An anesthesiologist is a doctor whose competence includes anesthesia (pain relief) of the patient and control over all vital parameters of the body during surgery.
Anesthesiology is a branch of medicine that studies the means and methods of performing anesthesia for a wide variety of acute pains, shock, injuries and surgical procedures. In turn, anesthesia is a loss of sensitivity, and an anesthesiologist is a doctor who can competently provide this loss.
Anesthesiology closely interacts with resuscitation, since a specialist has to, in addition to providing loss of sensitivity, cope with the tasks of maintaining life-supporting functions during anesthesia. Previously, anesthesia was part of surgery and was inseparable from resuscitation. However, due to the large amount of information in each of the branches, anesthesia and resuscitation medicine were separated from surgery. In addition, there is a clear tendency in the world towards the fact that resuscitation medicine will in the near future be distinguished from anesthesia.
Do not confuse general anesthesia, regional anesthesia with epidural and spinal anesthesia with local anesthesia. The latter procedure can be performed by such specialized doctors as dentists, orthopedists, ENT doctors, etc. While the first two types of anesthesia are in the competence of the anesthesiologist only.
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- What does an anesthesiologist do?
- What does the anesthesiologist do during and after surgery?
- When should you see an anesthesiologist?
- Anesthesiologist recommendations
- Appointment to an anesthesiologist
What does an anesthesiologist do?
The doctor begins to work not only during the procedure. It starts a few days before the operation. The anesthesiologist without fail gets acquainted with the patient's medical history, if there is no data, then sends the patient for blood tests and for examination of the liver, kidneys, heart and blood vessels. In addition, the doctor finds out the patient's anamnesis, asks about existing chronic diseases, about previous operations and anesthesia, about existing allergic reactions. The results of the examination that are necessary for the anesthesiologist:
- blood group and Rh factor.
If a child is to undergo a surgical procedure, the conversation takes place with the parents or their substitutes.
When the doctor gets acquainted with the history of the disease and the diagnosis made, assesses the patient's physical condition, he will be able to choose the most optimal method of pain relief, its type and dose for administration.
After that, the anesthesiologist's job is to develop an anesthesia plan. Intracavitary extensive surgery most often requires combined endotracheal analgesia. After the induction of anesthesia has taken effect, the doctor will conduct a direct laryngoscopy and intubation of the patient's trachea and bronchi. A special apparatus will be connected to the tube, providing anesthesia and the patient's breathing function.
If the operation is extracavitary and does not have large volumes, then it is possible to perform inhalation general anesthesia using a mask. In this case, the operated person breathes independently.
Premedication is a preparatory medical procedure performed before the administration of anesthesia. It is selected taking into account the patient's age, state of health, weight, nature of the operation and the method of administration of basic anesthesia. Thanks to premedication, it is possible to normalize the patient's sleep before a planned operation, relieve tension and facilitate subsequent anesthesia. As a result, the risk of side effects is reduced.
What does the anesthesiologist do during and after surgery?
When the patient is put into a state of anesthesia, the doctor does not leave the operating room. He is with the patient all the time and monitors his life-supporting functions. For this purpose, the operating room has special equipment that displays information about the work of the heart and lungs, provides information about blood pressure, about central venous pressure, blood supply to tissues, about the gas and acid composition of blood.
In addition, the doctor himself controls the moisture and color of the patient's skin, monitors the size of his pupils, their sensitivity to light.
When the surgery is complete, the anesthesiologist stops the medication. His further work boils down to monitoring the patient's condition in the postoperative period together with the attending physician. This will maximally avoid the development of possible complications, since any type of general anesthesia is not absolutely harmless.
When should you see an anesthesiologist?
It is worth taking care of getting advice from a qualified anesthesiologist when a planned operation with the introduction of anesthesia is due. Especially, it is important to do this if there are any doubts or concerns.
So, health difficulties can arise in people suffering from allergic reactions. To minimize the risk of developing a possible allergy, it is worth visiting an anesthesiologist to clarify the list of drugs that can be administered during surgery. It will also be useful to visit an allergist who can perform testing.
In addition, you should contact an anesthesiologist if, after an operation performed with anesthesia, a person has headaches, a feeling of nausea, confusion or partial paralysis.
To minimize the consequences of the introduction of anesthesia, you need to adhere to the following doctor's recommendations:
- If surgery is to be done, then a drug such as aspirin is prohibited. The fact is that he is able to provoke bleeding. The same rule applies to alcoholic beverages. They must be abandoned at least 7 days before the operation. This will reduce the stress on the liver.
- It is worth switching to a light menu as a preparatory measure before the intervention. It is better if the diet is dominated by fish, chicken and dairy products.
Taking medications for the treatment of diabetes mellitus and heart ischemia should be continued before surgery.
Appointment to an anesthesiologist
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