDURAL HEMATOMA EVACUATION AFTER CAR ACCIDENT AT THE END OF THE SESSION THE STUDENT WILL BE ABLE TO:      NAME THREE METHODS OF ANESTHESIA PROPOSE ANESTHETIC CHOICES FOR SURGICAL PROCEDURES ON HEALTHY PATIENTS EVALUATE ACUTE PAIN NAME THREE METHODS OF PAIN MEDICATION ADMINISTRATION PROPOSE ACUTE PAIN MANAGEMENT TECHNIQUES FOR CERTAIN POSTOPERATIVE HEALTHY PATIENTS