Anesthesia Nursing Management

 Patient undergoing Surgical Procedure receive anesthesia in one of three ways. 1. General Anesthesia, 2.Regional Anesthesia, 3.Local Anesthesia.

1. General Anesthesia (GA)

Under GA, the client loses all sensation and consciousness. Muscles relax (to ease manipulation of body parts). The client experiences amnesia of all surgical events.

Stages of General Anesthesia

Stage I- Begins with the client awake. Clients gradually becomes drowsy, loses consciousness and state of analgesia begins

Stage II- Stage of Excitements. Clients' Muscles- tense and almost spasmodic. Swallowing and vomiting reflexes remain intact and the client may have an irregular breathing pattern.

Stage III- Begins with the onset of irregular breathing. Vital functions are depressed, reflexes are depressed or temporarily lost. Surgical Procedure begins in this stage.

Stage IV- Overdose or Stage of Complete Respiratory Depression. This stage of occurs due to overdose of anesthetic agents.This stage starts with cessation of breathing ends in death. Cardiac output is low, with weak & thready pulse, Skeletal Muscles are flaccid, Pupils fixed and Dilated.

Sequential Procedure of GA

i. Pre-oxygenation of Lungs with 100% oxygen to permit longer period apnea with Intubation 

ii. Administration of Systemic Analgesia (e.g. fentanyl)

iii. Intubation

iv.Administration of Oxygen along with inhalational anesthetic agents (i.e. Desflurane, Isoflurane, Sevoflurance, Nitrous Oxide, Xenon)

Nursing Care during General Anesthesia

i. Ensures NPO Status before General anesthesia

ii. Ensure Consent for General Anesthesia is obtained.

iii. Continuous Monitoring of vitals signs, ECG, SpO2 Levels, Airway Maintenance, Urine output, IV fluids, I/O Chart & Inform the Anesthetist if there are any deviation.