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Anesthesiologist

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Anesthesiology is the branch of medicine that studies the means and methods of performing anesthesia for a variety of acute pain, in a state of shock, upon receipt of the injury and during the execution of surgical interventions. In turn, anesthesia is loss of sensation, and the anesthesiologist is the doctor that this loss can provide competently.

Anesthesiology works closely with the intensive care, as specialist accounts in addition to providing loss of sensation to cope with tasks to maintain vital functions during anaesthesia. Previously, the anesthesia was part of the surgery and was indivisible from intensive care. However, due to the large volumes of information in each of the sectors, anesthesia and intensive care separated from surgery. In addition to the world planned is a clear tendency that the emergency in the near future will be differentiated with anesthesia.


Who is the anesthesiologist?

Anesthesiologist – a specialist with higher medical education, which is responsible for pain relief of the patient and monitoring of all vital parameters of the body during the execution of the surgical intervention.

Not to be confused with General anesthesia, regional anesthesia by performing epidural and spinal anesthesia with local anesthesia. The last procedure may conduct such specialized doctors like dentists, orthopaedic doctors, ENT doctors, etc. while the first two types of anesthesia are in the competence of an anesthesiologist.


What is an anesthesiologist?

To work the doctor proceeds not only during the procedure. It starts a few days before the operation. The anesthesiologist mandatory acquainted with the history of the patient, if no data, then sends the patient for blood tests and checkups of the liver, kidneys, heart and blood vessels. In addition, the doctor finds out a patient history, inquiring about existing chronic illnesses, previous operations and anesthesia, about available Allergy. The results of the survey which are necessary for the anesthesiologist:

  • The KLA;
  • OAM;
  • ECG;
  • blood group and RH factor.

If the surgical procedure have the child, then the conversation is with parents or persons substituting them.

When the doctor gets acquainted with the history of disease and exhibited a diagnosis, assess the physical condition of the patient, he will be able to choose the most optimal method of anesthesia, the type and the dose for injection.

After, the anesthesiologist is to develop a plan of anesthesia. Intracavitary major surgery often requires the performance of a combined endotracheal anesthesia. After affect induction of anesthesia, the doctor will perform direct laryngoscopy and intubatia the windpipe of the patient and his bronchi. To the tube will be connected to a special device, providing the serve of anesthesia and respiratory function of the patient.

If the operation neprostaya and has large volumes, it is possible to perform inhalation General anesthesia with mask. While the operated person is breathing on their own.

Premedication is medication the preparatory proceedings conducted before administration of anesthesia. It is selected taking into account the patient's age, health, weight, nature of the operation and the method of introduction of basic anesthesia. Thanks to sedation it is possible to normalize the sleep of the patient before planned surgery, to relieve stress and to facilitate subsequent anesthesia. In the end, there is less risk of side effects.

What does the anesthesiologist during surgery and after it?

When the patient will be put into a state of anesthesia, the doctor leaves the operating room. He is patient and keeps track of its life supporting functions. For this purpose in the operating room has special equipment that displays information on the work of the heart and lungs, provides information on blood pressure, Central venous pressure, the blood circulation about gas and acid blood.

In addition, the physician monitors the humidity and color of the skin of the patient, monitors the size of its pupils, their sensitivity to light.

When the operation is completed, the anesthesiologist stops the flow of drugs. Further work is to ensure that in conjunction with the physician to track the patient's condition in the postoperative period. This will allow to avoid development of complications, as any kind of General anesthesia is not completely harmless.


When should I contact the anesthesiologist?

You should take care to consult a qualified anesthesiologist, when you have elective surgery with introduction of anesthesia. Especially, it is important to do it in that case, if you have any doubts or concerns.

So, health problems can occur in people suffering from allergic reactions. To minimize the risk of possible allergies, you should visit the anesthesiologist, to confirm the list of drugs that can be administered during surgery. It bears also will visit an allergist who can perform tests.

In addition, contact the anesthesiologist should be the case if after surgery with anesthesia the person may have headaches, a feeling of nausea, there is confusion or partial paralysis.


The recommendations of the anesthesiologist

To minimize the effects of the introduction of anesthesia, you must follow the recommendations of the doctor:

  • If you have surgery, this drug, like aspirin, is prohibited. The fact that he is able to provoke bleeding. The same rule applies to alcoholic beverages. To refuse them need at least 7 days prior to surgery. This will reduce the load on the liver.
  • Is as preparations before surgery go to easy menu. Better, if the diet is dominated by fish, chicken and dairy products.
  • Administration of drugs for the treatment of diabetes mellitus and cardiac ischemia should be continued before surgery.