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analgesia
the absence of pain, produced by specific drugs
anesthesia
the absence of sensory awareness or medically induced unconsciousness
anxiolytic
a drug that reduces memory
apnea
absence of breathing
aspiration
inhalation of fluid or solid matter into the lungs
bier block
regional anesthesia in which the anesthetic agent is injected into a vein
bispectral index system
a method of monitoring the patients level of hypnosis during surgery to prevent intraoperative awareness
bronchospasm
partial or complete closure of the bronchial tubes resulting from spasm
central nervous system depression
a decrease in sensory awareness caused by drugs or a pathological condition
coma
the deepest state of unconsciousness, in which most brain activity ceases
certified registered nurse anesthesist
an advance trained and certified nurse licensed to provide anesthesia
AMA
self discharge against medical advice
emergence
the stage in general anesthesia at which the anesthetic agent is withdrawn and the patient regains consciousness
endotracheal tube
an artificial airway that is inserted into the patients trachea to maintain patency
esmarch bandage
a rolled bandage made of rubber or latex that is used to exsanguinate blood from a limb
extubation
withdrawal of an artificial airway
gas scavenging
the capture and safe removal of leaked anesthetic gases from the anesthesia machine
general anesthesia
anesthesia associated with a state of unconsciousness. not a fixed state, but rather ranges along a continuum from semi-responsive to profound unresponsive
glasgow coma scale
a standardized method of measuring a patients level of consciousness
handover(hand-off)
a verbal or written report from one nurse to another to provide updated patient information
hypothermia
subnormal body temperature
induction
initiation of general anesthesia with a drug that causes unconsciousness
intraoperative awareness
a rare condition in which a patient undergoing general anesthesia is able to feel pain and other noxious stimuli but unable to react
intravascular volume
fluid volume within the blood vessels
intubation
the process of inserting an invasive artificial airway
laryngeal mask airway
an airway consisting of a tube and small mask that is fitted internally over the patients larynx
laryngoscope
a lighted instrument used to assist endotracheal intubation
laryngospasm
muscular spasm of the larnyx, which may result in obstruction
malignant hyperthermia
a rare state of hypermetabolism that occurs in association with inhalation anesthetics and neuromuscular blocking agents.
moderate sedation
sedation during a diagnostic or therapeutic procedure that goes no deeper than the moderate stage or lighter. under moderate sedation the patient must be able to control his or her own airway
monitored anesthesia care (MAC)
sedation at a level appropriate for managing a patients needs and includes close physiological monitoring. The anesthestist/anesthesiologist must be able to convert to general anesthesia as needed.
nasopharyngeal airway
artificial airway between the nostril and the nasopharynx, used in semiconscious patients or when an oral airway cannot be used
neuromuscular blocking agent
a drug that blocks nerve conduction in striated muscle tissue
oropharyngeal airway
artificial airway that is inserted over the tongue into the larynx, used in patients whom endotracheal intubation is difficult or contraindicated
perfusion
circulation of blood to specific tissue, organ, system, or the whole body. perfusion is necessary to maintain life in the cells
physiological monitoring
assessment of the patients vital metabolic funtions
pneumatic tourniquet
an air filled tourniquet used to prevent blood flow to an extremity during surgery
regional block
anesthesia in a specific area of the body, achieved by injection of an anesthetic around a major nerve or group of nerves
sedation
a state of consciousness in which an individual is only partially aware of sensory stimuli. depression of the CNS.