"Wake you up, let you sleep"
Maybe this is the basic impression that the anesthesiologist gives everyone,
However, the connotation of anesthesia actually has:
town! pain!
A lot of people are afraid of pain, and then they don't want people to know
(Yes, it is in the next ~)
Ruan Xiangcai, chief physician of the Pain Department of the Clinical Anesthesia Center of our hospital, reminded, don't be shy! Fear of pain everyone has, only brave to speak of pain, positive face of pain, in order to allow doctors to judge the condition more accurately, better for patients to relieve pain.
"China Anesthesia Week" is the Anesthesiologist Branch of the Chinese Medical Doctor Association (CAA) and the Anesthesiology Branch of the Chinese Medical Association (CSA) is scheduled to be the "China Anesthesia Week" in the last week of March every year to enhance public awareness of anesthesiology-related knowledge, ensure perioperative safety, improve patient diagnosis and treatment and perioperative comfort, and accelerate postoperative rehabilitation.
28 March to 3 April 2022
The fifth Chinese Anesthesia Week was ushered in
This year's theme is
Reverence for life, attention to anesthesia
- Without me, the operation was once painful;
With me, safety and painlessness can be guaranteed!
What are the pains?
In modern clinics, pain is diverse. Acute pain occurs when inflammation and injury occur in the body, and after large surgeries with a higher risk of nerve damage, moderate to severe chronic pain is more likely to occur.
"Advocate patients to bravely say 'pain', only by saying it and letting the doctor understand, can there be a way to solve it." Chinese culture advocates being strong, and the public's awareness of painful diseases is extremely low, resulting in delays in treatment and treatment. Ruan Xiangcai said that intentionally ignoring pain is not conducive to recovery, severe pain after surgery may cause complications, not only prolong the length of hospital stay, but also increase medical costs, while chronic pain will delay recovery, resulting in depression, anxiety, insomnia, etc.
"Not everyone is Second Master Guan, and they can scrape their bones and heal their wounds," Ruan Xiangcai said.
Minimally invasive + multimodal analgesia, efficient relief of acute pain
Acute pain mostly occurs during surgery, and the combination of minimally invasive surgery and anesthesia can be well intervened to reduce pain and even achieve painlessness.
The fundamental reason why the current minimally invasive surgery reduces pain is to reduce surgical trauma and reduce wounds, which does not mean non-invasive. But compared to traditional surgery, it has been greatly improved.
Traditional surgery has a large area of damaged tissue, resulting in an enhanced nociceptive stimulus response, heart, lung, and neuroendocrine dysfunction, which causes emotional disturbances such as anxiety, insomnia, and fear, which in turn increases the degree of pain.
"Minimally invasive to reduce surgical wounds, anesthesia can allow patients to spend the operation with peace of mind" Ruan Xiangcai added that the combination of minimally invasive + painless methods have been popularized, for example, in the process of assisted reproduction, many female friends are afraid of the pain generated in the infertility treatment surgery, excessive tension and sensitivity, which is not conducive to the effective treatment. In fact, simple intravenous anesthesia can achieve painless egg retrieval and hysteroscopy, and it is easy to enter the pregnancy stage.
He pointed out that as far as our hospital is concerned, the minimally invasive laparoscopic technology has been very mature, and gastrointestinal surgery has a lot of clinical experience in anatomical plane, approach and mesangial development and development, which helps the majority of patients to reduce surgical trauma and corresponding pain.
Driven by the concept of accelerated rehabilitation surgery, the postoperative pain management of our hospital is undergoing continuous development and change, and has begun to implement multi-mode analgesia and preventive analgesia, actively reduce the application of opioids, promote early postoperative discommunication activities of patients, and resume drinking and eating as soon as possible.
According to the anesthesiology medical center, chen Dongting, the attending physician of the Pain Department, multi-mode analgesia refers to the joint application of different analgesic techniques or different mechanisms of action of analgesics, acting on different targets of pain transmission pathways, exerting the additive or synergistic effect of analgesia, and due to the reduction of the dose of each drug, adverse reactions are correspondingly reduced, thereby accelerating the rapid recovery of patients.
If the appropriate use of nonsteroidal anti-inflammatory analgesic drugs and the promotion and application of nerve blocks, they are conducive to the realization of multimodal analgesia, which can enhance the analgesic effect while reducing the dosage of opioids, thereby reducing adverse analgesic reactions and improving the postoperative experience of patients.
Multidisciplinary joint diagnosis and treatment to overcome chronic pain
If you have friends, you will have doubts
So how does chronic pain occur?
"Chronic pain is often not sudden, and if postoperative acute pain is not effectively controlled at the onset of surgery, it may be delayed into chronic pain."
So which patients are susceptible to chronic pain?
According to relevant data, patients aged 30-45 years old, overweight, and preoperative smoking history are prone to acute pain, and are more likely to have postoperative chronic pain, of which women are more sensitive and are also a frequent group.
In addition, severe preoperative pain, catastrophic pain cognition, and anxiety and depression are all associated with postoperative acute and chronic pain.
Ruan Xiangcai said that chronic pain requires multidisciplinary teamwork such as anesthesia, pain, rehabilitation and psychosocial psychology, through the integration of the superior resources of various departments, refine pain, formulate better treatment plans, and promote the precision and standardized management of postoperative chronic pain, thereby improving the prognosis of surgery.
Our hospital also actively provides psychological counseling before surgery, relieves patients' nervousness and anxiety, encourages patients to quit smoking, reduces opioids, guides the public to establish a scientific analgesic concept, and benefits more surgical patients, in order to further reduce the occurrence of postoperative acute and chronic pain.
This article guides the experts
Department of Pain Ruan Xiangcai Chief Physician
Director of the Department of Pain, Deputy Director of the Department of Clinical Anesthesiology, Director of the Department of Clinical Anesthesiology ( concurrently ) , Deputy Director of the Surgical Anesthesia Center ( concurrently )
Director of the Department of Pain, Chief Physician, Guangdong Provincial Medical Young Outstanding Talents, Guangzhou Medical Key Talents, Doctor of Medicine, graduated from Sun Yat-sen University, has gone to the University of Pittsburgh Medical Center in the United States and rothenburg Regional Hospital in Germany to study, engaged in clinical research related to pain medicine, presided over three, participated in five National Natural Science Foundations, and published more than 40 academic papers.
Medical expertise: Specialized in the diagnosis of chronic pain diseases, as well as minimally invasive interventional surgeries such as morphine pumps, trigeminal nerve balloon compression, and radiofrequency.
Academic appointments: Chairman of Guangzhou Pain Medicine Branch, Vice Chairman of Guangdong Neuroscience Society, Vice Chairman of Guangdong Pain Medicine Branch, Pain Physician Branch and Pain Management Committee of Hospital Association.
Visits: Monday and Wednesday mornings
Thank you to Dr. Dongting Chen of the Department of Anesthesiology for their support of this article
Editor-in-Charge: Zhang Yuanquan
Preliminary: Daisy.com
Review: Jian Wenyang
Approval release: Zhu Changping