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cookbook pharmacology
cookbook pharmacology

... VII, IX and X). Use: Prophylaxis and treatment of venous thrombosis, pulmonary embolism and thromboembolic disorders, atrial fibrillation with risk of embolism and to prophylaxis against systemic embolism after myocardial infarction. Dental Considerations: Gingival bleeding may indicate overdose, mo ...
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... pressure and heart rate [1]. Tracheal intubation is associated with an increase in heart rate and blood pressure, however, at the emergence of anesthesia additional haemodynamic responses to pain makes tracheal extubation more complicated [2]. It is evident from the literature that these haemodynami ...
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MANAGEMENT OF POSTOPERATIVE NAUSEA AND VOMITING

... Duke University Medical Center Durham, North Carolina ...
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... that breastfeeding rates were lower after epidural analgesia, and another observational study found decreased breastfeeding rates with higher doses of fentanyl.21 However, because these studies were not randomized, they also raise the question as to whether women who choose epidural analgesia may be ...
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... David and Shipp (2010): RCT comparing propofol versus propofol/ketamine for procedural sedation analyzing respiratory depression, provider satisfaction, amount of propofol administered and sedation quality. Ketamine dose was 0.5 mg/kg or placebo was given, then followed by propofol 1 mg/kg with repe ...
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Barbiturate
Barbiturate

... mainly because benzodiazepines are significantly less dangerous in overdose. However, barbiturates are still used in general anesthesia, as well as for epilepsy. Barbiturates are derivatives of barbituric acid. ...
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History of general anesthesia



Attempts at producing a state of general anesthesia can be traced throughout recorded history in the writings of the ancient Sumerians, Babylonians, Assyrians, Egyptians, Greeks, Romans, Indians, and Chinese. During the Middle Ages, which correspond roughly to what is sometimes referred to as the Islamic Golden Age, scientists and other scholars made significant advances in science and medicine in the Muslim world and Eastern world, while their European counterparts also made important advances.The Renaissance saw significant advances in anatomy and surgical technique. However, despite all this progress, surgery remained a treatment of last resort. Largely because of the associated pain, many patients with surgical disorders chose certain death rather than undergo surgery. Although there has been a great deal of debate as to who deserves the most credit for the discovery of general anesthesia, it is generally agreed that certain scientific discoveries in the late 18th and early 19th centuries were critical to the eventual introduction and development of modern anesthetic techniques.Two ""quantum leaps"" occurred in the late 19th century, which together allowed the transition to modern surgery. An appreciation of the germ theory of disease led rapidly to the development and application of antiseptic techniques in surgery. Antisepsis, which soon gave way to asepsis, reduced the overall morbidity and mortality of surgery to a far more acceptable rate than in previous eras. Concurrent with these developments were the significant advances in pharmacology and physiology which led to the development of general anesthesia and the control of pain.In the 20th century, the safety and efficacy of general anesthesia was improved by the routine use of tracheal intubation and other advanced airway management techniques. Significant advances in monitoring and new anesthetic agents with improved pharmacokinetic and pharmacodynamic characteristics also contributed to this trend. Finally, standardized training programs for anesthesiologists and nurse anesthetists emerged during this period. And, of course, the increased application of economic and business administration principles to health care in the late 20th and early 21st centuries inevitably led to the introduction of management practices such as transfer pricing to improve the efficiency of anesthetists.
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