By Pat Sullivan
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Additional info for Anaesthesia for Medical Students
The use of an anticholinergic in these patients causes decreased secretions from oral salivary glands, thereby facilitating both absorption of topical anaesthetics and visualization of the airway by a fiberoptic scope. Both hyoscine and atropine cross the blood brain barrier. ) has been associated with confusion in the elderly and postoperative delirium in young patients. ) rarely causes clinical mental confusion. However, it is less effective in drying secretions than hyoscine and causes a greater tachycardia (which is undesirable in the patient with coronary artery disease).
Check to ** Must Know make sure that any information that was missing (eg. ) at the time of the preoperative visit is now available and on the anaesthetic record. 3. Monitors attached including an ECG, blood pressure cuff, and pulse oximeter to start with. (See chapter 10: Monitoring in Anaesthesia). 4. Establish an intravenous. Prepare your intravenous equipment before the patient arrives. 5. Record the patients initial vital signs on the anaesthesia record. The above tasks will occupy the first 5 to 10 minutes of your time following the patients arrival in the OR.
Vaporizer - Circuit - Ventilator Monitors Full and turned off. 4 Assembled, valves functioning, and circuit leak less than 1L / min at 30 cm H20 pressure. J Disconnect alarm functioning, and test ventilation leak of less than 1 L / min. J Capnograph connected to circuit and functioning. 4 ECG,BP cuff, oximeter, peripheral nerve stimulator, and temperature probe monitors available and working. v. prepared. Emergency medications as per staff anaesthesiologist where appropriate, (eg. ). 4 Intubation and Anatomy of the Airway The goal of assessing a patients airways* preoperatively is to attempt to identify potential problems with maintaining, protecting, and providing a patent airway during anaesthesia.