From surgery to tooth extraction, most people have some anesthesia experience, but anesthesia is definitely not just to make patients "painless" or fall asleep. In fact, there are many fatal risks during anesthesia. According to an interview with Dr. Zhang Guoan from the Department of Anesthesiology, Kaohsiung Chang Gung Hospital, the Injury Relief Foundation pointed out that in order to reduce the anesthesia risk, the medical history, diet and living habits should be explained in detail before operation, and detailed communication should be made with anesthesiologists to reduce the anesthesia risk.
Anesthesia is risky, and the doctor decides after evaluation.
There are many kinds of anesthesia methods. Zhang Guoan explained that doctors will choose according to the operation method, the length of time and the patient's physical condition. Divided into the following three items:
1. major surgery: general anesthesia is usually used, and drugs are used to inhibit the central nervous system reaction and muscle reflex, so that patients are painless, unaware and motionless. 2. Surgery with short time and small scope: Sleep anesthesia can be used, a small amount of intravenous injection can make the patient fall asleep, and local anesthesia can be performed on the surgical site if necessary.
3. Anesthesia keeps patients awake: regional nerve block is used to achieve the effect of local anesthesia and analgesia, such as painless delivery.
No matter the size of the operation, anesthesia is risky, which will affect breathing, heartbeat, blood pressure and muscle reaction. Everyone's reaction to * * * * is different. Therefore, in addition to the anesthesiologist's control before, during and after surgery, patients also need to understand the related risks, cooperate with preoperative evaluation, and discuss appropriate anesthesia methods with doctors.
Anesthesiologists are required to participate in the monitoring during the operation.
Dr. Zhang Guoan pointed out that the anesthesiologist will monitor the patient's vital signs during the operation, control the depth of anesthesia, and give drugs, infusions and other treatments at any time according to physical changes to ensure smooth breathing and maintain stable blood pressure. After the operation, the anesthesiologist in the recovery room will take care of the patient until he wakes up. Patients also need to know whether an anesthesiologist is involved in the operation. Under the care of the anesthesiologist, the risk of anesthesia itself can be minimized, and surgeons and patients can feel more at ease.
Explain the medical history, diet and living habits to the doctor before anesthesia.
Dr. Zhang Guoan explained that the common risks of anesthesia are anaphylactic shock and malignant high fever, which are related to personal physique, past medical history and living habits. Take malignant hyperthermia, a serious adverse reaction of anesthesia, for example. During anesthesia, the patient's body temperature will soar rapidly, causing rhabdomyolysis, acute renal failure, and even fatal. Therefore, whether the patient has a history of cardiovascular disease, pregnancy, drug allergy and anesthesia allergy in previous operations should be explained in detail before operation, so that anesthesiologists can adjust drugs in advance and make preparations.
There should be a special anesthesiologist in the eight major medical and aesthetic operations.
In recent years, plastic surgery disputes about anesthesia accidents have been heard from time to time. The Harm Foundation also reminded that the Ministry of Health and Welfare has stipulated eight kinds of plastic surgery, including bone cutting, face-lifting or face-neck lifting, nasal plastic surgery, liposuction up to 65,438+0,500 ml or total suction up to 5,000 ml, abdominal plastic surgery, total body lifting, breast augmentation and so on. And anesthesia must be performed by an anesthesiologist. Therefore, before choosing a medical institution, it is also necessary to know whether the institution meets the requirements, and the anesthesia risk of medical beauty surgery can not be ignored.
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