Intro

Question 1

What is anesthesia?

Answer 1

Entire loss, partial loss or absence of feeling or sensation with local or general insensibility implied specially to a patient having surgery.

Question 2

Components of anesthesia definition

Answer 2

Reversible loss of consciousness
Analgesia
Areflexia
Muscle relaxation

Question 3

Definition of analgesia

Answer 3

Block of conscious sensation of pain

Question 4

Sedation definition

Answer 4

Sleep with preservation of eyelash reflex and purposeful response to command

Question 5

Hypnosis

Answer 5

Unconsciousness without analgesia

Question 6

Amnesia

Answer 6

Prevention of memory formation

Question 7

Relaxation

Answer 7

Prevention of unwanted movement or muscle tone

Question 8

What is MAC ? ( monitored anaesthesia care)
What are his components ?

Answer 8

Anaesthesia service for diagnostic or therapeutic procedures with local anaesthesia+sedation+analgesia where there’s preservation of spontaneous breathing and airway reflexes

Safe conscious sedation+ anxiolytics+ pain control

Question 9

Definition general anaesthesia

Answer 9

Drug induced loss of consciousness where patient are not arousable even with painful sensation

Question 10

What is regional anaesthesia

Answer 10

Loss of pain sensation with varying degrees of muscle relaxation in certain regions of the body

Question 11

What is Epidural anaesthesia

Answer 11

Regional block resulting from injection of large volume of local anaesthetic into epidural space

Question 12

What is safe anaesthesia

Answer 12

• trained anaesthetist and complete team
• paying attention to details
• Preoperative assessment
• medical records , lab investigations
• right meds and doses
• monitoring
  -Resuscitation and advanced airway management equipment
• safety checklists

Question 15

Depth of anaesthesia

Answer 15

Stage 1 - analgesia (conscious , low pain)
Stage 2 - delirium (unconscious, reflexes preserved)
Stage 3- surgical anaesthesia ( increasing muscle relaxation , no airway protection )
Stage 4- medullary depression ( CVD and respiratory depression )

Question 16

What is rapid sequence induction

Answer 16

Predetermined dose of IV induction followed immediately by short acting muscle relaxant

Question 17

Which patient under GA should receive muscle relaxation

Answer 17

Full stomach
Pregnancy (12-20weeks)
Bowel obstruction or intra abdominal pressure
Morbid obesity
Gastric outlet obstruction
Gastroparesis (DM, ozempic)
Hiatal hernia, GERD

Question 18

What is TIVA. ( total intravenous anaesthesia )

Answer 18

All the anesthetic are given through IV
Generally anesthestic (propofol) + analgesic (opioid)

Question 19

Indications for TIVA

Answer 19

-High risk malignant hyperthemia
When neuromonitoring required
- hemodynamic instability

Question 20

==-

Question 21

Role of anaesthetist

Answer 21

Provide analgesia, anaesthesia, life sustaining care
Provide pain relief
Preoperative assessment , optimization of patient
Resuscitate patient
Transport of acutely ill patients
Pain medicine
intensive care medicine
Education, leadership