Basic Anaesthesia Drugs - HYPNOTICS / SEDATIVES / AMNESTICS

This episode, we are talking about Hypnotics/Sedatives/Amnestics in Anaesthesia. The information and detail provided here are for residents and junior registrars starting in their first few months of Anaesthesia. There is a lot more detail to know for the Primary Exam, but this will give you a good starting point to perform at your best when starting out.
Check out the induction framework in this video:
• Critical Anaesthesia I...
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The information contained in this podcast is for medical practitioner education only. It is not and will not be relevant for the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this episode.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
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[@kojaksizzla]

Just started my residency this week and this kind of material is awesome! Thanks!

[@ABCsofAnaesthesia]

Great to hear!

[@dianamanyura7298]

Really helpful discussions and tips,soon to join the speciality

[@ABCsofAnaesthesia]

Good luck!

[@tammybambini1096]

In those patients with highly reduced LVEF you might consider using low dose Epinephrine (e.g. 0.05µg/kg/min) or Dobutamine p.cont., possibly in parallel with Noradrenaline 0.05µg/kg/min (and then adapted to BP and HR) from the start of induction.

[@cardiyansane1414]

A lot of varying dose ranges, a bit confusing as textbooks mention different doses than the ones presented here ..so I’m guessing dosing comes with experience and getting a “ feel” for how patients react ??

[@LucaHajar]

hello from Morocco !

[@ABCsofAnaesthesia]

hello!

[@kyledeitz2760]

I’ve used etomidate a good number of times with low EF patients. I usually go to .3 mg/kg for induction bc it seems to take a little more to be effective. Though it does maintain adequate BP compared to propofol. A lot of times though , I’ll just go slow and low dose on propofol with a preceding dose of neosynephrine. I guess you guys use metaramanol instead of neosynephrine?

[@kyledeitz2760]

I believe etomidate is one metabolized by plasma esterases

[@WLHS]

Fascinating thanks. I'm here searching for how surgeon @ Royal Melbourne was able to waken me to communicate during surgery. I had 5 separate lines of anaesthetic of various names running into injuries. Simply telling me to relax again put me back to sleep. Awoke in I.C.U.

[@ABCsofAnaesthesia]

Thats a very interesting anaesthetic method for awake craniotomy….
Google asleep awake asleep method for awake craniotomy..

[@ABCsofAnaesthesia]

www.mayoclinic.org/tests-procedures/awake-brain-surgery/about/pac-20384913

[@WLHS]

Thanks for information. In my case I was awoken to insert lung drainage larding needle.

[@tammybambini1096]

Do you adapt the dosage of Propofol if the patient is a smoker or regularly drinks alcohol?

[@ABCsofAnaesthesia]

I dont actually… alcohol chronic use theoretically needs more hypnotic…
But as far as ive seen… any tolerance is a drop in the ocean of the activity of propofol…
The only factors that have contributed to needing higher dose clinically significantly have been age and size

[@004612]

When’s this ep going up on Spotify boys? Keen for a listen on my commute

[@ABCsofAnaesthesia]

Hi Sean! It’s already on spotify…
open.spotify.com/show/1WSwYFcU95KBvAcozvWfWF?si=qEI4iJ6TSjanNBHwwnoOTQ&dl_branch=1

[@ABCsofAnaesthesia]

Hey Sean! so Sorry, I didn't realise I did publish yet on Spotify.. it'll be out tomorrow :)

[@abubakarusman2661]

Hy from Sokoto

[@michaeldawson9400]

vaw.fyi
good