General anesthesia- Ans✓✓-states of reversible unconsciousness where
protective reflexes are particle or completely lost, muscle relaxation, sedation,
and amnesia obtained
Moderate sedation anesthesia- Ans✓✓-relaxed, non paralyzed state of analgesia
Regional anesthesia- Ans✓✓-loss of body sensation to region
Factor in anesthesia selection- Ans✓✓-age, physical status, type of surgery,
patient wishes, site of surgery/body position
ASA physical status classification- Ans✓✓-the specific risk the patient has to
developing a complication after to the procedure.
ASA 1- Ans✓✓-normal healthy patient
ASA 2- Ans✓✓-patient with mild, systemic disease...
smoker, pregnancy, obesity, mild drinker
ASA 3- Ans✓✓-severe systemic disease...poorly controlled DM, HTN, COPD,
obesity, history MI, stents
-some disagreement between anesthesia providers
, ASA 4- Ans✓✓-patient with incapacitating systemic disease. ESRD, severe cardiac
valve dysfunction, stents, sepsis
ASA 5- Ans✓✓-not expected stop survive without the operation
ASA 6- Ans✓✓-organ donor, patient passed as brain dead
"E" ASA status- Ans✓✓-emergency patient with unknown history.
this can be added to any of the statuses
Stage 1 of anesthesia- Ans✓✓--analgesia stage-
conscious and rational, follows simple commands, perception of pain is
diminished but reflexes are intact
Stage 2 of anesthesia- Ans✓✓--delirium- unconscious, body responds reflexively,
pupils dilated, breath holding, respirations irregular, muscle tone intact.
most at risk for laryngospasm and aspiration. also MI
Stage 3 of anesthesia- Ans✓✓--surgical anesthesia-
increasing degrees of muscular relaxation, unable to protect airway
Stage 4 of anesthesia- Ans✓✓--medullary depression-
depression of cardiovascular and respiratory centers
considered overdose