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Medicine Miscellaneous 5edb7201

Uses of Neuroleptanalgesia includes

A
As premedication
B
As a supplement to thiopentone
C
To provide sedation during operations under regional analgesia
D
All of the above
High-Yield Explanation
(D) Atropines # Neuroleptanalgesia is a state of apparent indifference to pain produced by combination of potent analgesic with a neuroleptic or major Tranquillizer (here the patient remains conscious but assumes a trance like state in which he is immobile, apparently free from pain) The addition of nitrous oxide leads to unconsciousness and general anaesthesia (Neurolepttoanalgesia)> Neuroleptic combination consists of: Major Tranquilizer (Usually Butyrophenone - Droperidol) + Potent opioid analgesic (Fentanyl or Phenoperidine)> Uses: Neurosurgical operations/neuro-radiological procedures;> Idiosyncrasy to barbiturates;> Ophthalmic surgery/Burns dressing;> As part of balanced anaesthesia; Adjunct to local anaesthetic technique; Invasive radiological procedures/radiotherapy;> Surgery with high incidence of post operative nausea, vomiting. E.g.: Middle ear surgery; Out patient procedures associated with nausea, vomiting.

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