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Anesthetic machine, showing sevoflurane (yellow) and isoflurane (purple) vaporizers on the right. An anesthetic vaporizer (American English) or anaesthetic vapouriser (British English) is a device generally attached to an anesthetic machine which delivers a given concentration of a volatile anesthetic agent. It works by controlling the ...
General anesthesia does not always require the anesthetic machine, tested daily, as basic equipment. Anesthesia machines may differ in appearance, size and degree of sophistication but generally speaking, they consist of sections for: ventilation; Peripheral Nerve Stimulator; space for monitoring equipment; accessories; storage space; worktop
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Subsequently, about 40 years later, in 1581, Giambattista Delia Porta demonstrated the use of ether on humans although it was not employed for any type of surgical anesthesia. [ 14 ] In modern medicine, Dr. Horace Wells used nitrous oxide for his own dental extraction in 1844.
Sevoflurane is an inhaled anesthetic that is often used to induce and maintain anesthesia in children for surgery. [17] During the process of awakening from the medication, it has been associated with a high incidence (>30%) of agitation and delirium in preschool children undergoing minor noninvasive surgery. [ 17 ]
Halothane, sold under the brand name Fluothane among others, is a general anaesthetic. [5] It can be used to induce or maintain anaesthesia. [5] One of its benefits is that it does not increase the production of saliva, which can be particularly useful in those who are difficult to intubate. [5]
It is often used together with other medications for anesthesia. [2] Common uses include during childbirth, following trauma, and as part of end-of-life care. [2] Onset of effect is typically within half a minute, and the effect lasts for about a minute. [1] Nitrous oxide was discovered between 1772 and 1793 and used for anesthesia in 1844. [3]
The BIS monitor thus gives the anesthetist an indication of how "deep" under anesthesia the patient is. [6] Additionally, BIS values less than 40 for greater than 5 minutes have been associated with increased risk of stroke ( hazard ratio of 3.23), MI (1.94) and death (1.41).