4555F Patient did not receive inhalational anesthetic agent (Peri2)

Name of the Procedure:

Patient did not receive inhalational anesthetic agent (Peri2)

Summary

This procedure involves administering anesthesia to a patient using methods other than inhalational agents. It includes intravenous (IV) anesthesia or regional blocks to ensure the patient does not experience inhalational exposure.

Purpose

This approach is used to provide anesthesia while avoiding inhalational anesthetic agents, which might be necessary due to patient allergies, specific medical conditions, or surgeon preference. The goal is to achieve adequate anesthesia with minimal side effects and improved patient safety.

Indications

• Patient has a known allergy to inhalational agents.
• Respiratory conditions contraindicate the use of inhalational anesthesia.
• Patient preference or request.
• Situations where inhalational agents are not available or feasible.

Preparation

• Patients may need to fast for 6-8 hours before the procedure.
• Adjustments to current medications may be required.
• Pre-procedure assessments, including blood tests and patient history review, will be conducted.

Procedure Description

1. IV Line Placement: An intravenous line is established.
2. Administration of IV Anesthetics: Medications like propofol, etomidate, or ketamine are administered to induce anesthesia.
3. Monitoring: Continuous monitoring of vital signs is conducted.
4. Regional Anesthesia: In some cases, local anesthetics may be injected near nerves to numb specific body parts.
5. Maintenance: Anesthesia levels are carefully maintained throughout the procedure.
6. Recovery: Post-procedure, patients are monitored as they recover from anesthesia.

Tools and Equipment: IV lines, anesthetic medications, monitoring equipment.

Anesthesia or Sedation: IV anesthetics or regional blocks.

Duration

The duration depends on the primary surgical or medical procedure being performed, typically ranging from 30 minutes to several hours.

Setting

Usually performed in a hospital or surgical center.

Personnel

• Anesthesiologist or nurse anesthetist.
• Attending surgeons.
• Operating room nurses.

Risks and Complications

• Adverse reactions to IV anesthetics.
• Potential for incomplete anesthesia, requiring conversion to inhalational agents.
• Respiratory issues, nausea, or vomiting.
• Rare risk of allergic reactions or anaphylaxis.

Benefits

• Avoidance of inhalational anesthetic side effects.
• Reduced risk in patients with respiratory issues.
• Potentially quicker recovery due to less systemic involvement.

Recovery

• Monitoring in a recovery area until anesthesia wears off.
• Instructions on activity restrictions and medication.
• Expected recovery time may vary but often is within hours to a few days.

Alternatives

• Traditional inhalational anesthesia.
• Conscious sedation for minor procedures.
• Local anesthesia for smaller, localized procedures.

Pros and Cons:

• Pros: Avoids specific risks of inhalational agents.
• Cons: May not be suitable for all surgical procedures; could require conversion to inhalational anesthesia if ineffective.

Patient Experience

Patients will be sedated and should not feel pain during the procedure. Post-procedure, they might feel groggy or slightly nauseous. Pain management will be provided, and most patients can expect comfort measures and appropriate follow-up care.