Isn’t anesthesia just a shot?
I think that’s what most people think?
As China Anesthesiology Week comes again, I am filled with emotion as an anesthesiologist: after years of continuous appeal, the status of anesthesiology has not improved at all. Except for a few important leaders to speak out, there seems to be nothing new.
What I’m trying to say is this: we don’t need leaders to be impassioned! What we need is that the policy is really implemented and the status is really improved!
Someone said: Is your doctor status not high enough?
Sorry, your “doctor” here does not include our anesthesiologists. It’s not that we don’t recognize ourselves! However, up to the hospital leaders, down to the surgeons have not paid attention to the anesthesiology department!
The specific embodiment is: when it comes to salary and benefits, the anesthesiology department is an auxiliary department; when the anesthesiology department is required to carry out the treatment of critically ill patients, the anesthesiology department is properly established as a clinical department.
Although the Department of Anesthesiology did its best to ensure the success of critically ill patients during surgery, flowers and applause have never been associated with the Department of Anesthesiology.
At this point, many friends may ask: How do you say this?
Cite an example: a car accident that ruptured the liver and caused massive hemorrhage. What the anesthesiology department needs to do is to ensure the depth of anesthesia and provide good conditions for abdominal muscle relaxation for the surgery. More importantly, keep the patient alive.
A sentence of life seems simple. In fact, the anesthesiologist has to fight shock all the time. Among them, not only use various vasoactive drugs, but also blood transfusion. A slight error, the patient’s vital signs will plummet.
In some of these major bleeding surgeries, blood pressure is deliberately lowered to facilitate surgical hemostasis. This move can also well preserve the little bit of life blood left in the patient’s body. But this process is not easy. Looking at the blood pressure on the warning line, the blood pressure of the anesthesiologist is high from beginning to end.
If you have difficulty understanding these contents, let’s talk about this “one-shot thing”.
Before, having children was all about life! Good luck, mother and child are safe; if not…. Therefore, the ancients likened childbirth to “walking through the gates of hell”.
This can’t be said too far. In the last century, when many people had children at home, having children was also a dangerous thing!
Nowadays, having a baby is much safer; at the same time, it’s less of a chore. Among them, cesarean section and labor analgesia contributed.
Cesarean section, so that those who are difficult to produce large babies, cephalopelvic disproportion, and fetal heartbeats can be turned out of danger.
A technique in the anesthesiology department is indispensable for fast and safe cesarean section or labor analgesia – spinal canal puncture.
If you are unfamiliar with this word, are you familiar with the word “half hemp”? Yes, this anesthesia is what people often call “half anesthesia”.
How does this anesthesia work?
The first step is to have the patient lie on their side on the operating table. Also, you can’t move the whole time.
The second step is a series of operations such as positioning, disinfection, and toweling.
The third step, puncture.
Puncture procedure: First apply a local anesthesia. After the local anesthesia, the pain is not so much. After that, a hollow needle as thick as a matchstick is used to pass through the skin, subcutaneous tissue, supraspinous ligament, interspinous ligament and ligamentum flavum in sequence.
During this period, the anesthesiologist is required to accurately determine which layer the puncture needle has reached through experience. Once the judgment is wrong, it is not a bad effect of anesthesia: mild, cerebrospinal fluid leakage, there may be postoperative complications such as headache; serious, nerve damage!
Think about it, everyone: How stressful is the anesthesiologist during the puncture process!
Of course, at this point we have to put ourselves in a different position: patients are generally also very nervous. Because most people may not be able to stand someone operating on their backs. In particular, the more you understand the risks of this operation, the more you may be concerned.
However, don’t worry, there’s an anesthesiologist here!
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~