Pages

All About General Anesthetics And How They Are Used

By Lila Barry


General anesthetics are often administered to patients prior to surgery in order to induce a complete loss of sensation and consciousness. While it is not totally understood how these medications work, there are a few speculations. The common thread found in each of these theories is that the drugs disrupt the function of the receptor cells in the nervous system, thus preventing the sensation of pain.

There are two possible ways to administer a general anesthetic, intravenously or though inhalation. In most cases a combination of the two methods is used. A doctor called an anesthetist will administer the anesthetic and monitor it closely during the surgery, afterwards it will be reversed and the patient will become conscious.

An anesthesia machine is used to deliver inhaled gases or liquids which are vaporized and combined with air and oxygen, and sometimes nitrous oxide to the patient by way of a breathing mask. The machine also monitors the patient's response to the drug and controls its levels. The most commonly used inhaled compounds include Desflurane, Sevoflurane, and Isoflurane.

Injectable anesthesia drugs are typically fast-working and are used to both invoke unconsciousness and continue it throughout the surgical procedure. They are delivered through an intravenous drip. Etomidate and Propofol are two drugs which are often used for this purpose. In some cases benzodiazepines may be administered simultaneously to produce an sedative effect.

The use of a general anesthetic is usually indicated when the procedure to be performed is one that is lengthy and more complicated. The patient will discuss the issue of the most suitable type of anesthesia with the anesthetist. Examples of surgeries almost always requiring a general include removal of gallbladder or appendix, hernia repair, and hysterectomy.

As there are some rare but possible risks associated with anesthesia, the anesthetist will first ask the patient some questions about his or her health history. Most complications are seen in obese patients, heavy drinkers or smokers, or those with unusual allergic reactions. It is also important to always follow the instructions given by the doctor too, such as not eating for several hours before surgery as to avoid the possibility of vomiting and aspirating.

Anesthesia typically consists of four stages. First is unconsciousness. Next is the REM stage. The third stage is the most important and is when the actual operation will be performed, it is known as "surgical anesthesia" and is indicated by even breathing, muscular relaxation, and constricted pupils. The fourth stage needs to be prevented as this indicates an overdose of the anesthetic and can result in death if not reversed.

While the surgery is taking place, the patient's vital signs will be monitored continuously. Upon recovery, it is normal to expect some side effects such as nausea, chills, dizziness, and discomfort in the throat from the breathing tube being inserted. After a few hours, these feelings should dissipate and the patient will be recovered fully. The advantages general anesthetics have to offer considerably outweigh the risks and side effects.




About the Author:



No comments:

Post a Comment