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General
General anesthetics are CNS depressants that cause partial or complete loss of sensation, consciousness, or pain. The effect is reversible and is commonly used to induce anesthesia during painful surgeries.
General anesthetics bring about descending denervation of the central nervous system, beginning with the cerebral cortex, basal ganglia, cerebellum, and finally the spinal cord.
Stages of general anesthesia
Stage I (Stage of analgesia)
It is the period from the start of anesthetic administration to loss of consciousness. The patient progressively loses pain. This stage is also called the stage of analgesia.
Stage II (Stage of
Delirium)
This period extends from the loss of consciousness through a stage of irregular and specific breathing to the re-establishment of regular breathing. Respiration is normal. The patient may laugh, vomit, or struggle and hence it is called the excitement phase or stage.
Stage III (Stage of surgical anesthesia)
In this
Stage IV (Stage of medullary depression)
Overdose of the anesthetic may bring the patient to this stage.
An ideal characteristic
1. It should be inert,
2. It should be economical.
3. It should not produce nausea, vomiting, and severe hypotension.
4. It should be stable
Classification of
Volatile
They are administered by inhalation and further distributed subcutaneously:
1.
2. Liquids:
Non-volatile or
They are unstable at room temperature and are administered
Barbiturates:
Non-barbiturates:
These are used to produce rapid unconsciousness for surgical and basal
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