Administer Parenteral General Anesthesia 081 833 4548 INSTRUCTOR

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Administer Parenteral General Anesthesia 081 -833 -4548 INSTRUCTOR SFC HILL Joint Special Operations Medical

Administer Parenteral General Anesthesia 081 -833 -4548 INSTRUCTOR SFC HILL Joint Special Operations Medical Training Center

OBJECTIVE As a Special Forces Medic given a patient requiring general parenteral anesthesia in

OBJECTIVE As a Special Forces Medic given a patient requiring general parenteral anesthesia in a fixed or temporary facility, induce the patient to stage three of general anesthesia in accordance with JSOMTC student manual of anesthesia. Joint Special Operations Medical Training Center

REASON • As a Special Forces Medic you must be prepared to anesthetize a

REASON • As a Special Forces Medic you must be prepared to anesthetize a patient requiring invasive procedures. Joint Special Operations Medical Training Center

PROCEDURES • • Insure anesthetist preparation Insure patient preparation Induce parenteral general anesthesia Emergency

PROCEDURES • • Insure anesthetist preparation Insure patient preparation Induce parenteral general anesthesia Emergency induction of parenteral general anesthesia Joint Special Operations Medical Training Center

Insure anesthetist preparation • • Inspect the anesthetist cart insure presents of anaphylaxis kit

Insure anesthetist preparation • • Inspect the anesthetist cart insure presents of anaphylaxis kit insure presents of SPARKS kit Insure the proper drugs are present in sufficient amounts and not out of date Joint Special Operations Medical Training Center

Insure anesthetist preparation • Insure pharyngeal suction apparatus are operational and manual backup suction

Insure anesthetist preparation • Insure pharyngeal suction apparatus are operational and manual backup suction is present • Switch on, set up and calibrate all monitors • Clearly label all syringes with the appropriate agent and amount in milligrams • Check all endotracheal equipment Joint Special Operations Medical Training Center

Insure patient preparation • Review preanesthetic visit (SF 517) • When the patient arrives,

Insure patient preparation • Review preanesthetic visit (SF 517) • When the patient arrives, verify identity, and the nature and site of the scheduled operation • Establish rapport with the patient Joint Special Operations Medical Training Center

Insure patient preparation • Insure a base line set of vitals has been established

Insure patient preparation • Insure a base line set of vitals has been established • Insure established IV is patent • Attach all monitoring devices • Insure the patient has received the proper preanesthetic medication (five rights) Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • Start induction 30 minutes after last premedication was given

Induce Parenteral general anesthesia • Start induction 30 minutes after last premedication was given Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • Muscle relaxation • Diazepam (induction) 0. 3 0. 5

Induce Parenteral general anesthesia • Muscle relaxation • Diazepam (induction) 0. 3 0. 5 mg/kg Slow IV push Joint Special Operations Medical Training Center

REMEMBER! COMPONENTS OF GENERAL ANESTHESIA • 1. Unconsciousness (Hypnosis) • 2. Analgesia (Areflexia) •

REMEMBER! COMPONENTS OF GENERAL ANESTHESIA • 1. Unconsciousness (Hypnosis) • 2. Analgesia (Areflexia) • 3. Muscle relaxation Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • Unconsciousness • Ketamine (induction) 1 - 2 mg/kg slow

Induce Parenteral general anesthesia • Unconsciousness • Ketamine (induction) 1 - 2 mg/kg slow IV push Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • On completion of induction, a rapid sequence intubation should

Induce Parenteral general anesthesia • On completion of induction, a rapid sequence intubation should be preformed to protect the patients airway • The patient should then be placed on anesthesia maintenance Joint Special Operations Medical Training Center

Emergency induction of parenteral general anesthesia Joint Special Operations Medical Training Center

Emergency induction of parenteral general anesthesia Joint Special Operations Medical Training Center

Emergency induction of parenteral general anesthesia • Emergency patients should be stabilized prior to

Emergency induction of parenteral general anesthesia • Emergency patients should be stabilized prior to induction of anesthesia whenever possible • With the unstable patient, induction should proceed when only the immediate surgical intervention will save the patients life Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • Muscle relaxation • Diazepam (induction) 0. 3 0. 5

Induce Parenteral general anesthesia • Muscle relaxation • Diazepam (induction) 0. 3 0. 5 mg/kg Slow IV push Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • Unconsciousness • Ketamine (induction) 1 - 2 mg/kg slow

Induce Parenteral general anesthesia • Unconsciousness • Ketamine (induction) 1 - 2 mg/kg slow IV push Joint Special Operations Medical Training Center

Induce Parenteral general anesthesia • On completion of induction, a rapid sequence intubation should

Induce Parenteral general anesthesia • On completion of induction, a rapid sequence intubation should be preformed to protect the patients airway • The patient should then be placed on anesthesia maintenance Joint Special Operations Medical Training Center

SUMMARY OF PROCEDURES • • Insure anesthetist preparation Insure patient preparation Induce parenteral general

SUMMARY OF PROCEDURES • • Insure anesthetist preparation Insure patient preparation Induce parenteral general anesthesia Emergency induction of parenteral general anesthesia Joint Special Operations Medical Training Center

RESTATED OBJECTIVE As a Special Forces Medic given a patient requiring general parenteral anesthesia

RESTATED OBJECTIVE As a Special Forces Medic given a patient requiring general parenteral anesthesia in a fixed or temporary facility, induce the patient to stage three of general anesthesia in accordance with JSOMTC student manual of anesthesia. Joint Special Operations Medical Training Center