Mmr presentation anaesth

MMR PRESENTATION Presenter : Dr Ahmad Jaihan Bin Ismail Moderator: Dr Aisai Abdul Rahman

HISTORY ,[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]

[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]

examination ,[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]

INVESTIGATION ,[object Object],[object Object],[object Object],[object Object],6/2 7/2 8/2 9/2 TWC 26.8 34.9 42.6 37.8 Hb 11.2 10 9.46 10.7 PLT 184 107 93 80 HCT 24.1 23.1 22.9 24.3

[object Object],POST 1 ST HD POST 2 ND HD 6/2 7/2 8/2 8/2 9/2 UREA 34.9 41.1 46 33.9 20.6 Na 128 131 126 132 137 K 4.1 4.1 4.5 3.6 3.2 CL 98 97 98 97 98 CREAT 509 602 594 444 265

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROCEDURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROGRESS ,[object Object],[object Object]

AFTER 1 MINUTE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROGRESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LOCAL ANAESTHESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ester amides hydrophobic hydrophilic Molecule linkage is more easily broken less Less stable More stable- longer stored Not heat-stable- cant Heat-stable- can be autoclave Metabolism mostly produces PABA >allergic reaction rare Short duration of action longer Rarely used Commonly used Eg: chloroprocaine cocaine dimethocaine procaine tetracaine/amethocaine Eg: bupivacaine cinchocaine/dibucaine levobupivacaine lidocaine/lignocaine mepivacaine prilocaine ropivacaine

Preparation of LA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pharmacodynamic ,[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]

Pharmacokinetic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Procedure to do local/regional anaesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

cont ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

cont ,[object Object],[object Object],[object Object],[object Object],[object Object]

cont ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Potential problem with LA ,[object Object],[object Object],[object Object]

LA TOXICITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of LA toxicity ,[object Object]

Prevention ,[object Object],[object Object],[object Object],[object Object]

Reference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mmr presentation anaesth

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Mmr presentation anaesth