Why did the president bring an anesthesiologist abroad? You don't know about anesthesia "cold" knowledge

There was a foreign president who went abroad with only two medical personnel, an anesthesiologist and an anesthesiologist. Why? Because the president has always been in good health, "business trips" will only prevent temporary respiratory arrest or personal injury caused by some emergency accidents, and this kind of moment must ensure that the respiratory tract is unobstructed, breathing is sufficient, the heart beats normally, and the blood pressure is normal, as anesthesiologists with certain surgical capabilities, and have sedation, analgesia, and can stabilize the patient's vital signs, it is very necessary.

In recent years, the development of anesthesia disciplines in mainland China has changed with each passing day, and it has progressed from the "green-skinned train" with the headband to the "moving car". Because each carriage of the train has power, as the hub and metronome in the hospital, the anesthesia discipline plays an important role in many aspects of the hospital, and has also become a propeller to promote the rapid recovery of patients after surgery.

Origin of anesthesia

Professor Li Tianzuo, Secretary of the Party Committee and Director of the Anesthesiology Center of Beijing Shijitan Hospital affiliated to Capital Medical University: More than 100 years ago (1846), since the advent of ether, human beings have really begun to treat diseases with surgical treatment. Before this there was no anesthesia, surgery is simply unimaginable, no matter what kind of methods were used before, but at best it is analgesic, not called anesthesia, only after the advent of ether, anesthesia to a new era, it is precisely because of anesthesia, surgery began as an important means of treatment. Modern anesthesia is not just about relieving pain, but about protecting the lives of patients.

With general anesthesia, I finally dare to do a painless gastrointestinal endoscopy!

Professor Wang Tianlong, director of the Department of Anesthesiology of Xuanwu Hospital of Capital Medical University: Comfort Medical proposed from the anesthesia discipline 10 years ago that it is necessary to build the anesthesia discipline into a comfortable medical hub discipline, and put forward the development vision of five university disciplines. Comfort medical treatment I summarized, mainly reflected in two aspects: one is reflected in the operating room of comfort medical treatment, the people used to do gastrointestinal endoscopy are painful, now painless gastrointestinal endoscopy almost every year to 10% -15% of the number of increases, will continue to climb. On the other hand, in perioperative medicine, accelerating postoperative rehabilitation is our concentrated performance in comfort medicine after years of active research and clinical practice. In the past, patients had to be sent to the ICU after entering the operation, or they had to be hungry for a few days or thirsty for a few days after the operation, which was very uncomfortable. Now with the advent of accelerated postoperative recovery, what it was like before entering the operating room, what it was like to leave the operating room, as if it had not been operated on. In fact, behind this scene, it is the anesthesia discipline that we medical staff have achieved such a good effect through continuous practice and development, and applying many measures of comfort to it.

Surgeons treat diseases, anesthesiologists save lives

Professor Feng Yi, director of the Department of Anesthesiology and Pain Medicine of Peking University People's Hospital: There was once a legend of a mortality rate of 300%, because there was no anesthesia operation that had to be done quickly, and the flying knife cut the assistant's death with sepsis, the patient died of excessive blood loss, and finally the people watching the battle next to him were also scared to death. Although this is only a legend, it shows how dangerous and "brutal" surgery is when there is no anesthesia. With the continuous advancement of anesthesia technology and surgical technology, perioperative deaths have been reduced to a few thousandths or even tens of thousands, and many surgical forbidden areas and surgical contraindications have been carried out smoothly due to the escort of anesthesia. For a simple example, everyone knows organ transplantation, there are several important organs, heart, lungs, liver, etc., in the transplant process foci organs to be taken away, while new organs to be transplanted, in this process the patient will have half an hour or even a few hours of organ-free function, there is no heart, lungs, liver, when this life is maintained? In fact, medicine can indeed ensure the safety of patients' lives in this time through drugs and auxiliary instruments, and a large part of the work is done by anesthesiologists, which is the meaning of life preservation.

What the? The surgery was actually done? I obviously just slept!

Professor Liu Kexuan, director of the Anesthesia Surgery Center of Southern Hospital of Southern Medical University: Anesthesia is simply to achieve the purpose of painless and safe surgery of patients through drugs and other methods, and when we achieve this goal, we must provide patients with sedation, analgesia and muscle relaxation, which is the three elements of anesthesia that we often say. Sedation refers to the use of drugs to make the patient's consciousness relax and enter a state of sleep, and even loss of consciousness, through these methods so that the patient does not experience the scene of surgery; analgesia, the surgeon to the corresponding surgical site, such as lesions for excision, cutting, which will cause pain, causing stress response. Strong pain, strong stress response will lead to some nerve reflexes, will lead to the release of some harmful substances, damage to the patient's body, then the use of analgesic drugs to inhibit the occurrence of these stresses. Muscle relaxation, also known as muscle relaxation, is designed to provide surgeons with good surgical conditions and field of vision.

Can I trust myself to an anesthesiologist?

Professor Chen Xiangdong, Director of the Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology: Every anesthesiologist has done a lot of work in his career. First, it is necessary to undergo a long period of professional learning and standardized training in order to become an independent anesthesiologist; second, to accept a strict safety quality control management system, which ensures the accuracy and seriousness of the work of anesthesiologists, and greatly reduces the risk of anesthesia; third, strengthen case discussion and learning and cross-disciplinary exchange learning, actively participate in continuing education, training and academic lectures, so that uninterrupted continuing education and learning ensure the high quality and high level of anesthesiologists. Fourth, with the rapid development of anesthesia disciplines, narcotic drugs and narcotic equipment continue to change and progress, as an anesthesiologist in addition to being familiar with the drugs and equipment used, in addition to being familiar with the drugs and equipment used, you should also increase investment in the field of clinical research to promote the continuous progress of anesthesia disciplines.

Why is anesthesia linked to efficiency?

Professor Zhang Liangcheng, director of the Department of Anesthesia Surgery of Union Hospital Affiliated to Fujian Medical University: The state continues to emphasize the improvement of medical quality in the process of medical reform, and will assess the proportion of minimally invasive surgery, fourth-level surgery and day surgery in the hospital. Day surgery can reduce medical costs, reduce hospital stays, and better facilitate recovery. The role of anesthesiologists in this, in addition to using the most appropriate drugs to reduce drug-related complications, there are also anesthesia-related operational techniques, as well as reducing postoperative related complications, which can greatly reduce the cost of medical insurance, economic consumption, patient psychology, and medical resources. The concept of endoscopic surgery is minimally invasive, muscle relaxation can provide a better surgical environment and field of vision, after surgery through muscle relaxant antagonists to reverse muscle relaxation, so that respiratory and motor functions can be quickly restored, so that patients can better return to the physiological state before anesthesia surgery. Four-level surgery, characterized by the greater complexity of the operation, the greater the damage and interference to the patient, the more complex the operation, the greater the support that needs to be provided, and the relevant knowledge and technical support that the anesthesiologist needs to provide are greater. Therefore, the assessment indicators of each hospital by the relevant management departments require anesthesiologists to participate in more work, and they need higher quality anesthesia work to provide support and support in this regard.