PREMEDICATIONPREMEDICATION

Dr. Divesh AroraConsultant Anesthesiologist

Artemis Health InstituteGurgaon

PREMEDICATIONPREMEDICATION

Preliminary MedicationPreliminary Medication

Any drug prior to induction of anesthesiaAny drug prior to induction of anesthesia

Primary Goals of PharmacologicPrimary Goals of PharmacologicPremedicationPremedication

Secondary Goals of Pharmacologic Secondary Goals of Pharmacologic PremedicationPremedication

Perioperative Neurohumoral Changes

THE 9 A’s OF PREMEDICATIONTHE 9 A’s OF PREMEDICATION AAnxiolytics.nxiolytics. AAntiemetics.ntiemetics. AAmnesics.mnesics. AAnalgesicsnalgesics AAntacids.ntacids. AAnti-autonomic [Symp & parasymp].nti-autonomic [Symp & parasymp]. AAntibiotics.ntibiotics. AAnticoagulants.nticoagulants. AAntianginal, Antihypertensives, steroids ntianginal, Antihypertensives, steroids

etc.etc.1-3 usually used, 4-6 often used, 7-9 occasionally used1-3 usually used, 4-6 often used, 7-9 occasionally used

Drugs and Doses Used for Pharmacologic Drugs and Doses Used for Pharmacologic Premedication before Induction of AnesthesiaPremedication before Induction of Anesthesia

Determinants of Drug Choice and Determinants of Drug Choice and DoseDose

Comparative Effects of Anticholinergics Comparative Effects of Anticholinergics Administered as Pharmacologic Administered as Pharmacologic

premedicationpremedication

Undesirable Side Effects of Undesirable Side Effects of AnticholinergicsAnticholinergics

NPO GUIDELINESNPO GUIDELINES

Suggestions for Preoperative Suggestions for Preoperative MedicationMedication

for Adults Undergoing Elective for Adults Undergoing Elective SurgerySurgery

LastlyLastlySedative PremedicationSedative PremedicationDoes Not LessenDoes Not Lessenthe Need for Kind, the Need for Kind, Sympathetic care forSympathetic care forpatients at a time ofpatients at a time of great stressgreat stress