Category Anesthesia

Benzodiazepines

Uses Prescribed for the treatment of anxiety Used for premedication and procedural (moderate and deep) sedation Perioperative Risks High levels associated with hypnosis, unconsciousness, apnea/respiratory depression Worry About Combination (synergy) with opioids and other CNS depressants may result in severe…

Aspirin (Acetylsalicylic Acid)

Uses People in USA consume 10,000–20,000 tons annually. Rx for mild and/or moderate pain, fever, arthritis, and prevention of MI. Perioperative Risks Peptic ulcer disease Plt dysfunction Increased bleeding risk Stroke Interstitial nephritis Reye syndrome Worry About Displacement of protein-bound…

Antipsychotics

Uses/Risk In a given year, 26.2% of Americans 18 y or older have some form of mental disorder. Schizophrenia has a community prevalence rate of 1%. Psychiatric disorders such as schizophrenia, bipolar disorder, major depression, and disorders with psychotic features…

Antianxiety Medications

Uses Preop anxiolysis, anterograde amnesia, IV sedation, IV induction of anesthesia, suppression of seizure activity, muscle relaxation Perioperative Risks Sedation Respiratory depression Apnea Airway obstruction Delayed emergence Delirium Worry About Potentiation of respiratory depression with opioids You’re Reading a Preview…

Amphetamines

Acknowledgment The authors would like to acknowledge the contributions of Drs. Edgar J. Pierre and Faisal Huda to this chapter in the previous edition. Uses Attention deficit hyperactivity disorder Weight loss Narcolepsy Recreational Perioperative Risks Possible increased requirement for volatile…

Alpha 2 Adrenergic Agonists

Acknowledgment The authors would like to thank Dr. Marco Caruso for his work on this chapter in the previous edition. Uses (Off-Label Uses Included) Treatment of hypertensive states (clonidine, guanfacine, guanabenz, alpha methyldopa). Sedation of mechanically ventilated pts (dexmedetomidine). Adjunct…

Alpha 1 Antagonists

Uses First-line drug treatment for male lower urinary tract symptoms Treatment of primary hypertension (not as first-line therapy) Preop treatment of pheochromocytoma Emerging role in treatment of autonomic dysreflexia Occasionally used in treatment of Raynaud phenomenon Less commonly used in…

Alkylating Agents

Uses Bone marrow transplants Breast and bladder cancers Lymphomas and leukemias Cancers of the lung, pancreas, and brain Ovarian and testicular cancers Multiple myeloma Sarcomas and melanomas Perioperative Risks Increased risk of infection Aspiration (subsequent to N/V) Prolonged succinylcholine action…

Acetaminophen

Uses Minor analgesic for acute and chronic pain. First-line agent in WHO analgesia treatment ladder. First-line agent in treatment of pain in pregnancy and compatible with breastfeeding. Commonly administered in combination with codeine phosphate (e.g., paracetamol 500-mg and codeine 8-mg…