Erschienen in:
01.02.2011 | Editorials
Special theme issue: mechanisms of anesthesia
verfasst von:
Donald R. Miller, MD, Sheldon H. Roth, PhD
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
|
Ausgabe 2/2011
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Excerpt
Reflect for a moment on a relatively routine operating room scenario. First, standard anesthesia monitors are applied. Next, pre-oxygenation takes place, followed in sequence by the administration of fentanyl 100 μg iv, lidocaine 40 mg iv, propofol 180 mg iv, and rocuronium 50 mg iv. Then, the adult patient is rendered unconscious, and the patient’s lungs are ventilated manually by bag-mask ventilation. This is followed by tracheal intubation and verification of end-tidal CO2 with the desflurane vaporizer opened to an initial dial concentration of 6% in oxygen. In the hands of a skilled and trained anesthesiologist, this example of yet another smooth induction is achieved with confidence and with a remarkable degree of predictability and patient safety. …