Archive for November, 2008

A Summary of Inhalation Anesthetics

Inhalation anesthetics (also known as volatile anesthetics) are those that are introduced into the body via inhalation through the lungs. Following inhalation the anesthetic is distributed throughout the body’s tissues via the bloodstream. In most cases, the brain is the principle target when inhalation anesthetics are administered.

History of Inhalation Anesthetics

The first inhalation anesthetics were used in the Islamic Empire, and were comprised of sponges soaked in a narcotic preparation. The sponge was held over the face of the individual who was undergoing surgery.

The use of inhalant anesthetics and the success of surgery in the modern world hinges on two discoveries: the development by Joseph Lister of sterile surgical techniques, and the discovery of the anesthetic properties of nitrous oxide.

The first modern inhalant anesthetics were carbon dioxide and nitrous oxide. While carbon dioxide never really came into regular use as an inhalant anesthetic, nitrous oxide became very widely used, and in fact is still in use today.

The efficacy of nitrous oxide as an inhalant anesthetic was first publicly noted by British chemist Humphrey Davy, who published a paper on the subject in 1800. However, it was several decades before the use of nitrous oxide became widespread. One of the first successful uses of the gas-a painless tooth extraction was carried out by William Thomas Green Morton, an American Dentist-was not recorded until 1846.

Also during the 1840s, another inhalation anesthetic known as diethyl ether was publicly demonstrated for use for the first time, during a tooth extraction procedure. Chloroform had also been developed a decade earlier, and despite the well-documented dangers of both chloroform and ether, both saw reasonably widespread use in Britain for a time.

During the 1930s and 1940s, inhalation anesthetics such as cyclopropane, trichloroethylene, and isopropenyl vinyl ether were developed. However, the development of halothane in 1951 and the introduction of this anesthetic into clinical practice five years later made most of the earlier inhalation anesthetics obsolete.

During the 1960s and 1970s, a small number of new inhalation anesthetics were synthesized. Among them were enflurane, isoflurane, sevoflurane, desflurane, and methoxyflurane. With the exception of methoxyflurane, which was taken off the market due to nephrotoxicity, many of the inhalation anesthetics developed during this period are still in use today.

Inhalation Anesthetics Currently Used

Most of the currently used inhalation anesthetics are halogen-containing volatile anesthetics that were developed in the 1960s and 1970s. Among these are isoflurane, sevoflurane, enflurane, and desflurane. Halothane, developed in the 1950s, is also still in use.

Nitrous oxide, developed over a century ago, is also in regular use as an inhalation anesthetic. Colloquially known as “laughing gas”, its most well-known medical use is in dentistry.

Another type of non-volatile inhalation anesthetic that may eventually come into more regular use is xenon. Currently, xenon is more expensive to use than other inhalation anesthetics, and this has limited its use somewhat. However, xenon is an attractive prospect, as it is around 50% more potent than nitrous oxide, and as it is not a greenhouse gas, is also more environmentally-friendly.

Mode of Action

Inhalation anesthetics are administered via an anesthetic machine that uses a vaporizer to generate an inhalable gas from a liquid version of the anesthetic. Once inhaled, the gas is distributed throughout the body via the bloodstream at a rate that is dependent on the dose administered, the type of anesthetic used, and on more specific factors that depend on the patient who is receiving the anesthetic.

Inhalation anesthetics generally operate via one of two methods: increase of inhibitory function, or decrease of excitatory transmission, at brain nerve endings. In ideal situations, inhalation anesthetics induce anesthesia quickly, and emergence from the anesthetized state is rapid once the anesthetic stimulus is removed.

The body deals with inhalation anesthetics in two ways: via metabolism, and via exhalation. The ideal inhalation anesthetics are those which are metabolized only at low levels. Metabolism rates vary widely between different anesthetics: halothane, for example, is metabolized at a rate of 10% to 20%, while enflurane has a metabolism rate of around 2.5%, and nitrous oxide has a rate of 0%, and is not metabolized at all.

During a surgical procedure, inhalation anesthetics tend to accumulate in fatty tissue, meaning that patients with higher percentages of body fat will awaken from the anesthetized state slower than patients with less body fat.

Possible Side Effects and Toxic Effects

Most inhalation anesthetics produce a variety of different side effects. Some side effects occur only in one or two different anesthetics, while other side effects are common to almost all. Some of the most common side effects include the following:

Cardiovascular effects include decreased blood pressure (in all inhalation anesthetics except for nitrous oxide, and increased heart rate (isoflurane and halothane).

Pulmonary effects include an increase in respiratory rate. This increase is dose-dependent and is common to all inhalation anesthetics.

Renal and hepatic function is decreased following administration of all inhalation anesthetics. In extremely rare cases (between one in 6,000 and one in 35,000), necrosis of the liver may result from administration of halothane. Kidney toxicity, once a relatively common result of the use methoxyflurane, is occasionally seen following the administration of high doses of sevoflurane.

Quit Smoking Treatment

Smoking is the intake of nicotine by means of cigarettes. Nicotine in tobacco is one of the most addictive substances, which makes both the mind and body get used to it very quickly. Once started, in no time a person who smokes tends to become used to smoking.

We see men, women and at times even adolescents of tender age who smoke. A survey shows that, smoking is one of the biggest causes of premature deaths all over the world. People suffer from many life threatening diseases such as various types of cancers, heart attacks and much more because of smoking.

Smoking – Nicotine Addiction

Now few obvious questions that arise are: Why is smoking so much addictive? What makes smoking one’s best friend even though it is the worst enemy of good health?

It is not the cigarettes, but the chemical nicotine, which creates an addiction. Nicotine is highly addictive just like any other addictive substance such as cocaine, caffeine or heroin. Such substances affect the same part in brain and have more or less similar line of effects on human body – causing an addiction and harm to human body.

When a person smokes, nicotine along with the smoke first gets into respiratory tract. Thereafter, along with the blood, nicotine makes its way to the brain and affects certain brain cells. Nicotine creates a sense of pleasure in the body, which makes them feel good.

In beginning, the body might show some signs of rejection, but after sometime, upon regular intake of nicotine, the body accepts and then demands nicotine. This is how nicotine, the worst enemy of good health and well being, makes itself the best friend of people’s life.

There are many reasons, which makes one indulge into smoking. Among children and teenagers, it might be a fun activity or an activity showcasing one’s status. Among adults, it might start with accompanying friends at smoking or even because of second hand smoke. Major causes of smoking are stress, anxiety, tensions and workload.

Smoking – Effects on health

Smoking causes in people many adverse effects. It destroys the entire well being of a person and pushes one towards premature death. Smoking affects the lungs, heart, blood vessels, fertility among men and women. Smoking by pregnant women poses high risk for the baby. Smoking invites diabetes, osteoporosis, problems related to gastro intestinal tract and thyroid problems.

Anti-smoking treatments

There are various anti-smoking treatments available such as nicotine replacement therapy (NRT), quit smoking counselling and in the recent times, medications such as Champix might prove to be a boon, if one genuinely wishes to quit smoking.

Champix

Champix is a smoking cessation medication, which helps people to quit smoking and once again lead an addiction free life. Champix is on oral prescription medication, which is available only after getting a medical prescription. It helps people quit smoking but just like any other medications of its kind, it also has some side effects.

Pfizer, a leading pharmaceutical giant, manufactures Champix. Champix has received approval for sale in the UK, the US and European Union.

Top Ways To Care For Your Contact Lenses

When you wear contacts, you need to know how to take care of them. You need to have the know how to keep them in good shape so that you can have them for a long, long time. You need to make sure that you are getting the most that you can from your contacts.

The firs thing to keep in mind is the necessity of taking good care of your lenses so that you are keeping both the lens and your eye safe. Make sure that you are washing your hands before you touch your contacts. You must keep them on clean surfaces so that you are not contaminating them before they are put in your eyes. Be sure to follow the instructions that come with the contacts to keep them cared for properly.

You also should consider buying the best cleaners in order to take good care of your contact lenses. You will see that there are different brands that you can choose from. Make sure that you are storing them in a good safe place when you are not wearing them. There are cases for your lenses so that you can keep them safe and sound when you are storing them for any length of time.

If you are having any problems with your contacts, you may want to talk to your doctor. You should tell him if your eyes are itchy or burn. This is a sign that you may be having a problem with the contacts, or a minor infection in your eye – though this is less likely. When you are taking care to clean your lenses properly, and you’re not wearing them for too many hours each day, your contacts will last much longer.

You should never wear torn or scratched contacts. This may damage your cornea. If you are someone that wears make up, you will want to make sure that you are not applying it before you put your contacts in. You do not want to take the chance of getting makeup on your contacts (or even worse, in your eye and trapped behind the lens. This could hurt your eyes and cause an excessive amount of irritation.

There is nothing wrong with wanting to keep your contacts well cared for. You will want to make sure that you are taking good care of your contacts at all times. Once you know how to keep them well cared for, you will want to protect your investment in both the contacts that you purchase as well as your eyes. You are going to want to keep them both in the proper working order so that you are seeing exactly what you want to.

First Aid Kit – Saving You In Times Of Crisis

Having a first aid kit is a necessity for every medicine cabinet. So what is the need for this indispensable kit? That will depend on what it’s intended uses are. Not every item in the supply will be required for the proposed use.

There is typically a large inventory required for a first aid kit. However depending on where the kit will be kept not all these items are necessary. When packing be sure to plan ahead, think of what may be needed in an emergency situation. For example if you are planning to go on a camping trip, things such as bandages, antibiotic cream, calamine lotion, extra batteries for flashlights, and alcohol wipes would be good to pack. For the beach extra sunscreen, aloe vera or another type of lotion to help with sunburns and bandages would be good choices.

The first aid kit kept in homes would be best if you have everything. Including the items already listed above along with adhesive tape, hydrocortisone cream, plastic gloves, disposable instant cold packs, a thermometer and more.

An extensive list of items that are recommended can be found on the Red Cross website. Pre packed kits are available on sale at local drugstores and the Red Cross. Irrespective of whether it has been put together from the list that is available or if it is pre packed make sure to have an extra list of emergency numbers in any case. In the event that there is someone else at home watching over the kids, they can reference these numbers.

It is important that once this medical kit is obtained that it is kept in an easily accessible location. It should also be kept out of reach of children, who may mistake it for a toy. If there are any prescriptions that are included or any other medication that can cause an allergic reaction to any family member make sure to leave a note on the medicine to avoid poisoning. Also make certain from time to time that everything in the kit is well within the expiry date and is clean.

To learn the basics of first aid check with local colleges or community centers. There are many classes available on this subject through several different types of venues. It can never hurt to know the basics. A fine example is the basic treatment of a burn, which can happen at any time in the home. There are three different types of burns.

First degree is the least severe. Second degree, which is more serious and third degree, is the severest one. For a first degree burn, the area should be flushed with cool running water immediately. This should be followed by the application of a clean moist dressing and a loose bandage. The same treatment is done for 2nd and 3rd degree burns. A person should apply a dry dressing and bandage loosely. Do not use water it will only aggravate the injury further.

For chemical burns make sure to flush the affected area with plenty of water for a minimum of 15 to 30 minutes. If the chemicals have gotten onto clothing remove them. If a person has received a serious burn they must seek professional help immediately.

Having a proper first aid kit can make the difference between a minor accident and a major injury. Make sure it is well stocked and ready for use.

Summary:

Having a proper first aid kit can make the difference between a minor accident and a major injury. Make sure it is well stocked and ready for use. There is typically a large inventory required for a first aid kit from. However depending on where the first aid kit will be kept not all these items are necessary

Know The Causes Of Allergies To Reduce It Instantly

Are you suffering from sudden inhalation problems, watery eyes or unwanted irritations on your skin? And are you wondering about the reason behind such irritations? Then I have come to provide you with unique solutions. I can diagnose your disease, enlighten on the causes and even help you with the remedies. To begin with, if you are suffering from either of those above-mentioned irritations, then you must be having attacks of allergies. Now do not get confused for I will explain you the related facts of allergies.

Most important cause for allergic reactions

It’s very important to know the causes of allergies to prevent them. No one exactly knows the main cause of allergies but it is mainly related to the malfunctioning of immune system to certain things. This concept is not misplaced. Normally, the immune system seeks the bacteria, viruses and other dangerous body invaders to destroy them completely. When the immune system fails to combat these antigens, it is then that the body gets affected with allergies.

You can get allergies if you ever get your skin in contact with poisonous plants, animal dander, pollen or latex. Even in case of injections like bee stings or certain medication injection, you are likely to be attacked with allergies. Often inhaling various things like pollen, dust, mold and mildew can cause severe cases of allergies. When you are inhaling any of these allergic products, the proteins enter your body through the cells lining the eyes, nose, sinuses and bronchial tubes. So you are likely to experience reactions in your nose, eyes, throat and lungs that erupt in the form of rashes, headaches, palpitations or muscular pains and sometimes fainting. Consumption of certain kinds of food and drinks also might not be suitable for your body.

What internal disorders causes allergy?

There are IgE antibodies that try to combat the allergens when they are entering the human body. They signal the basophils or mast cells to release histamine and it is these meditating chemicals like histamine that instigate the distressful symptoms of allergic reactions. Histamines get released in the nose, eyes, and sinuses thereby causing sneezing, a runny nose, stomach cramps, diarrhea and itchiness as main symptoms of allergies.So now know the causes of allergies better to fight effectively with the disease.

If you are thinking that allergy is only a simple disease, you may be quite wrong. You may be afflicted by only one or two types of allergies. This may lead you to feel that allergies are limited to only those types. However, if you take a look around and see other people suffering from various other allergies you will soon realize that allergies are definitely not as simple as they sound. You will be flabbergasted to know the variety of the types of allergies that occur.

Allergies can be roughly classified under three different categories. Almost all the varied kinds of allergies may be place under them. Let us take a look at the three different categories and the types that come under them.