Friday, December 21, 2012

How to make the patient alive again after general anesthesia , what drugs you use and how they work ??

Q. I am asking this because I have heard general anesthesia without ressucitation= lethal injection
And my mother freaks out with the possibility of me having to get it again (i haved had already general anesthesia 2 times due to ophythamic problmes when i was a baby) because I might have to get it again if things dont work out with the eye drops! Is getting a general anesthesia so dangerous like that or she is exagerating?

A. OK. I'm the one that says that, because it's true. If I pushed the drugs to put you out and did not support your breathing and blood pressure, you'd be dead. However, years of training and experience let me know how much to give you, and how to take over supporting your vital functions so that doesn't happen.

Lots of people think we just flip the anesthesia switch ON to start it, and OFF to wake up, but that isn't the case. We are constantly monitoring and adjusting the level of anesthesia to keep you safe.

You are very alive during anesthesia, just not conscious.

General anesthesia is dangerous IN THE HANDS OF INEXPERIENCED PROVIDERS. It is VERY SAFE in the hands of trained, experienced anesthesiologists. In fact, you're more likely to die in a car crash on the way to the hospital than in the OR. (And most people have no problems riding in cars).

I'm not going to discuss the drugs we use and how they work - textbooks are written on that. Besides, every anesthetic is individually tailored to the patient and procedure. You get what you need, other people get what they need.

Your mother should discuss her fears with an anesthesiologist if you need surgery again.


what happens before they put you under general anesthesia?
Q. I am having a tonsillectomy and I have never had any type of operation, so I have no die what it will be like going into the surgery. I have researched what it will be like after, but what will it be like going under the general anesthesia?

A. i'm 25 and i've had 9 surgeries including a tonsillectomy in 2009 so i pretty much know the drill lol.

first you'll probably be told not to eat or drink anything effective at midnight the night before surgery.

you'll go to the hospital and go to the admission desk. they'll put some info into the computer and put a wrist band on.
then you go up to what ever floor they tell you to and the nurse will put you in a room, ask you a bunch of questions, take your blood pressure and temp, and maybe ask for a urine sample. then they'll give you a gown and tell you to hang out on the bed until they come get you. you'll then be wheeled on a cart down to the preoperative area. depending on your age they may ask your parents to go to the waiting room or they may let them come to the preoperative area with you.
down in pre-op they will ask you a bunch of the same questions that you were already asked just so they can be sure everything was written correctly. they'll take your BP again (they will put a cuff on that does it automatically every few minutes and this will stay on for the entire surgery and while you are in the recovery room), take your temp again, and also put a pulse ox monitor on your finger. it just measures how much oxygen you have in your body so they can regulate it(this will also stay on during surgery and in the recovery room) it doesn't hurt or anything. and they'll start an IV in the back of your hand or in the bend of your arm. the dr doing the surgery will usually appear to ask if you have any last minute questions and run through exactly what he is doing again. then if you are extremely nervous they may give you something in the IV to calm you down. it will most likely give you a burning sensation in your arm for a minute but it goes away quickly. it may make you feel tired, looopy, or just chilled out depending on what drug they used.
then they will wheel you into the operating room and help you scoot over onto the operating table. they'll then put an oxygen mask on your face and heart monitor patches on your chest. then they will either give you the anesthesia through the mask or through the IV. if its through the mask you will just breath it in. it smells like nail polish remover. you may feel like you can't breath cuz the smell is sooo strong but with in a minute you are out like a light. if its given through the IV you will have a burning sensation in your arm for a frew seconds and then you may start to feel dizzy or sick but before you can even tell someone you don't feel good you are out like a light.

when you wake up you may feel like you just closed your eyes and then opened them again. you may not even realize for a second that the surgery even started let alone it being done already.
you'll almost certainly feel really tired. you may also experience uncontrolable shaking, being emotional and crying cuz you don't know whats going on, feeling dizzy and possibly fainting, and/or feeling sick and possibly throwing up. these are all common side effects after anesthesia.

one little thing that i always try to let people know is if you get the least bit chilly ask for a blanket. they have a "warming oven" so when they give you a blanket it is nice and warm. if you are still cold ask for another one and another until you feel comfortable cuz when you get cold you get more shaky and in my opinion then get more nervious.
oh and if you are prone to cold feet wear a pair of regular socks and then also a pair of those soft fuzzy socks and it will keep your feet toasty.


Can I wear contacts during a surgery with general anesthesia?
Q. I can't see very well without my contacts and I'm not sure if i can wear them during the surgery (on my nose). Plus I'm kind of nervous about going under anesthesia. Is there a possibility of waking up or getting an allergic reaction?

A. Contacts: NOOOOOOOOOO!!!!!

You have a very high risk of getting a corneal abrasion. If you have general anesthesia, we tape your eyes closed to help prevent that. For nose surgery, your anesthesiologist might not be able to use tape, and in that case, we put sterile lubricant into your eyes. It's like a thin Vaseline, and would ruin your lenses.

Possibility of waking up: slim.
Possibility of allergic reaction: small
Possibility of severe reaction, like malignant hyperthermia, or acetylcholinesterase deficiency: if no family history, slim.


How long does eye surgery and the recovery take?
Q. My aunt has melanoma of the eye and tomorrow shes going in to get the laser surgery done.
How long does it take and the recovery?
Will she be able to go home that same day? Or stay over a night?

A. Depending on whether general anesthesia will be needed or not, she may go home tomorrow (same day) or stay overnight.
Anyway, surgeon will be the best person to tell you.
All the best for your aunt's operation!





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Title Post: How to make the patient alive again after general anesthesia , what drugs you use and how they work ??
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