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ANESTHESIA CARE TEAM

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**ANESTHESIA MEDICATIONS

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Medications Used in General Anesthesia:
Propofol, Vecuronium bromide, pancuronium, Halothane, Enflurane, Isoflurane, Midazolam, Ketamine, Nitrous Oxide, Thiopental, Etomidate, Atracurium

Regional Anesthesia:
Mepivacaine, Chloroprocaine, Lidocaine

Local Anesthesia:
Procaine, Lidocaine, Tetracaine, Bupivacaine

Topical Anesthesia:
Benzocaine, Lidocaine, Dibucaine, Pramoxine, Butamben, Tetracaine (Sprays, Ointments, Creams, Gels)

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ANESTHESIA CARE TEAM

Anesthesia Medications ::: A wide variety of drugs are used in modern anesthetic practice. Many are rarely used outside of anesthesia, although others are used commonly by all disciplines. Anesthetics are categorized in to two classes: general anesthetics , which cause a reversible loss of consciousness, and local anesthetics , which cause a reversible loss of sensation for a limited region of the body while maintaining consciousness. Combinations of anesthetics are sometimes used for their synergistic and additive therapeutic effects, however, adverse effects may also be increased. **See Below For A Quick Look At Anesthesia Medications
ANESTHESIA CARE TEAM
- ASA
STATEMENT ON THE ANESTHESIA CARE TEAM
Committee of Origin: Anesthesia Care Team (Approved by the ASA House of Delegates on October 18, 2006, and last amended on
October 22, 2008)
Anesthesiology is the practice of medicine including, but not limited to, preoperative patient evaluation, anesthetic planning, intraoperative and postoperative care and the management of systems and personnel that support these activities. In addition, anesthesiology involves perioperative consultation, the prevention and management of untoward perioperative patient conditions, the treatment of acute and chronic pain, and the care of critically ill patients. This care is personally provided by or directed by the anesthesiologist.
In the interest of patient safety and quality of care, the American Society of Anesthesiologists believes that the involvement of an anesthesiologist in the perioperative care of every patient is optimal. Almost all anesthesia care is either provided personally by an anesthesiologist or is provided by a nonphysician anesthesia provider directed by an anesthesiologist. The latter mode of anesthesia delivery is called the Anesthesia Care Team and involves the delegation of monitoring and appropriate tasks by the physician to nonphysicians. Such delegation should be specifically defined by the anesthesiologist and should also be consistent with state law or regulations and medical staff policy. Although selected tasks of overall anesthesia care may be delegated to qualified members of the Anesthesia Care Team, overall responsibility for the Anesthesia Care Team and the patients' safety rests with the anesthesiologist.
Core Members of the Anesthesia Care Team:
The Anesthesia Care Team includes both physicians and nonphysicians. Each member of the team has an obligation to accurately identify themselves and other members of the team to patients and family members. Anesthesiologists should not permit the misrepresentation of nonphysician personnel as resident physicians or practicing physicians. The nomenclature below is appropriate terminology for this purpose.
Physicians:

ANESTHESIOLOGIST - director of the anesthesia care team - a physician licensed to practice medicine who has successfully completed a training program in anesthesiology accredited by the ACGME, the American Osteopathic Association or equivalent organizations.

ANESTHESIOLOGY FELLOW- an anesthesiologist enrolled in a training program to obtain additional education in one of the subdisciplines of anesthesiology.

ANESTHESIOLOGY RESIDENT - a physician enrolled in an accredited anesthesiology residency program.
Nonphysicians:

NURSE ANESTHETIST - a registered nurse who has satisfactorily completed an accredited nurse anesthesia training program. (Doctor of Nurse Anesthesia Practice - DNAP.com)

ANESTHESIOLOGIST ASSISTANT - a health professional who has satisfactorily completed an accredited anesthesiologist assistant training program.

STUDENT NURSE ANESTHETIST - a registered nurse who is enrolled in an accredited nurse anesthesia training program.

ANESTHESIOLOGIST ASSISTANT STUDENT - a health professions graduate student who has satisfied the required coursework for admission to an accredited school of medicine and is enrolled in an accredited anesthesiologist assistant training program.
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The contents of the AnesthesiaCareTeam.com Website, such as text, graphics, images, and other material contained on the AnesthesiaCareTeam.com Website ("Content") are for informational purposes only. This site provides only general information about medication. It does not cover all possible uses, actions, precautions, side effects, or interactions of the medicines mentioned. The information not intended as medical advice for individual problems or for making an evaluation as to the risks and benefits of taking a particular medication. The treating physician, relying on experience and knowledge of the patient, must determine dosages and the best treatment for the patient. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. AnestaWeb does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by AnestaWeb, AnestaWeb employees, others appearing on the Site at the invitation of AnestaWeb, or other visitors to the Site is solely at your own risk.
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