Download PDF by Georg Kamm, Toni Graf-Baumann (auth.): Machame Anaesthesia Notebook for Medical Auxiliaries: With
By Georg Kamm, Toni Graf-Baumann (auth.)
The advances within the box of anaesthesiology and reanimation have contributed in all constructed international locations to the lessen in deaths happening at the working desk (exitus in tabula), from the ratio 1: a hundred (in the 19th century) right down to nearly 1: a thousand (in the 1st 1/2 the 20 th century) and at last to approxi mately 1: 10 000 (nowadays). a variety of human lives have been stored not just during the intro duction of recent medication and techniques yet much more so by means of higher education for the medical professionals and nurses who observe those new techni ques. i'm chuffed in regards to the correct initiative of my pupil and good friend Georg Kamm, which has now made those advances acces sible to the constructing nations. He is aware rather well easy methods to make his colleagues comprehend the idea and the sensible part of recent anaesthesiology, less than the main tough stipulations and in a very diversified international, to such an quantity that to day in his nation all of his sufferers are given the good thing about the advances of drugs. there's not anything extra profitable for an educational instructor than to work out how his scholars proceed constructing his rules and unfold them all over. i'm consequently chuffed and proud to jot down this foreword for Georg Kamm, one of many pioneers of anaesthesiology in Africa.
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Extra resources for Machame Anaesthesia Notebook for Medical Auxiliaries: With Special Emphasis on the Developing Countries
2 Tumours etc. In the case of tumours, stenosis and inability to open the mouth wide enough, careful examination and preparation has to be carried out, until the anaesthetist is absolutely sure he can maintain the airway during operation (see Chap. 5). In such a situation local or Ketalar anaesthesia is preferable; also make sure a tracheostomy set (or tray) is available. 3 Lung Disease Except for emergencies give no anaesthesia where lung disease is present! 33 A slight cough but clear lungs does not hinder anaesthesia, provided there is good post-operative care.
These cases call for emergency anaesthesia and the anaesthetic strategy has to be adapted to the needs of the situation. 1 (continued) Clinical examination ========= a) General impression of patient 1. Physical: __ I wasted - dehydrated toxic - cyanotic FI! and heanhy 2. Mental: I -=========== semiconscious confused nervous, frightened Quiet - relaxed any signs of jaundice, anaemia b) Head and Eyes I NAD. ~ can patient open mouth wide enough c) Upper PJrway I - - any loose teeth any tumour in mouth and neck region NAD.
2 mg MogadQn/kg body wt. per os r h,'before' operation. 4A-Summary The dosage of premedication depends on the body weight, age and the general co~on of the patient. 1). The operiltion is to be performed at the peak of the pharmaco10gNa) ad~Jl of the pre-anaesthetic drug. Therefore the right time for premedieation mUst be carefully considered. 40 cal/hr 45 40 Fig. 1. Metabolic rate/age 10 20 30 40 50 60 70 80 Years/age 41 Chapter 5 Maintenance of the Airway The responsibility of the anaesthetist is to keep the patient alive and free of pain during surgery.