With the rapid development of clinical surgical technology, anesthesia technology is becoming more and more closely related to our health. However, for anesthesia, many people are afraid when they hear it, and their hearts are a little frightened.
With the popularization of gastrointestinal endoscopy, the number of people performing painless gastrointestinal endoscopy in outpatient clinics is increasing, and the number of painless endoscopes is as high as 100 cases per day, and the task of painless anesthesia in outpatient clinics is becoming increasingly heavy. But we always have to remember that there are only minor surgeries, no small anesthesia. In a risky outpatient clinic, no matter how busy it is, it is necessary to be patient and carefully evaluate the patient.
The anesthesiology clinic of our hospital, equipped with senior anesthesiologists, can screen out patients with special problems before painless gastrointestinal endoscopy, prevent unnecessary waste of medical resources and patient waiting time, and increase perioperative safety and comfort. For patients, not only airway evaluation, cardiopulmonary evaluation, but also intensive evaluation of the history of digestive tract diseases unique to painless endoscopy!
The following are a few points on the preoperative evaluation of patients with painless gastrointestinal endoscopy to relieve patients' doubts and ensure the safety and comfort of perioperative patients.
First, whether to eat and water today, and the specific time of eating and water;
Second, whether there is a history of chest tightness, chest pain symptoms and other heart diseases;
Third, whether there are respiratory problems such as cough, sputum production, fever, etc.;
Fourth, whether there is a history of surgery, long-term drug use, and drug allergy;
Fifth, whether there are diabetes, hypertension and other diseases;
Sixth, whether there is asthma, bronchitis and other pulmonary complications in the near future;
Seventh, whether there are special diseases such as mental illness, cardiovascular and cerebrovascular diseases;
Eighth, whether it is in a special period, such as menstruation, pregnancy, lactation, radiotherapy and chemotherapy;
Answers to the above questions can help anesthesiologists understand the patient's condition. This is related to the evaluation of anesthesia before anesthesia and is for the safety of the patient. Please inform your anesthesiologist about these aspects of your information, which is important for the safety of painless gastrointestinal endoscopy.
After a painless gastroscopy, there are still a few things you need to pay attention to. In general, patients who have done painless gastroscopy can eat and water only half an hour after they are awake. Without significant dizziness, you can leave the hospital only if you are accompanied by your family. Also, on the day of the gastroscope, you cannot drive or do dangerous work, such as working at height. If a polyp is found at the same time as painless gastroscopy, and the polyp is removed, the patient is asked to fast on the same day, and then change to liquid or semi-liquid the next day, and can resume normal diet after a week. If patients with painless gastroscopy have obvious discomfort after completion, they should come to the hospital in time.
Author: Zhang Ziyin, The First Affiliated Hospital of Guangzhou University of Chinese Medicine
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