{"title":"The principles and conduct of anaesthesia","authors":"Anurag Vats, Monalisa J Marbaniang","doi":"10.1016/j.mpsur.2025.02.004","DOIUrl":null,"url":null,"abstract":"<div><div>Anaesthesia is one of the younger specialities of medicine and has made immense advancement since its inception. Modern anaesthesia techniques, drugs, and monitoring methods have facilitated the development and advancement of surgical practice, which benefits patients. This article provides an overview of the pharmacology and the conduct of a general anaesthetic. Regional anaesthesia has always been an integral part of the practice of anaesthesia and surgery. We discuss the essential components of the practice of neuraxial anaesthesia and peripheral nerve blocks. It is known that many surgical trainees are deficient in the knowledge of the safe administration of local anaesthetics, which we have tried to address in this article and present the latest in the prevention and management of local anaesthetic systemic toxicity.</div></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"43 4","pages":"Pages 222-231"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery (Oxford, Oxfordshire)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0263931925000250","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Anaesthesia is one of the younger specialities of medicine and has made immense advancement since its inception. Modern anaesthesia techniques, drugs, and monitoring methods have facilitated the development and advancement of surgical practice, which benefits patients. This article provides an overview of the pharmacology and the conduct of a general anaesthetic. Regional anaesthesia has always been an integral part of the practice of anaesthesia and surgery. We discuss the essential components of the practice of neuraxial anaesthesia and peripheral nerve blocks. It is known that many surgical trainees are deficient in the knowledge of the safe administration of local anaesthetics, which we have tried to address in this article and present the latest in the prevention and management of local anaesthetic systemic toxicity.