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The incidence of life-threatening hypersensitivity reactions occurring during surgery and anesthesia is around one in 10,000 procedures. [1] Severe allergic reactions to anesthetic medications are rare and are usually attributable to factors other than the anesthetic.
Some of the adverse outcomes associated with intra-operative injuries include: Increased length of stay. This is due to ophthalmology consults required, associated infections and treatment. [15] Increased costs. This is due to increased length of stay, cost of treating the complications. [16] Pain and discomfort for the patient.
Adverse effects include prolongation of the QT interval on EKG. Medications include droperidol and haloperidol. Phenothiazines are particularly effective in treating opioid-induced PONV. Adverse effects are dose-dependent and include sedation and extrapyramidal symptoms. Medications include promethazine, chlorpromazine and prochlorperazine.
General anesthesia is usually considered safe; however, there are reported cases of patients with distortion of taste and/or smell due to local anesthetics, stroke, nerve damage, or as a side effect of general anesthesia. [46] [47] At the end of surgery, administration of anaesthetic agents is discontinued.
All medicines may have adverse effect on patients; some serious adverse effects of anesthesia may be caused by inhalational anesthetic, although in general these medicines are highly safe and useful. [18] Using the correct amount of balanced anesthetic agents, the adverse effects can be reduced to some extent. [18]
Malignant hyperthermia (MH) is a type of severe reaction that occurs in response to particular medications used during general anesthesia, among those who are susceptible. [1] Symptoms include muscle rigidity, fever, and a fast heart rate. [1] Complications can include muscle breakdown and high blood potassium.
Many local anesthetics fall into two general chemical classes, amino esters (top) and amino amides (bottom). A local anesthetic (LA) is a medication that causes absence of all sensation (including pain) in a specific body part without loss of consciousness, [1] providing local anesthesia, as opposed to a general anesthetic, which eliminates all sensation in the entire body and causes ...
The effects of early-life exposures to anesthesia on the brain in humans are controversial. Evidence from nonhuman primate research suggests significant developmental neurotoxicity and long-term social impairment, with a dose–response relationship where repeated exposures cause a more severe impact than single ones.