Dr Subhash C Sahu, Vice President, Indian Society of Anethesiologists.
Cheap and safe anesthetic agents like ether and equipments like EMO and spinal analgesia have become outdated due to availability of safer and better drugs and technologies. But these sophisticated drugs and technologies are costly and beyond reach of common people. Patients do not get the benefit of cheap but efficient analgesic drugs like morphine and fentanyl. Further, highly priced corporate hospitals make all above drugs and equipments and their services beyond reach of the poor and the common public.
Anesthesia Work Station with inbuilt ventilator, multi-modal monitor, ETCO2, gas with agents provides good quality fanesthesia. Cerebral function monitoring, BIS, TCA, PCA/PECA s utilised widely for day care anesthesia, monitoring awareness and patient controlled analgesia have also been developed. Neuromuscular blocker (ToF-4) assists in providing adequate motor relaxation. ABG for intra-operative use provides adequate monitoring of Metabolic Function. TEE determines better cardiac function results.
Availability of LMA, lexible fibre optic laryngoscope, igel, etc. have revolutionised airway management. Availability of Sevoflurane as seen better days of day care and paediatric anesthesia. Drugs like rocuronium for reversal, propofol for quick induction and recovery, renifentanyl and alfentanyl as very short analgesic, which have changed morbidity status of patients under anesthesia.