1 / 14

Premedication

Premedication. Dr.M.Kannan MD DA Professor And HOD Department of Anaesthesiology Tirunelveli Medical College. Premedication. Drugs administer 1-2 hours before induction of Anaesthesia. Why Premedication. To Allay anxiety and fear Non Pharmacological -Assurance &Raport

kschatz
Download Presentation

Premedication

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Premedication Dr.M.Kannan MD DA Professor And HOD Department of Anaesthesiology Tirunelveli Medical College

  2. Premedication • Drugs administer 1-2 hours before induction of Anaesthesia

  3. Why Premedication • To Allay anxiety and fear • Non Pharmacological -Assurance &Raport • Pharmacological -Benzodiazepanies -Diazepam -Medazolam -Lorozepam

  4. Why Premedication • To Reduce Secretion • Salivary secretion • Broncheal secretion • Anticholinergic drug-Atropine -Glycopyrolate Tachycardia Hyperthermia

  5. Why Premedication • Enhances Hypnotic effect of General Anaesthetic Drugs -Less amount volatile Anaesthetics and nacotics

  6. Why Premedication • Reduces Postoperative Nausea and Vomiting • Aspiration • Psychological trauma

  7. To Prevent Vomiting • Metachlorpropamide • Ondansetron • Ranitidine

  8. Why Premedication • Produce Amnesia • Benzodiazepine group -Diazepam 0.1-0.2mg/kg -Medazolam0.05mg/kg -Lorozepam

  9. Why Premedication • Gastric Content Volume ph -alkaline • Metoclopramide- • Sodium citrate

  10. Why Premedication • Attenuate sympathetoadrenal response -Laryngoscopy

  11. Why Premedication • Attenuate vagal reflex • ? Bradycardia • Traction of eye muscle in squint surgery • Repeated administration succinylcholine -Induction of Anaesthesia with halothane -Lighter plane of Anaethsia

  12. Why Premedication • Allay anxiety and fear • Reduce Secretion • Enhances Hypnotic effect of General Anaesthetic Drugs • Reduces Postoperative Nausea and Vomiting • Produce Amnesia • Gastric Content Volume ph -alkaline • Attenuate vagal reflex • Attenuate sympathetoadrenal response

  13. What Drugs ? • Antisailagoge –Atropine/Glycopyrolate • Sedative –Morphine -Pethedine -Benzodiazepaines -Barbiturates Antiemitics -Metachlorpropamide/Ondonsetron • Disease Specific Drugs

  14. Can we Give Fixed Pre.Med NO Cardiac –Avoid anticholinergics & Stiff sedatives Thyrotoxicosis- Avoid anticholinergic Head injury- Avoid sedatives Airway obstruction- Aviod sedatives Pregnancy- Avoid sedatives

More Related