A general anesthesia operation a few days ago made me feel that everyone knew very little about general anesthesia.
There was nothing special about the patient that day, just a laparoscopic uterine fibroid surgery. Very nervous, as soon as she entered the operating room, she looked around, as if to find the device that could numb her at the first time.
Looked around and didn't find it. Of course, she couldn't understand that there were a lot of machines in the operating room.
With the help of nurses, she lay down on the operating table. At this point, her perspective is mainly on the roof of the operating room. Except for the two shadowless lights in the shed, there was nothing else. At this point, she searched up and down, left and right.
After connecting the various monitoring devices, I casually put the mask on her face. The buckle didn't tighten, and she quickly pulled out a hand and removed the mask. Say it out loud: I have something to say, wait a minute.
Apparently, she thought she was about to be anesthetized.
As I took the medicine, I comforted her: Don't be nervous, this mask is just for you to take oxygen.
Hearing this, she looked at me with disbelief and said: Really? I watch the TV series that there is medicine in it! Moreover, friends who have had surgery also say that there is medicine here.
I explained: There is no medicine in the mask, and now you are given oxygen. The purpose of oxygen inhalation is to increase your oxygen reserves in case there is a lack of oxygen. Of course, it can't be said that there is absolutely no medicine in the mask. When the child has surgery, we may add medicine inside the mask, and the child will take a few sips and pass. Adult anesthesia, decades ago there was medicine in the mask, and then there was no medicine.
Hearing this, she settled down a lot.
Suddenly, I asked: Then my friend said, why do you only remember the matter of the mask and the rest of the matter?
At this time, I have finished taking the medicine. Looking at the time, it's almost 3 minutes.
I reassured her: This is because, in order to eliminate the tension of the patient, we anesthesiologists will give the patient some calming drugs before anesthesia. These drugs, not only have a calming effect, but also have a strong amnesic effect, so they will not remember what happens later.
As I spoke, I injected sedatives from the drops in her arm.
A minute later, she became a bit of gibberish. After a few more words, there will be no more words.
After seeing her asleep, I clasped my mask in order to further improve the efficiency of oxygen inhalation.
Seeing that the blood oxygen level had been stable at 99%, I began injecting analgesics, intravenous anesthetics, and muscle relaxants.
After a few more minutes, her breathing was completely gone, and even her jaw was loose and crumbling.
At this point, what I know is that the time has come for intubation.
I picked up the tracheal catheter that had been prepared on the anesthesia machine and inserted the tracheal catheter with the help of the visible laryngoscope.
After a series of operations, inflating the sac, connecting the ventilator, auscultating the lungs, fixing the catheter... I told the surgeon that it was time to brush the stage.
Before the operation began, I was quickly given some more analgesic drugs. Although her consciousness may not feel pain, her body can feel it. In order to reduce the adverse stress caused by the pain to her body, we will also adjust the depth of anesthesia at any time according to the course of the operation.
Until here, I believe many friends have a general understanding of what a process general anesthesia is. As for whether it is "a mask and you don't know anything", the benevolent see the wise.
In addition, we are here to debunk the rumors: some people say that anesthesia is a matter of an injection. After reading this article, what do you think? Welcome to leave a message to communicate~
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