ANAESTHESIA TRIAD DIFFICULT LARYNGOSCOPY

Sleep When epiglottis cannot be seen during

Muscle relaxation and laryngoscopy
Analgesia

DIFFICULT INTUBATION
When an experienced anesthetist; of
more than 3 years did not intubate
after 3 attempts within 10 minutes.
DIFFICULT AIRAY
When patients saturation remains <
90% after giving 100% O2 with tightly
fitting mask
GENERAL ANAESTHESIA
Is an altered physiological state
characterized by reversible loss of
consciousness, analgesia of the entire
body, amnesia and some degree of
muscle relaxation.

CLASSIFICATION OF ANTIARRHYTHMICS

CLAS EXAMPLE MODE OF ACTION INDICATIONS

S
1a Quinidine, Na+ channel blocker Prevention of SVT
Procainamide Atrial Tachycardia
Disopyramide
1b Lidocaine Na+ channel Blocker Prevention of VT/VF
Mexiletine (Mexitil) during ischemia
Phenytoin
1c Flecainide Na channel blocker Conversion/
Propafenone Prevention of
SVT,VT,VF
2 -Blockers (propranolol, -receptor blockade Tachyarrhythmias,
esmolol, metoprolol) rate control in AF,
MI, AV node re-
entry tachycardia
3 Amiodarone (Cordarone) Inhibition of inward K+ Prevention of SVT,
Bretylium current. VT, VF
Sotalol (Prolongs repolarization)
4 Diltiazem (Cardizem) Ca+ channel blocker Rate control in AF,
Verapamil prevent of AV node
re-entrant
tachycardia
5 Digoxin
Adenosine

1
Dr. Tariq Mahar.
 2
Dr. Tariq Mahar.