The Krypton Anesthesia Essentials

26/01/2024

03/01/2024

MRI Brain under sedation...
? Cerebral edema

Day of life -15 day/2kg/M

Drugs used -
1) Inj. Atropine 10mcg/kg = 30 mcg
2) Inj. Midaz 20 mcg/kg = 40 mcg
3) Inj. Ketamine 2 mg/kg = 4 mg
4) inj. dexamethasone 0.2mg/kg = 0.4 mg
All given IV
Position given for MRI
After 5 min.

Inj. Fentanyl 2 mcg/kg = 4 mcg given

5 cc NS for flush
Oxygen via Nasal prongs 2 ltr./min

PMO line attached for maintenance dose,
if required

HR and RR monitored on MRI compatibile monitor

Duration = 25 min.
No need of top up dose

Recovery
Baby shows movements after stimulus
Shifted in post op room

Oxygen 1 ltr./min. Through nasal prongs for 10 min.
SpO2 -100%
HR - 145/min.
Then pt. Is maintaining room air saturation

Baby is allowed to go home after 30 min.
NBM 2 hrs.
Inform 🆘

28/04/2023

2023

24/04/2023

23/04/2023

27 years gentleman history of domestic fall from height came with bilateral lower limb complete shutdown he had traumatic fracture of L2 with retropulsion .
He was operated 5 weeks back at Nithya hospital jaysingpur by me

He underwent Spine surgery in the form of decompression and stabilization with deformity correction.
Dr Pravin Chavan played a vital role in giving Anaesthsia for such a long procedure

Now he is neurologically improving day by day. The patient is able to walk with & without support.

Dr Amarjeet Jagadale
Ortho & spine surgeon
Nithya Hospital
Jaysingpur

03/03/2023

Drager Microvent 8412600

19/02/2023

Day of Life - 32
Weight - 1.29 kg
Posted for - CT aortography to delineate arch anatomy and tracheal compression under sedation

Obstetrics history -
28 weeks born emergency LSCS - pre-eclampsia
Birth weight - 870 gm
On IPPV for 8 days
Now on nasal prongs O2 - 2ltr./min.
26G two intra-cath on both hands secured

Known case of ASD, VSD, double aortic arch.
Increased respiratory rate and effort.

Anesthesia Management -
Inj. Glycopyrolate 5 mcg
Inj.Midaz 20 mcg
Inj.Ketamine 2 mcg iv slowly given
NS -2 cc

HR -160-170/ min. Maintained
Procedure uneventful

19/02/2023

Position for Anterior vaginal wall-ureteric fistula repair

Anesthesia -
Spinal + Epidural

Spinal - Inj. Bupivacaine heavy 0.5% 2.8 + Inj. Clonidine 30 mcg
In sitting position with 27 G spinal needle

Epidural - L3-L4 level
Catheter fixed at 9 cm
Confirmed

Then pt. Kept in supine position for 20 min.
After action well settled given this position

14/12/2022

Left frontal parasaggital Meningioma

50yr/F/55 kg
No other comorbidities
MPC -2
Rest investigations normal

General Anesthesia
Premed
Inj.Glyco 0.2 mg
Inj.Fent 100 mcg

Induction
Precurarisation
Inj. Vec 2 mg

Inj. Propofol 100 mg
Inj.Vec 2 mg

Intubated with ET no.7
Air entry B/L equal and clear and fixed at 20 cm

Low flow Anesthesia after MAC 0.8 achieved
02 0.9 + Air 0.9
Sevo 0.8

Inj.Dexmed 50 mcg in 100 ml NS
Before incision
Intraop -BP 90/60 maintained
Uneventful
Duration -2 hrs.

Inj.PCT 1 gm before extubation
Inj. Xylocard 2 cc after spontaneous efforts

Extubated awake with just gentle tap
Haemodynamicaly stable
Sp02 -98 % on room air

02/12/2022

58 yr/Male/90 kg
MPC -3
Posted for DJ stent before CABG

P-98/min
BP - 150/94 mm of hg

SA - Inj. Ropivac 0.5% Heavy 1.5 cc used
T -10 level achieved

Minimal hemodynamic changes
Emergency drugs and protocol for MI salvation kept ready