farmacologia anestesicos
TRANSCRIPT
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ANESTEacuteSICOSGENERALES
MARIA ALEJANDRA BASTOS PABUENCE ANDREA LILIANA SILVA VELANDIAFRANKLYN ENRIQUE RIVERA DEMOYA
UNIVERSIDAD DEPAMPLONA
FACUTAD DE SALUD
ENFERMERIA
2016
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HISTORIA
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Cabe e$aampa ampa () $ a e $e$a e ea+$$ a a e-+amp-amp-- $+e-- ( $ a e a ee-$bampe ( ampa e $-+e$a e e+e$a 3a e eamp eeb4
Paa eampamp -e ebe -e5$ amp- -$5$e+e- e e+-
PRINCIPIOS GENERALES
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E+a(a I aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4
E+a(a II e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ - $-eaamp 9$(e-ee$8 5ampa ampa $+e-a +$amp$ a 3-ea- 8$+- $e5ampa$ a a $e-($a+$a $ $a-$-4 E+a(a III ae-+e-$a $5$a e -e -b $$ a e a+ (ampa- (5e-$a () $ a e $e$a (e $ a e e ampe7- e5ampa$lta$e-($a$8 e(e-$8 e$e+e e e-+a a+$$ a eampa7a$8 -ampa
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FASES DE LA ANESTESIA
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MECANISMO DE ACCI=N14Se 9a -$ ea e amp- a5e+e- ae-+)-$- 5eeaampe- ea 3a- ea$8 $e-(e $a e $ $aba ampa- (($e a e- $-$$a- e ampaebaa eaamp4
24Mee Oe+ (-+ampa ampa +ea e ampa amp$(-ampb$amp$ a aamp e-+aeampa$8 e+e ampa (+e$a ae-+)-$a ampa -ampb$amp$ a amp$($ $a amp e -5ea
e $7a$8 amp$8 $amp4
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
Mea$- e a$8 eamp GABA4(
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
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E+$ a+
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E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
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E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
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P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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= $ $+-E ampa $- ampa e- ampa
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8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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HISTORIA
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Cabe e$aampa ampa () $ a e $e$a e ea+$$ a a e-+amp-amp-- $+e-- ( $ a e a ee-$bampe ( ampa e $-+e$a e e+e$a 3a e eamp eeb4
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PRINCIPIOS GENERALES
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E+a(a I aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4
E+a(a II e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ - $-eaamp 9$(e-ee$8 5ampa ampa $+e-a +$amp$ a 3-ea- 8$+- $e5ampa$ a a $e-($a+$a $ $a-$-4 E+a(a III ae-+e-$a $5$a e -e -b $$ a e a+ (ampa- (5e-$a () $ a e $e$a (e $ a e e ampe7- e5ampa$lta$e-($a$8 e(e-$8 e$e+e e e-+a a+$$ a eampa7a$8 -ampa
E+a(a IV (a3amp$-$- bampba e(e-$8 e+aamp5eeaamp$lta a e a e+aba amp- e+- bampbae- 9a-+a eamp(a e-($a+$4
FASES DE LA ANESTESIA
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MECANISMO DE ACCI=N14Se 9a -$ ea e amp- a5e+e- ae-+)-$- 5eeaampe- ea 3a- ea$8 $e-(e $a e $ $aba ampa- (($e a e- $-$$a- e ampaebaa eaamp4
24Mee Oe+ (-+ampa ampa +ea e ampa amp$(-ampb$amp$ a aamp e-+aeampa$8 e+e ampa (+e$a ae-+)-$a ampa -ampb$amp$ a amp$($ $a amp e -5ea
e $7a$8 amp$8 $amp4
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
Mea$- e a$8 eamp GABA4(
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
100 2005
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
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E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
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P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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Cabe e$aampa ampa () $ a e $e$a e ea+$$ a a e-+amp-amp-- $+e-- ( $ a e a ee-$bampe ( ampa e $-+e$a e e+e$a 3a e eamp eeb4
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PRINCIPIOS GENERALES
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E+a(a I aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4
E+a(a II e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ - $-eaamp 9$(e-ee$8 5ampa ampa $+e-a +$amp$ a 3-ea- 8$+- $e5ampa$ a a $e-($a+$a $ $a-$-4 E+a(a III ae-+e-$a $5$a e -e -b $$ a e a+ (ampa- (5e-$a () $ a e $e$a (e $ a e e ampe7- e5ampa$lta$e-($a$8 e(e-$8 e$e+e e e-+a a+$$ a eampa7a$8 -ampa
E+a(a IV (a3amp$-$- bampba e(e-$8 e+aamp5eeaamp$lta a e a e+aba amp- e+- bampbae- 9a-+a eamp(a e-($a+$4
FASES DE LA ANESTESIA
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MECANISMO DE ACCI=N14Se 9a -$ ea e amp- a5e+e- ae-+)-$- 5eeaampe- ea 3a- ea$8 $e-(e $a e $ $aba ampa- (($e a e- $-$$a- e ampaebaa eaamp4
24Mee Oe+ (-+ampa ampa +ea e ampa amp$(-ampb$amp$ a aamp e-+aeampa$8 e+e ampa (+e$a ae-+)-$a ampa -ampb$amp$ a amp$($ $a amp e -5ea
e $7a$8 amp$8 $amp4
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
100 2005
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
P-ee bea a(a$ a 9$(8+$a 5a a5e e -e5$ a 4 P - aamp+aamp$(-ampb$amp$ a a+a$e-a a$amp$ a ampa baea 9ea+ee 3amp$aaampalta e+a$e- 3 $a- e eamp ($e $+
E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
La a$8 ae-+)-$a e- -ee$a e - $+ea$8 -$+$aamp-+)$ (aa ae-+)-$- 5eeaampe- e eamp ee(+ GABAA4
E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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8162019 Farmacologia Anestesicos
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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E+a(a I aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4
E+a(a II e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ - $-eaamp 9$(e-ee$8 5ampa ampa $+e-a +$amp$ a 3-ea- 8$+- $e5ampa$ a a $e-($a+$a $ $a-$-4 E+a(a III ae-+e-$a $5$a e -e -b $$ a e a+ (ampa- (5e-$a () $ a e $e$a (e $ a e e ampe7- e5ampa$lta$e-($a$8 e(e-$8 e$e+e e e-+a a+$$ a eampa7a$8 -ampa
E+a(a IV (a3amp$-$- bampba e(e-$8 e+aamp5eeaamp$lta a e a e+aba amp- e+- bampbae- 9a-+a eamp(a e-($a+$4
FASES DE LA ANESTESIA
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MECANISMO DE ACCI=N14Se 9a -$ ea e amp- a5e+e- ae-+)-$- 5eeaampe- ea 3a- ea$8 $e-(e $a e $ $aba ampa- (($e a e- $-$$a- e ampaebaa eaamp4
24Mee Oe+ (-+ampa ampa +ea e ampa amp$(-ampb$amp$ a aamp e-+aeampa$8 e+e ampa (+e$a ae-+)-$a ampa -ampb$amp$ a amp$($ $a amp e -5ea
e $7a$8 amp$8 $amp4
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
Mea$- e a$8 eamp GABA4(
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
P-ee bea a(a$ a 9$(8+$a 5a a5e e -e5$ a 4 P - aamp+aamp$(-ampb$amp$ a a+a$e-a a$amp$ a ampa baea 9ea+ee 3amp$aaampalta e+a$e- 3 $a- e eamp ($e $+
E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
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E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
8162019 Farmacologia Anestesicos
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MECANISMO DE ACCI=N14Se 9a -$ ea e amp- a5e+e- ae-+)-$- 5eeaampe- ea 3a- ea$8 $e-(e $a e $ $aba ampa- (($e a e- $-$$a- e ampaebaa eaamp4
24Mee Oe+ (-+ampa ampa +ea e ampa amp$(-ampb$amp$ a aamp e-+aeampa$8 e+e ampa (+e$a ae-+)-$a ampa -ampb$amp$ a amp$($ $a amp e -5ea
e $7a$8 amp$8 $amp4
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
Mea$- e a$8 eamp GABA4(
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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8162019 Farmacologia Anestesicos
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
100 2005
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
P-ee bea a(a$ a 9$(8+$a 5a a5e e -e5$ a 4 P - aamp+aamp$(-ampb$amp$ a a+a$e-a a$amp$ a ampa baea 9ea+ee 3amp$aaampalta e+a$e- 3 $a- e eamp ($e $+
E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
La a$8 ae-+)-$a e- -ee$a e - $+ea$8 -$+$aamp-+)$ (aa ae-+)-$- 5eeaampe- e eamp ee(+ GABAA4
E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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8162019 Farmacologia Anestesicos
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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MECANISMO DE ACCI=Ngt4 E ampa a+aamp$ a -e ($e-a e amp- ae-+)-$- 5eeaampe- e7ee - e e+e ampa +a-$-$8 -$3(+$a e ampa $8 a aamp4
4 Ua -e$e e ee(+e- aaampe- e $e- Ca2 K e(e $e+e eamp+a7e aaampe- e $e- e(e $e+e- e GABA NMDA e+a-$-
-e 9a -$ ea amp5ae- e-(e $- e amp- e a+aa amp- ae-+)-$-5eeaampe-4
Mea$- e a$8 eamp GABA4(
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
Neampe(+ae-+e-$a- b7e+$ ae+aamp e--e5$ aaamp5e-$a ( a e(e-$8
e ampa ea$8 a amp (+e$8ee5e+a+$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
100 2005
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
P-ee bea a(a$ a 9$(8+$a 5a a5e e -e5$ a 4 P - aamp+aamp$(-ampb$amp$ a a+a$e-a a$amp$ a ampa baea 9ea+ee 3amp$aaampalta e+a$e- 3 $a- e eamp ($e $+
E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
La a$8 ae-+)-$a e- -ee$a e - $+ea$8 -$+$aamp-+)$ (aa ae-+)-$- 5eeaampe- e eamp ee(+ GABAA4
E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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8162019 Farmacologia Anestesicos
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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POTENCIA ANESTEacuteSICA
a La a($ elt e -e b+$ee ampa ae-+e-$a
b S a$8 (aa a -$- e+e$a a
La (+e$a e ae-+)-$
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
5a (+e$a (e $ a e $e$a4
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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= $ $+-E ampa $- ampa e- ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
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TIPOS DE ANESTESIA
ANESTEacuteSICOS INTRAVENOSOS Neampe(+aaamp5e-$aU aaamp5)-$ ($3e e
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
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PROPIEDADESFARMACOLOGICAS
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
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L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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T$(e+aamp A$8 aaamp85$a ( - eampea a amp$(-ampb$amp$ a (a-e e ampa ba
9ea+ee aamp$a ( e a $+e-a a$8 e(e-a ae-+)-$a4 E-+aa(aee a amp- 10 20 -e5 - e ampa $e$8 e a -$- e ae-+e-$a4
Caa+e-+$a- aa$)+$a- La e $-+$b$8 e- e eamp eeb+- +e7$ - a-ampa$lta - -e a aampa e eamp +e7$ -ampa 5a-4
A -$- ae-+)-$a eamp +$(e+aamp -$5e a $)+$a eamp$$a$8 amp$eaamp e -eebe a ampa e+abamp$lta$8 9e(3+$a ampa -e$$ a e 6 9a-
A(amp$a$8 +ea()+$a (aa $ $8 a+e$$e+ e ae-+e-$a -ea $$-+a bamp $+ae- $$$aamp e 05 -e5$ e
100 2005
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
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E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
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P( amp
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P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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Belt $alte($a-C a5e+e- ae-+)-$- $+ae-- -e e(ampea eamp ampalte(a
$alte(a eamp $ altampa4
S$e (aa +a$amp$lta aamp e e (e ae-+)-$ a- (aa5eeaamp (ampe+a ampa ae-+e-$a4 P -$ $- e7ee bea a$89$(8+$a ae-$a a+e85a a $e+ 5a e eampa7a$8 -ampa
e aampalta ampa (a3amp$-$- aee e ab$ e a+$$ aaaamp5)-$a a+$e)+$a4
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
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E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
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eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
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P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
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8162019 Farmacologia Anestesicos
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
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L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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Ke+a$aS e$a - e ampa e$amp$ $aLa a$8 ae-+)-$a -e aa+e$lta ( e-+a -$$ampa aamp a+aamp)(+$ () $ a e ampa
$e$a $$amp$ a ae-$a aaamp5e-$a e -e 9a e$a ANESTESIA DISOCIATIVA
E e+- aaamp85$- 4 La He+a$a (e e e($$ $e+ae+e ampa +a+$amp$ a $3$ampa+a ampa- a+e$ampa- (e e eamp (a$e+e (e $a ampa a+$$ a e-+$ampa a e 9ae eamp
ampa (e-$8 a+e$aamp ampa ee$a a aa ampa (e-$8 e ampa a+e$a (ampa ampa (e-$8 ampa (e-$8 $+aampa4
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E+$ a+
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E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
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P( amp
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P(a$ $
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8162019 Farmacologia Anestesicos
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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E+$ a+
P-ee bea a(a$ a 9$(8+$a 5a a5e e -e5$ a 4 P - aamp+aamp$(-ampb$amp$ a a+a$e-a a$amp$ a ampa baea 9ea+ee 3amp$aaampalta e+a$e- 3 $a- e eamp ($e $+
E ampa- (ea$e- bee- ampa e(ea$8 e ampa ae-+e-$a e- 3- 3($ a e +$(e+aamp4 Eamp e-(e+a e- -ae4
L- e e+- a e-- 3- ee+e- - amp e eamp -$+$ e $e$8 +b ampeb$+$- 3-ea- 8$+- $$e+- $amp8$-4
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P( amp
La a$8 ae-+)-$a e- -ee$a e - $+ea$8 -$+$aamp-+)$ (aa ae-+)-$- 5eeaampe- e eamp ee(+ GABAA4
E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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P( amp
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E eamp -$-+ea a $a-ampa eamp (( amp a-$a 9$(+e-$8 (e $8 e ampa- e-$-+e$a- (e$ )$a- e-a-a $ $a$8
eamp 5a-+ a a4 De($e ampa e-(e-+a eamp e ampe7 baee$5$a ba $a $a e (e e ampampe5a aamp (a a a4D$-$e eamp - e O2 eamp amp7 -a5e$3 $
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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P(a$ $
E- +ab$) e a$8 +a eb$ a - 3($ a9$ amp$lta$8 ( amp$e-+ea-a-4
P e 9$(+e-$8 a+e$aamp ea a e e$+e-$ a e ampa (a a ( +$(e+aamp4 E+e --e e+- -e a$- e-+aa ampa $ $8 e +ebamp
a-$ampa$e- $$e+- $amp+a$-
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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ANESTEacuteSICOS POR IN ALACI=N4
CARACTERISTICAS GENERALES S --+a$a- e $+ $ a-( $9aampa$8 a +a)- e ampa- a- e-($a+$a- ( e ae-+e-$a5eeaamp4
ACTUALEMENTE EN USOa Ga-e- (+8 $ e $+85e4b L$ - amp3+$ampe- amp- e$a - 9aamp5ea -halotano enfluranoe+aisoflurano adesflurano sevoflurano a e e--eampmetoxiflurano 4
NO CARECEN DE PROPIEDADES IRRITATIVAS YPOSEEN CARACTERISTICAS QUE FACILITAN ELPROCESO DE INDUCCI=N4
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
8162019 Farmacologia Anestesicos
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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FACTORES FISICOS QUEDETERMINAN LA TENSI=N DEL GAS
EN SANGRE Y EN CEREBROLa ( $ a e ampa ae-+e-$a -e5$ a a5e+e $9aampa+$ e-
$8 e ampa +e-$8 e aampalta eamp ae-+)-$ e eamp eeb )-+a -ea( $a -$e(e a ampa (e-$8 (a$aamp e -a5e a+e$aamp ampa aamp a -
e(e e e ampa (e-$8 (a$aamp e eamp a$e aampeampa4ACTORES DETERINANTES
a ampa e+a$8 eamp ae-+)-$ e eamp a$e $-($a ampa e+$ampa$8 (ampa e 9ae ampampe5a a+$ee eamp ae-+)-$ e amp-
aamp)amp-
$ ampa $ampa$8 (ampa e e5ampa eamp +a-a-e eamp ae-+)-$e- e eamp aamp)amp 9a$a ampa -a5e a+e$aamp d eamp (a- eamp ae-+)-$ e- e ampa -a5e 9a$a amp- +e7$ -
$amp$ eamp -$-+ea e$-4
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
8162019 Farmacologia Anestesicos
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8162019 Farmacologia Anestesicos
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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PROPIEDADESFARMACOLOGICAS
T - amp- ae-+)-$- $9aampa+$- e($e ampa e-($a$8 e -$- e(e $e+e 9a-+a ampa a(ea4 Tab$) e($e ampa e-(e-+a
e+$ampa+$a a ampa 9$( $a a ampa 9$(ea($a4 De eampamp- eamp 3- (+e(e- e-($a+$ e- eamp e ampa eamp e e- e($e ampa
e-(e-+a a 9$( $a e 9$(ea($a e- eamp $- ampa4
L- ae-+)-$- $9aampa+$- 9aamp5ea - (+e$a ampa a$8 eamp- bampea+e- e-ampae- +$ee (($e a e- eampa7a+e--ampae- ( - $--4
L- a5e+e- 9aamp5ea - ( e eampa7a$8 eamp +e53$ amp e aee eamp -a5a e-()- eamp (a+
e ampa- (ea$e- e e-3ea
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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REACCIONES ADVERSAS A(a+e ampa- $ $a$e- (a a- ( amp- 3a- eeamp - e ampa ae-+e-$a 9$(+e-$8 e(e-$8e-($a+$a e+4 aamp5- ae-+)-$- (e-e+a $e+a - +8 $- aa+e-+$-
4
8162019 Farmacologia Anestesicos
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
8162019 Farmacologia Anestesicos
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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= $ $+-E ampa $- ampa e- ampa
aamp+aMe+ $ ampaSe ampa
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
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amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
8162019 Farmacologia Anestesicos
httpslidepdfcomreaderfullfarmacologia-anestesicos 2526
8162019 Farmacologia Anestesicos
httpslidepdfcomreaderfullfarmacologia-anestesicos 2626
amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp
8162019 Farmacologia Anestesicos
httpslidepdfcomreaderfullfarmacologia-anestesicos 2626
amp$mo se llama la el ti(o de $oma )ue o$asiona el tio(ental al administrarlo enaltas $antidadesa a bab$+$ a $ $ b a 9e(3+$
a $ab)+$24amp)u+ medi$amento anest+si$o inhalatorio es altamente toxi$o a no se utili-aa $ $+-b 9aamp+a e+ $ ampa
en la eta(a de las fases de la anestesia amp)u+ su$edea e $+a$8 eamp$$ ea e-+a e 9$(ee ampe $a +a+ -3+$a $-eaampb aaamp5e-$a -$ () $ a e $e$a $ e e ampe7-4 (a3amp$-$- bampba e+e
amp$u0l es el (rin$i(al efe$to adverso de los anest+si$os inhalatoriosa T $$ a $(+e$ e(e-$8 e-($a+$a4b T $$ a e+e De(e-$8 e-($a+$a e 9$(e+e$a
1 $omo se llama el ti(o de anestesia )ue o$asiona la 2etaminaa ae-+e-$a ampaampb ae-+e-$a $-$a+$a
ae-+e-$a 5eeaamp