Author: Pan Gangbo
Many beauty seekers will understand the surgical items, methods, effects, recovery time and precautions, etc. in great detail before doing plastic surgery, and what anesthesia is done for what surgery is not too clear, so the author leads the beauty seekers to understand the relevant knowledge content of plastic anesthesia through the following five steps.
1. Anesthesia commonly used in plastic surgery
There are two most commonly used anesthesia methods for plastic surgery in plastic surgery hospitals or outpatient departments, one is local anesthesia, that is, the local anesthetic is injected in layers along the surgical incision line to block the nerve endings in the tissue. The beauty seeker is conscious, but the sensory nerve conduction function of a certain part of the body is temporarily blocked, and the motor nerve remains intact or is also blocked. This block should be completely reversible, no tissue damage, local anesthesia is generally operated by the surgeon himself, does not require an anesthesiologist, it is suitable for heavy eyelid surgery, eyebrow lifting, eye bag removal, etc.; the other is general anesthesia, general anesthesia is divided into two kinds, one is intravenous compound general anesthesia, the other is tracheal intubation venous compound general anesthesia.
Intravenous compound general anesthesia is also the sleep anesthesia or painless anesthesia that counselors often talk about with beauty seekers, which refers to the injection of general anesthesia into the vein, through the blood circulation to act on the central nervous system and produce general anesthesia, the patient's consciousness disappears, the body is painless but the spontaneous breathing is retained. It is suitable for some short-term, relatively simple surgeries, such as fat filling, laser lipolysis and so on.
Tracheal intubation venous compound general anesthesia refers to an anesthesia that enters the body through the method of venous anesthesia, produces general anesthesia, the patient's consciousness disappears, breathing disappears, and tracheal intubation is required to control breathing through anesthesia machine. It is suitable for plastic surgery with a long time and more complicated surgery, such as rhinoplasty, breast augmentation, liposuction, etc.;
Second, which medical and aesthetic institutions can carry out general anesthesia surgery
We usually say that to do plastic surgery, choose a formal medical aesthetic institution, especially to do general anesthesia surgery, which makes the beauty seeker how to judge and make a choice?
1. When the beauty seeker goes to a plastic surgery institution, first look at whether there is an anesthesia department on the medical institution's practice license;
2. See if there is a full-time anesthesiologist, because anesthesiologist is the guarantee of life;
Third, according to its technical difficulty, complexity and risk, anesthesia is divided into four levels
First-level anesthesia, low technical difficulty, simple surgical procedures, and low risks;
Secondary anesthesia, general technical difficulty, uncomplicated surgical procedures, and medium risk of various surgeries;
Three-level anesthesia, technical difficulty, complex surgical process, and various surgeries with greater risk;
Four-level anesthesia, technical difficulty, complex surgical process, high risk of various surgeries.
4. The authority of the anesthesiologist
Is it possible that as long as the anesthesiologist can do anesthesia? The answer is no, and the level of anesthesiologist is stipulated according to their health technical qualifications, technical positions employed and years of work in corresponding technical positions.
1. Under the guidance of a superior physician, a low-senior resident can preside over first-level surgical anesthesia;
2. Senior residents, on the basis of proficiency in primary surgery, can gradually carry out secondary surgical anesthesia under the clinical guidance of superior physicians;
3. Low-senior attending physician: can preside over the anesthesia of secondary surgery, and gradually carry out anesthesia of tertiary surgery under the clinical guidance of superior physicians;
4. Senior attending physician: can preside over the anesthesia of tertiary surgery, independently undertake anesthesia in acute and difficult surgical cases, and notify the superior physician and department director if necessary;
5. Deputy Director and Chief Physician: In addition to completing the four-level surgery and daily anesthesia work, deal with the anesthesia of high-risk and difficult patients, and carry out the promotion and implementation of new technologies.
When the beauty seeker understands these processes, determines the surgical program, chooses to do general anesthesia, what should he do and what details should he pay attention to?
1, first of all, to establish a correct concept, to summon up courage, do not worry too much and unnecessary conjecture, to correctly face the positive cooperation to maintain a good physical and mental state;
2. The anesthesiologist will ask about the medical history in detail, fully understand the physical condition of the beauty seeker, and assess the risk of anesthesia;
3. Strictly fasting water before surgery, keeping fasting for at least 6-8 hours;
4. Improve the preoperative related examinations, blood routine, clotting time, liver and kidney function, electrocardiogram, chest x-ray, ct imaging, color ultrasound and other necessary examinations;
5. Sign the informed consent form for anesthesia, which is the embodiment of the "informed consent right" of the beauty seeker. Due to individual differences and comorbidities, everyone's tolerance and response to anesthesia is different, accidents and complications may occur during anesthesia, and any anesthesia is accompanied by certain risks, as patients and family members, it is necessary and right to fully understand the risks of anesthesia.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~