Anesthetic
What is anesthesia?
Anesthesia is the use of medicines, called anesthetics, to prevent pain during surgery and other medical procedures. Medicine may be given by injection, inhalation, topical lotion, spray, eye drops, or a skin patch.
Anesthesia can cause a loss of feeling, awareness, or both. Sedation may be used with anesthesia. Unlike full anesthesia, sedation doesn't make you completely unconscious, and recovery is faster. It helps reduce pain, keep you calm, and make you less aware during procedures such as minor surgeries, endoscopies, imaging, or dental work.
Levels of sedation include:
- Minimal sedation. You are awake but more relaxed.
- Moderate sedation (conscious sedation). You may feel sleepy and not remember much, but you can still respond when spoken to or touched.
- Deep sedation. You are very drowsy and may respond only to repeated or stronger stimulation.
Anesthesia may be used for:
- Minor procedures, such as filling a tooth.
- Childbirth or procedures such as colonoscopies.
- Minor and major surgeries.
In some cases, a dentist, nurse, or doctor may give you an anesthetic. In other cases, you may need an anesthesiologist. This is a doctor who specializes in giving anesthesia.
What are the types of anesthesia?There are several different types of anesthesia:
- Local anesthesia numbs a small area like a tooth or a cut that needs stitches. You are awake during local anesthesia.
- Regional anesthesia numbs a larger area, like an arm, a leg, or everything below the waist. You may be awake during the procedure, or you may be given sedation. It may be used during childbirth, a Cesarean delivery (C-section), or minor surgeries.
- General anesthesia affects your whole body. It feels like a deep sleep, but you do not feel anything. It is used during major surgeries, such as heart surgery, brain surgery, back surgery, and organ transplants.
- Monitored sedation makes you relaxed or sleepy. You may be able to talk, depending on the level of sedation, and you probably won't remember the procedure. It may be used for a colonoscopy or dental work.
Your overall health, medical history, the procedure you're having, and other factors will help determine the type of anesthesia you receive.
What are the risks of anesthesia?Anesthesia is generally safe. But there can be risks, especially with general anesthesia, including:
- Heart rhythm problem (arrhythmia).
- Breathing problems.
- An allergic reaction to the anesthesia.
- Temporary confusion (delirium), which can last several days in some people over the age of 60, or briefly in children after waking up from anesthesia.
- Awareness when someone is under general anesthesia. This usually means that the person hears sounds. But sometimes they can feel pain. This is rare.
Talk to your health care provider about the benefits and risks of anesthesia.
Anesthetic FDA Approved Drugs
- Management of pain and discomfort associated with peridontal scaling and root planning procedures by application of an eutectic mixture of local anesthetics to peridontal pockets.
- A method of reversing soft-tissue anesthesia i.e. anesthesia of the lip and tongue, and the associated functional deficits resulting from an intraoral submucosal injection of a local anesthetic.
- Zingo intradermal injection system is a drug delivery system that is capable of delivering fine dry powdered lidocaine hydrochloride monohydrate for local anesthetic action.
- Zingo is a powder intradermal system that is capable of delivering fine dry powdered lidocaine hydrochloride monohydrate for local anesthetic action.
Home Remedies for Anesthetic
   Echinacea (Echinacea angustifolia) has local anesthetic properties to reduce the feeling of soreness of the throat. It may also stimulate the immune system. Buy and grind Echinacea angustifolia root in a coffee grinder. Mix 1/2 teaspoon of ground Echinacea into 2 ounces of warm water and gargle.
Mechanism - Echinacea angustifoliaJlaiii | August 9th, 2020
   Mix 1 ounce of peppermint leaves (Mentha spp.) with one pint of boiling water. Cover and let cool. Gargle. Mint works as an anti-inflammatory, anesthetic and has antimicrobial properties.Fedup | August 9th, 2020
   Peppermint (Mentha piperita) or Cornmint (Mentha arvensis) can be used as a topical treatment for rashes or hives. Both contain menthol (anesthetic and anti-inflammatory) and rosmarinic acid (anti-inflammatory).
Steep one ounce of dried Peppermint or Cornmint in a one-pint jar or other container of boiling water. Let cool. Apply to effected area using a cloth as necessary.
Mechanism - menthol, rosmarinic acidJose3124 | October 4th, 2020
Felter's Materia Medica on Anesthetic
   The dried root of Brauneria angustifolia, Linné (Echinacea angustifolia [DeCandolle], Heller). (Nat. Ord. Compositae.) In rich prairie soils of... / ...ge doses of the drug. Therapy.-External. Echinacea is a local antiseptic, stimulant, deodorant, and anesthetic. Alcoholic preparations applied to denuded surfaces cause considerable burning discomfort... / ...cent solution to full strength echinacea or echafolta may be freely used, syringing the channels with it. This gives great relief from pain 2
   Glucose, Liquid Glucose, Syrupy Glucose. A syrupy liquid, composed chiefly of dextrose (dextro-glucose) and dextrin. It is obtained by the... / ... it, and it is said to protect against fatty degeneration produced by the administration of general anesthetics. Glucose, in 6 to 10 per cent solutions, has proved serviceable, given by enteroclysis, ...2
   The root of Piper methysticum, Forster (Nat. Ord. Piperaceae). South Sea Islands. Dose, 5 to 60 grains. Common Names: Kava-Kava, Ava, Ava-Pepper... / ...or piperonal); and the chief active principle, an acrid resin (2 per cent) separable into the local anesthetic alpha-resin and the less active beta-resin. Preparation.Specific Medicine Piper Methyst... / ...or testicular diseases, or pectoral neuralgia arising reflexly from nervous dyspepsia are cases for the exhibition of Piper methysticum.2
Physician's Materia Medica on Anesthetic
   A powerful antiseptic and germicide, also an energetic and rapid poison; used internally as an anti-emetic and a gastric and in testinal antiseptic. Locally it acts as an anesthetic and cauterant. The liquified acid is applied in full strength to cauterize or thoroughly cleanse infected wounds, followed by strongalcohol to neu tralize its devitalizing effects. Carbolated oil (10 grs. to the ounce) or a carbolated ointment of similar strength, is one of the best dress ings for burns, scalds and i3
   Hypnotic, saiative, anesthetic, antiseptic, antiemetic; resembles chloral in its action, but is less depressing to heart and respiration; useful for relief of neuralgic pain and gastralgia; in insomnia, and as a local application to burns, scalds, carious teeth, painful ulcers, etc. Dose, 0.4 to 1.3 Grm. (6 to 20 grs.).3
   Anesthetic, hypnotic, sedative, antispasmodic. Used to relieve spasm as in strychnine poisoning, as a solvent for biliary calculi and as an ingredient in cough mixtures.3
   The leaves of ERYTHOXYLON COCA, Lam. Stimulant and nerve tonic, local anesthetic. The active principle is Cocaine, q. v.3
   Action resembles that of alcohol, but more transient; cardiac stimulant, general anesthetic. relaxant. Most commonly given by inhalation. A spray is sometimes used to produce local anesthesia by cold. Dose, 2 to 8 c. c. (30 Ill to 2 fluidrachms) or more.3
   A synthetic alkaloid related to cocaine and having a similar local anesthetic action.3
   The rhizome and roots of PIPER METHYSTICUM, Forster. Local anesthetic, intoxicant; exerts a specific influence over the mucous membrane of the respiratory and urinary tracts. Especially useful in gonorrhea and in spasmodic cystitis. 3
   A mixture of alkaloids obtained from ASAGRAEA OFFICINALIS, (Cham. & Sch.) Lindl. An active poison, but now used medicinally only for its local action in neuralgia and rheumatism, being at once counter-irritant and local anesthetic. Dose stated to be 0.001 to 0.006 Grm. (1-60 to 1-10 gr.).3
Physician's Therapeutics Memoranda on Anesthetic
   Apply a20per cent. solution of cocaine as a local anesthetic, then cauterize with nitric acid. Dress afterwards with Iodosyl. Treat constitutionally ior syphilis.3
   In a simple case, cauterize thoroughly with nitric acid, Ricord’s paste or the actual cautery (applying cocaine solution previously as an anesthetic); dress afterward with lodosyl, iodoform or acetanilid. When the ulceration is superficial, cauterization is sometimes dis pensed with am} the antiseptic dressing depended upon, but the more heroic practice is safer, and is imperative if sloughing takes place.3
   In forming stage, apply a solution of silver nitrate (80 grs to fl. oz.), citrine ointment or compound solution of iodine to abort; Glyceroplas ma, ichthyol ointment or a poultice made of bread crumb with solu tion lead subacetate. Anod ynes and local anesthetics are often necessary.3
   To overcome uterine inertia, kola is of value; to delay parturition, morphine and bromides; to relax os uteri, chloral and morphine; to hasten delivery, ergot; for post partum hemorrhage, mechanical stimulation of the uterus to cause contraction, ergot; as anesthetic, chloroform or ethyl bromide.3
   In Pulmonary Tuberculosis pure fresh air is the most important remedy. Let the patient live out of doors if possible, best in an equable climate. Cod Liver Oil is... / ...l Tuberculosis may be treated by insufliations of Iodosyl or iodoform, and local application of lactic acid solution (10%) Pre ceded by cocaine as an anesthetic.3
References
2) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.
3) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.
