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intravenous anesthetics, inhalation anestheticx - Coggle Diagram
intravenous anesthetics
thiopental
💊 barbiturates
stimulate GABA recepters
induction
⏰ onset: 10sec
duration:4-6min
metabolism:12-16%/h
🛑 side effecs:
1- myocardial depressant
2- cause anaphylaxis
3- decrease cerebral BF 👍🏻
midazolam
ketamine
💊 given IV or IM
⏰ duration: 15-20min
🛑 side effects:
1- not produce fully unconsciousness
2- hallucinations & bad dreams
3- slow recovery
propofol
💊 stimulate GABA recepters
induction & maintainance
⏰ onset: 3sec
duration: v.rapid
metabolism: rapid
🛑 side effect:
1- hypotension (due to vasodilation)
2- non-analgesic
3- promote becterial growth
4- decrease cerebral BF 👍🏻
opioids
fentanyl
sufentanil
alfentanil
👍🏻 advantages:
1- good analgesia
2- low hemodymanic depression
3- suppression for endotracheal tube response
🛑 side effects:
1- respiratory depression
2- not full loss of consciousness
inhalation anestheticx
nitrous oxide
indection &maintainance
rapid onset and recovery
side effect:
1- diffusion hypoxia
2- toxicity
halothan
induction
rapis recovery
used for children
side effect:
1- cardiac depressant
2- hypotension
3- vasodilation
4- respiratory depressant
5- hepatotoxicity
6- malognant hyperthermia
diethyl ethar
slow induction and recovery
side effect:
1- cough
2- laryngeal spasm
3- mucous secretions
4- malignant hyperthermia
isoflurane
enflurane
desflurane