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Hypercarbia : Its classification & effects on different systems Moderator : Dr D choudhury Presented by : Dr Saurav Das
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PARTIAL PRESSURE OF GASES IN ALVEOLI 760mmhg 760mmhg total 47mmhg 47mmhg Water vapor 100mmhg 40mmhg Carbon dioxide 578mmhg 578mmhg nitrogen 35mmhg 95 mmhg oxygen Hypoventilation pco2=100mmhg Normal ventilation Arterial pco2 =40mmhg
Hypercapnia and central nervous system ,[object Object],[object Object],[object Object],[object Object]
Hypercapnia and cerebral blood flow ,[object Object],[object Object],[object Object],[object Object],[object Object]
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CARBON DIOXIDE NARCOSIS ,[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Autonomic effect of Hypercapnia ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CIRCULATORY RESPONSE TO HYPERCAPNIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
HAEMODYNEMIC EFFECT ( CONSCIOUS STATE) ,[object Object]
HAEMODYNEMIC EFFECTS (UNCONSCIOUS) ,[object Object],[object Object]
Contd… ,[object Object],[object Object]
CARDIOVASCULAR RESPONSES TO HYPERCAPNIA DURING VARIOUS TYPES OF ANAESTHESIA - +++ +++ ++ ISOFLURANE ---- ++ + + ENFLURANE - + + 0 HALOTHANE -- +++ ++ ++ DIETHYL ETHER --- +++ ? +++ CYCLOPROPANE -- ++ + 0 NITROUS OXIDE - +++ ++ ++ CONSCIOUS SYSTEMIC VASCULAR RESISTANCE CARDIAC OUTPUT CONTRACTILITY HEART RATE
HYPERCAPNIA, ANAESTHSIA AND β ADRENO RECEPTOR BLOKADE ,[object Object],[object Object]
[object Object]
HYPERCAPNIA AND CARDIAC ARRYTHMIA ,[object Object],[object Object],[object Object],[object Object]
Contd… ,[object Object],[object Object]
HYPERCAPNIA AND VENTILATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
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CARBON DIOXIDE / VENTILATION RESPONSE CURVE ,[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
[object Object],[object Object],[object Object]
PULMONARY GAS EXCHANGE AND OXYGEN TRANSPORT ,[object Object],[object Object],[object Object],[object Object]
HYPERCAPNIA AND REGIONAL BLOOD FLOW ,[object Object],[object Object]
[object Object],[object Object]
HEPATIC AND SPLANCHNIC CIRCULATION ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
HYPERCAPNIA AND BODY TEMPARATURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
OBSTRETICS AND NEONATAL IMPLICATION OF HYPERCAPNIA ,[object Object],[object Object]
ACID BASE EQULIBRIUM DURING HYPERCAPNIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
 
PERMISSIVE HYPERCAPNIA ,[object Object],[object Object],[object Object],[object Object]
PERMISSIVE HYPERCAPNIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

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hypercarbia

  • 1. Hypercarbia : Its classification & effects on different systems Moderator : Dr D choudhury Presented by : Dr Saurav Das
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  • 4. PARTIAL PRESSURE OF GASES IN ALVEOLI 760mmhg 760mmhg total 47mmhg 47mmhg Water vapor 100mmhg 40mmhg Carbon dioxide 578mmhg 578mmhg nitrogen 35mmhg 95 mmhg oxygen Hypoventilation pco2=100mmhg Normal ventilation Arterial pco2 =40mmhg
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  • 22. CARDIOVASCULAR RESPONSES TO HYPERCAPNIA DURING VARIOUS TYPES OF ANAESTHESIA - +++ +++ ++ ISOFLURANE ---- ++ + + ENFLURANE - + + 0 HALOTHANE -- +++ ++ ++ DIETHYL ETHER --- +++ ? +++ CYCLOPROPANE -- ++ + 0 NITROUS OXIDE - +++ ++ ++ CONSCIOUS SYSTEMIC VASCULAR RESISTANCE CARDIAC OUTPUT CONTRACTILITY HEART RATE
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