The mysterious anesthesiologist

The story that people tell about anesthesiologists is one shot and it’s over.
As an anesthesiologist, I can’t help but feel that we don’t want everyone to know what we’re doing, but we don’t want to be buried.

Why is there such a buzz?

This is caused by different way of anesthesia, some we must adopt the method of general anesthesia surgery, such as some need to open, open chest trauma is larger, in patients with multiple trauma loop unstable patients, etc. We must use general anesthesia, since it is a general anesthesia, the patient is asleep, after finished surgery patients to wake up, they are not clear, the process may be felt, after anesthesia doctor anesthesia and went away.

Epidural anesthesia, nerve block anesthesia, the patient is awake, for example, epidural anesthesia, we need to perform puncture between the lower back and the lower back of the patient to complete the anesthesia.
Nerve block is also performed in different parts of the nerve block according to different parts of the operation, so as to inhibit the conduction of pain and movement, so as to achieve the ideal anesthetic effect.
Sometimes, in order to prevent the anxiety and fear of the operation, some sedative drugs will be used during the operation to put the patients to sleep.

This leads to the perception that we anesthesiologists are done with a single shot, which is not the case.
The anesthesiologist is sort of the guardian of your safety during your surgery, the behind-the-scenes hero.

What role does the anesthesiologist play in the perioperative period?

The anesthesiologist needs to visit you before the operation, including the basic condition of your body, whether there are basic diseases (hypertension, diabetes, coronary heart disease, etc.) the function of each organ (lung;
Smoking, asthma, COPD, etc.
Heart: coronary heart disease, heart failure, stent graft, etc.
Evaluation of other viscera such as liver and kidney function index).
Develop a reasonable anesthetic method according to your personal and surgical situation. If you are under general anesthesia, you need to evaluate the condition of endotracheal intubation (the patient under general anesthesia does not breathe spontaneously, an endotracheal tube should be inserted, and the anesthesiologist will regulate your breathing).
Epidurals, an assessment of your lower back, blood clotting, and a host of other conditions that your anesthesiologist plans to keep you safe.

During the operation, the anesthesiologist needs to budget a reasonable anesthetic dose according to your different weight and basic conditions.
During surgery, because of the need to operate, this must be a great stimulus to the patient.
Pain stimulus will make us higher blood pressure, heart rate, guarantee the depth of anesthesia can make patients to did not feel pain, but at the same time of anesthesia will make our blood pressure, heart rate decreased, so the anesthesiologist will need to maintain the balance, and let you to pain stimulation without feeling, also want to maintain the stability of your blood pressure, heart rate, and maintain blood and oxygen supply for your whole body;

This is only the most basic case, because there can be bleeding or other emergencies that can cause unstable changes in the patient’s circulation that need to be regulated by the anesthesiologist.
Such as blood transfusion, maintaining your electrolyte balance, the calculation of your output and output, and so on.

After surgery, the anesthesiologist monitors your breathing, heart rate, blood pressure and other vital signs to safely return to the room.
If you’re under general anesthesia, you need to see if your muscle strength is restored so that you can pull out the endotracheal tube and return safely to the room.
Postoperative pain and breathing problems should be considered to reduce any complications that may occur after your surgery.

In fact, a surgical patient, the anesthesiologist is basically going to be there from the beginning of your surgery until you get out of the hospital, and the anesthesiologist is going to have to do some assessment and management after the situation occurs.


The clinician

Assess the basic condition of the patient before the operation to make a reasonable and safe anesthesia plan.

During the operation, the patient’s vital signs were kept stable while the patient received surgical stimulation and bleeding.

After the operation, attention was paid to the patient’s breathing, muscle strength, pain and other conditions, and the patient returned to the ward safely.

The anesthesiologist before, during and after the operation reasonably plans to complete the operation in order to make the patient safer and reduce some possible complications after the operation.

The anesthesiologist is the one who will escort your operation. It’s not just a shot!

Anesthesiologists have gradually moved from “behind the scenes” to “in front of the camera.”

Now many hospitals have carried out painless gastroenteroscopy, painless cystoscope, painless delivery and other painless operations, all of which need the cooperation of anesthesiologists. In addition, anesthetic pain clinics have been set up to enable people to better understand the anesthesiologist, hoping that people can better understand us and support us.

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