See also:

     Rapid sequence intubation
     Conscious sedation
     Differential of Hypotension during general anesthesia

There are four components of putting a patient "to sleep"

	Hypnosis	Muscle Relaxation	Analgesia	Anxiolysis
Induction	Propofol (lasts 10 min)	Roc/Sux	Fentanyl	Versed
Sustained	Inhalation agent	Inhalation agent
Reversed by		Neostigmine*	(Naloxone)	(Flumazenil)

*combined with Glycopyrrolate to inhibit effects of ACh at nicotinic R but permit effects of ACh at muscarinic R

Doses:
     Neostigmine: 70 mcg/kg
     Glycopyrrolate: 0.2mg/1mg Neostigmine

Case example
Induction:        Propofol                  Roc/Sux                            Fentanyl               Versed
Sustained:      Desfluorine  

 

Things to monitor during general anesthesia
     Mandatory
          NIBP
          SpO2
          EKG
          ETCO2
     Optional
          A-line
          CVP
          BIS (frontal lobe brain activity)

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).