In most cases of anesthesia, we only knowthat the operation under its influence is painless. But in life it may happen that this knowledge is not enough, for example when deciding on surgery for your child.
What you should know about anesthesia?
General anesthesia or general anesthesia - istime-limited pharmacological effect on the body, wherein the patient is unconscious when he entered painkillers, followed by reduction of consciousness without pain in the area of operation.
Anesthesia may include conducting patientartificial respiration, maintenance of muscle relaxation, posing droppers in order to maintain a constant internal environment of the body by means of infusion solutions, control and compensation of blood loss, antibiotic prophylaxis, prevention of postoperative nausea and vomiting and so on. All actions are aimed to ensure that the patient underwent surgery and "woke up" after surgery, without experiencing discomfort state.
Types of anesthesia
Depending on the method of anesthesia isinhalation, intravenous and intramuscular. The choice of anesthesia is of the anesthetist and depends on the condition of the patient, the type of surgical intervention, on the qualifications of the surgeon and the anesthesiologist, and the like, because for the same operation can be assigned to different general anesthesia. The anesthesiologist can mix different types of anesthesia, achieving an ideal combination for a given patient.
Anesthesia is divided into "small" and "large", it all depends on the number and combinations of drugs of different groups.
By "small" anesthesia can be attributedinhalation (hardware and a mask) anesthesia and intravenous anesthesia. With hardware-mask anesthesia child receives anesthetic medication in the form of an inhalation mixture with spontaneous breathing.
Analgesics administered into the bodyby inhalation, called inhaled anesthetics (Halothane, Isoflurane, Sevoflurane). This type of general anesthesia is used in minimally invasive, short operations and manipulation, as well as various kinds of studies when necessary short shutdown child consciousness. Currently inhalation anesthesia often combined with local (regional) anesthesia, as a mononarkoza insufficiently effective.
Intramuscular anesthetic is now almostIt applies to the past, as the effect on the patient of this type of anesthesia anesthesiologist absolutely can not control. In addition, a drug that is mainly used for intramuscular type of anesthesia - Ketamine - the latest figures are not so harmless to the patient: it off for a long time (almost six months), long-term memory, preventing the full development of the child.
"Big" anesthesia - a multi-componentpharmacological effect on the body. It includes groups such medicinal use as narcotic analgesics (not to be confused with the drug), muscle relaxants (drugs temporarily relaxing the skeletal musculature), sleeping drugs, local anesthetics, complex infusions and blood products as needed. Drugs are administered both intravenously or by inhalation through the lungs. The patient during an operation carried out artificial lung ventilation (ALV).
Are there any contraindications?
No contraindications to anesthesia but failurepatient or his relatives from anesthesia. However, many surgeries can be carried out without anesthesia, local anesthesia (anesthesia). But when we are talking about a comfortable state of the patient during surgery, where it is important to avoid the psycho-emotional and physical stress - requires anesthesia, ie knowledge and skills needed anesthetist. And not necessarily anesthesia in children is only used during operations.
General anesthesia may be required in a variety ofdiagnostic and therapeutic measures, which must be removed anxiety, turn off the mind, does not allow the child to remember the unpleasant sensation of the absence of parents, of prolonged forced position of the dentist with shiny tools and a drill. Wherever you need to calm the baby, you need an anesthesiologist - a doctor, whose task is to protect the patient from surgical stress.
Before elective surgery it is important to take into account suchpoint: if a child has comorbidities, it is desirable that the disease was out of aggravation. If a child is ill with acute respiratory infection (ARI), the recovery period is at least two weeks, and it is desirable in this period of time not to carry out planned operations, as it significantly increases the risk of postoperative complications during surgery may have trouble breathing because respiratory infection primarily infects the respiratory tract.
Before the surgery, the doctor-certainly Anesthesiologytalk with you about abstract topics: where the child was born, he was born, made whether and when vaccination is growing as developed than the sick, whether allergies, examine the child to eat, to get acquainted with the history of the disease, scrupulously examine all analyzes. He will tell you what will happen with your child before surgery, during surgery and in the immediate postoperative period.