The Krypton Anesthesia Essentials
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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
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
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
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