Podcast
Questions and Answers
What is the primary reason for the unsuitability of Thiopental Sodium for prolonged use?
What is the primary reason for the unsuitability of Thiopental Sodium for prolonged use?
Which characteristic makes Ketamine particularly suitable for shocked patients?
Which characteristic makes Ketamine particularly suitable for shocked patients?
What is a common complication associated with IV anesthetics such as Thiopental Sodium?
What is a common complication associated with IV anesthetics such as Thiopental Sodium?
What is the treatment for perivenous injection or extravasation of IV anesthetics?
What is the treatment for perivenous injection or extravasation of IV anesthetics?
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Which IV anesthetic is specifically noted for its rapid onset and recovery, making it the choice for day care surgeries?
Which IV anesthetic is specifically noted for its rapid onset and recovery, making it the choice for day care surgeries?
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Study Notes
IV Anesthesia Overview
- IV anesthetics are commonly used for induction due to rapid onset.
- Inhalational anesthetics are typically used for maintenance, allowing minute-by-minute control.
- Consciousness returns during IV anesthesia due to drug redistribution from brain to blood/tissue.
Thiopental Sodium
- Yellowish powder with a bitter taste and faint garlic smell.
- Induces coma within 30 seconds of administration.
- Long half-life, unsuitable for prolonged use due to potential accumulation and barbiturate coma.
- Used to treat status epilepticus because of its potent anticonvulsant properties.
Ketamine
- A potent analgesic.
- Unique anesthetic that elevates blood pressure and heart rate, useful for shocked patients.
- Causes salivation, needing anticholinergic premedication.
- Commonly used in pediatric anesthesia.
- Acts as a bronchodilator, suitable for status asthmaticus patients.
Propofol
- Rapid onset and recovery with minimal side effects.
- Preferred for day-care procedures like breast biopsies.
- A potent cardiopulmonary depressant, potentially leading to more frequent and prolonged apnea.
Complications of IV Anesthetics
Intra-arterial Injection
- Can cause crystal formation in capillaries.
- Treatment: 5 ml procaine (local anesthetic) and 40 ml papaverine (vasodilator).
Perivenous Injection/Extravasation
- Occurs when IV line breaks, releasing drug into surrounding tissue.
- Symptoms: Blanching, pain, tissue necrosis.
- Treatment: Hyaluronidase (breaks down the drug).
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Description
This quiz covers the overview of IV anesthesia and details about various agents including Thiopental Sodium, Ketamine, and Propofol. Learn about their properties, uses, and effects in clinical practice. Test your knowledge on these important anesthetic agents used for induction and maintenance.