1, noble medical ethics, noble medical ethics
Morality is the first of group education, the basic moral character of being a man and the standard of distinguishing right from wrong. Medical ethics should be regarded as the code of conduct and self-discipline of clinical anesthesiologists. Medical ethics requires anesthesiologists to have a kind heart. Benevolent people love others, so anesthesiologists must serve patients sincerely and kindly. Only when doctors are kind can they win the love and trust of patients and establish a deep friendship with patients, which will inevitably increase the therapeutic effect. In today's wave of commodity economy, a few anesthesiologists mistakenly think that money is everything, regard lofty medical career as a commercial relationship, and lack emotional communication with patients. Once anesthesia and surgical treatment are unsatisfactory or unexpected, medical disputes are often caused by misunderstanding. Anesthesiologists with good medical ethics can correctly handle the relationship between doctors and patients, thus avoiding these things and greatly reducing the incidence of medical disputes.
The most important thing is that anesthesiologists should have a high sense of responsibility. Visit the patient before anesthesia to master the condition in detail. Carefully understand the operation mode and the problems that may occur or encounter during the operation, and carefully formulate the anesthesia plan and the preparation of articles, instruments, narcotic drugs and first-aid drugs. Because anesthesiologists are faced with patients who have lost their consciousness of adjustment, they have lost the ability of self-protection. In order to survive the operation safely, they have to rely on the comprehensive protection and care of anesthesiologists. It is worth remembering that surgeons "manage diseases" and anesthesiologists "manage lives". Therefore, from the beginning of anesthesia to sending the patient back to ICU (or ward), we should be meticulous, take the patient's safety as our responsibility, always guard the patient's side, make good use of our sensory organs, not just look at the instruments, carefully observe the progress of the disease, and deal with the sudden changes of the disease in time. Therefore, a high sense of responsibility, patience and meticulous work attitude are also important contents of medical ethics.
Modesty and prudence, and a work attitude that is neither arrogant nor impetuous are also required by medical ethics. The ultimate success of surgical treatment is the result of the cooperation of all the people involved in the operation, including surgeons, anesthesiologists and surgical nurses. As a member of this group, we should cultivate modesty and prudence. Only by respecting others can we be respected by others.
Another requirement of medical ethics is honesty. The implementation of anesthesia is often done by one person independently, and the whole process is almost unsupervised. Even with a student, it is necessary to faithfully perform their duties. Anesthesia operation should be meticulous, and anesthesia records should be detailed, objective and faithful. Such records are a true reflection of anesthesia work and can be used as the basis for clinical treatment, scientific research and legal disputes. Anesthesia records are legal documents, so anesthesia records must be true and accurate.
Respecting teachers and respecting morality is also a moral quality that a young anesthesiologist must possess. A young anesthesiologist should respect his mentor and senior doctors in business, teaching and scientific research, so as to get their love and teaching. Anesthesiologists should learn from all colleagues in anesthesia-related disciplines with an open mind and learn from them what is beneficial to the development of anesthesia. The simplest example is that in the development of pain business, we should learn from orthopedics, oncology, imaging, neurosurgery, psychology, traditional Chinese medicine and other disciplines, explore and enrich our own theories and diagnosis and treatment techniques, and be good at thinking, so as to improve.
2. Solid theory and superb technology.
Basic theories include medical basic theory and anesthesiology basic theory. To read modern anesthesiology and other anesthesiology textbooks, anesthesiologists should not only be familiar with anatomy, physiology and pharmacology related to anesthesia, but also have knowledge of basic theories of internal surgery, imaging and laboratory science. For pharmacology, it is necessary to master not only anesthetics, but also commonly used drugs related to cardiovascular diseases, that is to say, an anesthesiologist is a qualified doctor first, and then an anesthesiologist.
Medical skill is the ability to serve patients. To serve patients well, we must have excellent skills. Rich clinical experience and skilled operation ability can only be obtained through long-term clinical practice. Practice makes true knowledge! The practice should start with basic skills such as nerve block puncture, endotracheal or bronchial intubation, lower respiratory tract management under general anesthesia, identification and control methods of anesthesia depth, various monitoring techniques, first aid resuscitation, and various techniques of pain treatment. All operations should be mastered skillfully, and the operation process should be skilled and standardized. Only by mastering the basic skills can we be handy in various operations of anesthesia. Young doctors should pay equal attention to theory and practice in the learning process. The emphasis on that aspect cannot be improved. Young doctors should consciously not be empty theorists and empiricists who lack innovation. In addition, young doctors do some clinical research under the guidance of tutors and master the basic methods of research, such as the format of writing papers and the methods of collecting data. You also need to personally participate in scientific experimental research, which will play a very good role in improving yourself and eventually becoming a qualified anesthesiologist.
In theoretical study, we should also learn how to read professional literature effectively and keep abreast of the latest academic trends at home and abroad. If you often read anesthesiology journals, you must persevere. Attach importance to comprehensive periodicals. Because each journal has a special topic, you can learn more about the content of each anesthesia topic, such as foreign medicine? Volume of Anesthesia and Resuscitation and American International Anesthesiology C 1INIC, Anesthesia and Analgesia, etc. Be good at using modern science and technology. For example, there are a lot of medical resources on the Internet. If you can use them flexibly and master the computer, you can find the information you need in a short time. It can also enhance the pertinence of learning and improve learning efficiency.
3, diligent in thinking, good at summing up and keen to respond to emergencies in anesthesia surgery.
In case of emergency during anesthesia and operation, anesthesiologists should have a cool head and be prepared psychologically and materially. Before anesthesia, we must make good preparations for drugs, instruments and other items, so as to be calm, accurate and properly handled, and not to delay precious treatment opportunities. We should pay more attention to post-event analysis and experience summary, which is a rare wealth to guide clinical work, even if it is a disease that is difficult to see in books. For every emergency, we must discuss it carefully with the theory repeatedly and be sure to improve it.
4, love their jobs and good interpersonal relationships.
Anesthesiologist is neither a surgeon nor a physician, but anesthesiology is a clinical subject like surgery and internal medicine. The work done by the anesthesiologist is an indispensable part of the surgeon's treatment measures. Without anesthesia, surgeons can't treat diseases for surgical patients, and disciplines can't develop. Anesthesiologists should ensure that patients can spend the perioperative period safely and painlessly, so they are also called doctors in the surgical field. But for a long time in the past, surgeons mistakenly thought that the patient's illness was cured by their own surgery and did not respect the anesthesiologist; Anesthesiologists have a sense of inferiority, thinking that anesthesiology is under the command of surgery, so they don't respect their posts, don't want to engage in anesthesia work, and even change careers as surgeons, which leads to the instability of anesthesia team. In fact, the development of these two disciplines is complementary. Now this misconception has been corrected, and the Ministry of Health has designated clinical anesthesia as clinical two disciplines in 1989. At the same time, it also puts forward higher requirements for anesthesiologists On the one hand, anesthesiologists should have solid basic theoretical knowledge and make an accurate and comprehensive evaluation of patients' preoperative and postoperative conditions. On the other hand, they must make a judgment as soon as possible and take effective treatment measures for the complicated physiological and pathological phenomena in the operation. In addition, anesthesiologists are a main force in the development of pain medicine today. Therefore, as a qualified anesthesiologist, we must realize the importance of our position. However, the premise of all this is love and hard work first.
The whole process of surgical treatment of diseases is completed through multidisciplinary cooperation. As far as completing an operation is concerned, anesthesiologists should also have a good relationship of mutual assistance and cooperation. Because in the process of surgical anesthesia, if the surgical patient has an emergency, he often needs the assistance of a superior doctor or other anesthesiologists.