Basic Anaesthesia Drugs - HYPNOTICS / SEDATIVES / AMNESTICS

[@kojaksizzla]

Just started my residency this week and this kind of material is awesome! Thanks!

[@ABCsofAnaesthesia]

Great to hear!

[@dianamanyura7298]

Really helpful discussions and tips,soon to join the speciality

[@ABCsofAnaesthesia]

Good luck!

[@tammybambini1096]

In those patients with highly reduced LVEF you might consider using low dose Epinephrine (e.g. 0.05µg/kg/min) or Dobutamine p.cont., possibly in parallel with Noradrenaline 0.05µg/kg/min (and then adapted to BP and HR) from the start of induction.

[@cardiyansane1414]

A lot of varying dose ranges, a bit confusing as textbooks mention different doses than the ones presented here ..so I’m guessing dosing comes with experience and getting a “ feel” for how patients react ??

[@tammybambini1096]

Do you adapt the dosage of Propofol if the patient is a smoker or regularly drinks alcohol?

[@ABCsofAnaesthesia]

I dont actually… alcohol chronic use theoretically needs more hypnotic… But as far as ive seen… any tolerance is a drop in the ocean of the activity of propofol… The only factors that have contributed to needing higher dose clinically significantly have been age and size

[@LucaHajar]

hello from Morocco !

[@ABCsofAnaesthesia]

hello!

[@kyledeitz2760]

I’ve used etomidate a good number of times with low EF patients. I usually go to .3 mg/kg for induction bc it seems to take a little more to be effective. Though it does maintain adequate BP compared to propofol. A lot of times though , I’ll just go slow and low dose on propofol with a preceding dose of neosynephrine. I guess you guys use metaramanol instead of neosynephrine?

[@kyledeitz2760]

I believe etomidate is one metabolized by plasma esterases

[@004612]

When’s this ep going up on Spotify boys? Keen for a listen on my commute

[@ABCsofAnaesthesia]

Hi Sean! It’s already on spotify… open.spotify.com/show/1WSwYFcU95KBvAcozvWfWF?si=qEI4iJ6TSjanNBHwwnoOTQ&dl_branch=1

[@ABCsofAnaesthesia]

Hey Sean! so Sorry, I didn't realise I did publish yet on Spotify.. it'll be out tomorrow :)

[@WLHS]

Fascinating thanks. I'm here searching for how surgeon @ Royal Melbourne was able to waken me to communicate during surgery. I had 5 separate lines of anaesthetic of various names running into injuries. Simply telling me to relax again put me back to sleep. Awoke in I.C.U.

[@ABCsofAnaesthesia]

Thats a very interesting anaesthetic method for awake craniotomy…. Google asleep awake asleep method for awake craniotomy..

[@ABCsofAnaesthesia]

www.mayoclinic.org/tests-procedures/awake-brain-surgery/about/pac-20384913

[@WLHS]

Thanks for information. In my case I was awoken to insert lung drainage larding needle.

[@abubakarusman2661]

Hy from Sokoto

[@michaeldawson9400]

vaw.fyi good