Objectives

1. Objectives Meaning and components of general anesthesia An idea about anesthesia equipments Concerns with dental operations Choice of anesthetic technique Routes of administrations Steps of anesthesia Factors affecting the choice of anesthesia

2. ANAESTHESIA Anaesthesia consist of : ANALGESIALOSS OF PAIN SENSATION HYPNOSISSLEEP RELAXATION DEFINITION: LOSS OF SENSITIVITY

3. Preparing for general anesthesia Ready Operation Room Staff availability Check oxygen supply Drugs along with emergency Equipments // anesthesia // surgical

4. Suction apperatous Anesthetic Drugs

6. Concerns with dental operations Field competition ( Air passages) Difficulty with air way Drugs interaction ?? Uses of oropharyngeal pack requires apprehension Dental trauma by laryngoscopy Dental trauma in non dental procedures Wired teeth

7. What factors determine the anesthetic teqnique?

8. Choice of technique Patient Anesthesiologis Surgeon Procedure I. Out-Patient II. Day-Case III. In-Patient V. Emergency

9. ANAESTHESIA ROUTES • INHALATIONAL: MASK TUBE • INTRAVENOUS: CANULA

11. STEPS OF ANAESTHESIA • 1- PREOPERATIVE ASSESSMENT • 2- PREMEDICATION • 3- INDUCTION OF ANAESTHESIA • 4- ENDOTRACHEAL INTUBATION • 5- MAINTENECE OF ANAESTHESIA • 6- MONITORING DURING ANAESTHESIA • 7- RECOVERY FROM ANAESTHESIA • 8- POST OPERATIVE CARE

12. I.V. CANULATION • 1- VEINS IN THE DORSUM OF HAND • 2- VEINS ARROUND THE ELBOW • 3- LEG VEINS • 4- SCALP VEINS • 5- JUGLAR VEINS • 6- VENOUS CUT-DOWN

13. How to make a vein obvious for canulation ?

14. 1- GRAVITY EFFECT • 2- RUBBER BAND, SPHYGMOMANOMETER CUFF • 3- TAPPING THE AREA • 4- APPLICATION OF HEAT

15. CLASSIFICATION OF ENDOTRACHEAL TUBES • 1- CUFFED - NONCUFFED • 2- PORTEX - RED RUBBER • 3- ENDOTRACHEAL – ENDOBRONCHIAL (DOUBLE LUMEN) • 4- PLAIN - ARMOURED

17. CLASSIFICATION OF ENDOTRACHEAL TUBES • 1- CUFFED - NONCUFFED • 2- PORTEX - RED RUBBER • 3- ENDOTRACHEAL – ENDOBRONCHIAL (DOUBLE LUMEN) • 4- PLAIN - ARMOURED

19. CLASSIFICATION OF ENDOTRACHEAL TUBES • 1- CUFFED - NONCUFFED • 2- PORTEX - RED RUBBER • 3- PLAIN - ARMOURED

21. ENDOTRACHEAL INTUBATION • INDICATIONS: • 1- LONG TIME OPERATIONS • 2- OBESITY • 3- PRONE AND LATERAL POSITIONS • 4- USE OF LONG ACTING MUSCLE RELAXANTS • 5- OPERATIONS IN SPECIAL SITES LIKE ENT, FASCIOMAXILLARY AND NEUROSURGERY • 6- IN EMERGENCY • 7- IN RESPIRATORY DISEASES, BETTER VENTILATION

22. SIZE= AGE + 4 mm internal diameter 4 • LENGTH

24. Pilot cuff

27. طبيب الاسنان هو انسان تقدمت سينه على نونه ليعطي جمالا على اثمن عطايا الله ( الابتسامة )