Classify sympathetic and parasympathetic nervous system and enumerate the distribution site and test for their functions of autonomic test in MD anaesthesia ppt
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ANS Autonomic Testing MD Anaesthesia
Presentation · PPTX
What's inside (13 slides)
| Slide | Content |
|---|---|
| 1 | Title slide — colour-coded, lecture outline |
| 2 | ANS Classification — SNS vs PNS vs ENS features, divergence ratios, neurotransmitters |
| 3 | Sympathetic Division — Thoracolumbar outflow, paravertebral & prevertebral ganglia, full distribution table (T1→L2) |
| 4 | Parasympathetic Division — Cranial outflow (CN III/VII/IX/X) table + Sacral S2–S4 pelvic splanchnic nerves |
| 5 | Comparative effects on effector organs (15 organ systems, receptor subtypes for each) |
| 6 | Neurotransmitters & Receptors — ACh/NE pathways, α₁/α₂/β₁/β₂/β₃ and M₁–M₅ subtypes |
| 7 | Autonomic Function Tests — Overview (CV tests / Sudomotor / Other) |
| 8 | CV Tests – Parasympathetic arm: HRV-Deep Breathing, Valsalva Ratio, 30:15 Ratio (method, measure, normal/abnormal, clinical relevance) |
| 9 | CV Tests – Sympathetic arm: Orthostatic BP, Tilt Table (HUT), Cold Pressor, Handgrip |
| 10 | Sudomotor Tests (QSART, TST, SSR) + Adrenergic tests (plasma catecholamines, pupillometry, gastric scintigraphy) |
| 11 | Autonomic Testing in Anaesthetic Practice — risk table (OH, gastroparesis, DAN, desflurane sympathetic surge) |
| 12 | Ewing's Battery of 5 Tests — 3 PNS + 2 SNS with Normal / Borderline / Abnormal cut-offs and DAN scoring |
| 13 | Summary & Key Points + source citations |
Sources: Barash Clinical Anesthesia 9e · Harrison's Principles of Internal Medicine 22E · Guyton & Hall Medical Physiology · Lippincott Illustrated Pharmacology · Ewing DJ et al. 1985
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