World Anaesthesia Day.pptx

Details of World Anaesthesia day and quiz

1. World Anesthesia Day 151 Base Hospital 16 Oct 22 Dr Shreyas Kate Asst Professor, Anaesthesiology

2. Dr. Gayatri Patankar

3.   Tham Luang Cave in Northern Thailand 23 June – 10 July 2018 (18 days) Dr. Richard Harris Australian Anaesthesiologist Australian of the Year, 2019

4. Theme: Medication Safety

5. # MEDSAFE Medication safety = Patient Safety It is projected that 5% of all patients who are admitted to a hospital experience a medication error an average hospital will have one medication error every 23 hours or every 20 admissions Globally, the cost associated with medication errors has been estimated at $42 billion USD annually. Steps: pre-operative routines photos of color-coded syringes improving communication with colleagues Using checklists

6. Beyond putting “A TUBE” Operation Theatres ICU Pain Management CSSD MRI and PET Scans ART ECT Code Blue Burn Centre

7. WHY

8. 16’th OCT 1846 Venue: Massachusetts General Hospital ( MGH ) in Boston (US) S urgeon: Henry Jacob Bigellow Patient: P atient was a young printer named  Gilbert Abbott Surgery : Excision of Vascular tumour of Neck “ Upon awakening after the surgery, he announced that he had felt a scratching sensation, but no pain ”

9. The Ether C ontroversy Crawford W. Long Horace Wells Charles Jackson

10. QUIZ

11. Mahatma Gandhi underwent appendicectomy in 1925 ? 1. Hospital ? 2. surgeon ? 2. anesthesiologist? 3. agent used? QUESTION 01

12. Sassoon Hospital Pune 12 Jan 1925 British Col Dr Maddock Dr Date Open drop Chloroform ANSWER

13. Why did John Collins say “ gentlemen this is no humbug” QUESTION 02

14. He gave a demonstration to medical students at the  Massachusetts General Hospital  in  Boston  on January 20, 1845. However, the gas was improperly administered and the patient cried out in  pain . The patient later admitted that although he cried out in pain, he remembered no pain and did not know when the tooth was extracted. The audience of students in the surgical theatre jeered "humbug". Horace Wells ANSWER

15. Identify this fruit and its contribution QUESTION 03

16. ANSWER Opium (or poppy tears, scientific name: Lachryma papaveris ) is dried latex obtained from the seed capsules of the opium poppy Papaver somniferum Approx 12 % of opium is made up of the analgesic alkaloid morphine , which is processed chemically to produce heroin and other synthetic opioids for medicinal use and for the illegal drug trade “The traditional, labor-intensive method of obtaining the latex is to scratch ("score") the immature seed pods (fruits) by hand; the latex leaks out and dries to a sticky yellowish residue that is later scraped off and dehydrated”

17. Identify these leaves and fruit What is the relationship of these leaves with anaesthesia ? QUESTION 04

18. Erythroxylum coca Cocaine “ first used as a local anesthetic in 1884” 1899, when August Bier subjected himself to a clinical experiment in which he observed the anesthetic effect, but also the typical side effect of postpunctural headache. ANSWER

19. Which anesthetic was responsible for death of Michael Jackson ? Repeatedly asking him for “MILK” QUESTION 05

20. “Jackson's physician  Conrad Murray   was present to help Jackson sleep and gave him various drugs including  diazepam ,  Ativan ,  lorazepam  and  midazolam  while monitoring him by his bedside. After several hours and several drug injections, Jackson was still unable to fall asleep, and, according to Murray, was repeatedly asking him for "milk", a term for the powerful sedative  PROPOFOL , which Jackson had used in the past as a sleep aid. At 10:40 AM, with Jackson still not asleep, Murray relented to his requests and injected him with 25 mg of propofol diluted with  lidocaine .” 25 June 2009 ANSWER

21. IDENTIFY THIS UBIQUITOUS DEVICE WITH COMPLETE NAME QUESTION 06

22. GUEDEL AIRWAY MAINTAIN AIRWAY IN PATIENTS WITH POOR GCS (UNCONSCIOUS) SHORT TERM ANSWER

23. WHAT IS HIS RELATIONSHIP TO FIELD OF ANESTHESIA? QUESTION 07

24. On 29 December 2013, Schumacher was skiing with his then-14-year-old son Mick, in the French Alps. While crossing an unsecured area between he fell and hit his head on a rock, sustaining a serious head injury despite wearing a ski helmet. Schumacher was put into a MEDICALLY INDUCED COMA because of traumatic brain injury. ANSWER

25. What is the contribution of John Snow in the field of Anaesthesia ? QUESTION 08

26. The use of chloroform as an anaesthetic for childbirth was seen as unethical by many physicians and even the Church of England. However, on 7 April 1853, Queen Victoria asked John Snow to administer chloroform during the delivery of her eighth child, Leopold. He then repeated the procedure for the delivery of her daughter Beatrice in 1857 ANSWER

27. Which was the first muscle relaxant to be used? QUESTION 09

28. Curare was known as “arrow poison” The indigenes of America Chondrodendron tomentosum The first clinical use of curare as muscle relaxant during an operation is reported on January 23 rd  1942. The anesthesiologist Harold Griffith injected a synthetic preparation of curare to a young man before appendectomy. The era of muscle relaxants in surgery had started ANSWER

29. Identify this piece of equipment QUESTION 10

30. An IRON LUNG is a type of negative pressure ventilator (NPV), a mechanical respirator Despite the advantages of positive ventilation systems,  negative pressure  ventilation is a truer approximation of normal physiological breathing and results in a more normal distribution of air in the lungs. It may also be preferable in certain rare conditions,such as  central hypoventilation syndrome , ANSWER

31. FIRST LADY ANAESTHESIOLOGIST IN WORLD ? QUESTION 11

32. Dr. (Miss) Rupa Bai Furdoonji was the first lady anaesthetist of the world. She had administered anaesthesia in the British residency hospital (present Sultan Bazaar hospital), Afzalgunz Hospital and Zenana Hospital, Hyderabad, in the years 1889-1917 A.D Hyderabad Chloroform Commissions ANSWER

33. FIRST COLLEGE / HOSPITAL TO START POST GRADUATE COURSE IN ANAESTHESIOLOGY ? QUESTION 12

34. A post independence with the Diploma in Anaesthesia in Bombay in 1946 and D. A. of College of Physicians and Surgeons in 1948. The first degree course, M. S. in Anaesthesia was started in Muzaffarpur and Darbhanga.  In 1890 in Hyderabad Medical School , 2 students were deputed for all cases that were to be given chloroform anaesthesia , one person administering anaesthesia and the other taking detailed notes These trained anesthetists were called “ Chloroformists ” Dr. Jyotindranath Mukherjee L.M.S. was appointed as “Paid Anaesthetist in Calcutta Medical College” on September 1st, 1914 on a salary of Rs. 50/- per month! ANSWER