After more than 100 years of development, anesthesia is no longer as simple as "giving an injection" before surgery.
In addition to helping patients eliminate fear and relieve pain, anesthesia can also reduce surgical complications, reduce mortality, help patients recover quickly, and can also bring new hope for the treatment of chronic pain and intractable insomnia.
Under the new situation of the integration and development of disciplines, the radiation, joint and sharing capabilities of anesthesiology have become more and more prominent, and have become a pivotal discipline and a key discipline.
As an anesthesiologist who has been engaged in anesthesia for more than 30 years, in recent years, Liu Kexuan, dean of the School of Anesthesiology of Southern Medical University, director of the Anesthesiology Surgery Center of Nanfang Hospital, and discipline leader, has been working hard to make the "behind-the-scenes heroes" in the operating room gradually come to the "front of the stage", so that the future of anesthesiology can be seen by more people.
Doctor:
During the operation, the patient will be escorted throughout the whole process
Anesthesiologists are rarely mentioned compared to clinicians, but they play an important role in the surgical process and are the "behind-the-scenes heroes" in the operating room.
Liu likens surgery to a flight. "There are some bumps in the flight, but the biggest danger is landing. Anesthesiologists should not only let the patient 'take off' safely, but also let the patient 'fly' smoothly, and let the patient 'land' safely, escorting the surgical patient throughout the process. ”
During a cervical spine operation, the patient suddenly had a high fever, and the body temperature rose to more than 42 °C for a short time, and was diagnosed as malignant hyperthermia, and the mortality rate of patients with this disease was as high as 70%.
In the face of an emergency, Liu Kexuan relied on his professional judgment and urgently stopped the operation. Subsequently, through physical cooling, drug treatment and regulation of life functions, the patient can turn the crisis into safety.
"I was relieved when the patient was out of danger. Liu Kexuan said that it is the basic duty of anesthesiologists to ensure the safety of patients during surgery. They monitor patients' vital signs in real time by establishing a variety of vital monitoring, including respiration, circulation (blood pressure), coagulation, homeostasis, and neurological function, so as to quickly judge and deal with abnormal changes.
In 2016, Liu Kexuan took over as the director of the Anesthesiology and Surgery Center of Nanfang Hospital, and made the center develop into one of the most complete anesthesiology disciplines in China.
In the eyes of his team colleagues, Liu Kexuan is very strict. Every day at 7 o'clock, after participating in the morning shift, he will definitely wear a surgical gown into the operating room to have a look, even if he finds a small mistake, he has to wait for the correction before leaving.
"Anesthesiologists are always facing the safety of patients' lives, and no matter how rigorous and demanding, it is not too much. "Liu Kexuan has always treated everyone and everything in clinical practice with the rigor of a scientific research worker.
Today, the Anesthesia Surgery Center of Nanfang Hospital has developed into a comprehensive discipline integrating clinical anesthesia, post-anesthesia intensive care and treatment, comfortable medical treatment, pain diagnosis and treatment, nursing, and undergraduate teaching and scientific research of anesthesiology, with an annual anesthesia capacity of more than 100,000. In the latest ranking of Chinese hospitals, the center ranks eighth and first in South China.
The team also undertakes a number of national and provincial key projects, including the National Key R&D Program, the National Natural Science Foundation of China, the Guangdong Provincial Key R&D Program, and the Guangdong Provincial Key Laboratory.
Mentors:
Let more anesthesiologists come to the "front of the stage"
With the development of anesthesiology, the scope of clinical services in anesthesiology has broadened from the operating room to the operating room:
► Pain diagnosis and treatment into outpatient clinics and wards to provide treatment for patients with acute and chronic pain such as cervical spondylosis, low back and leg pain;
► Patients' demand for comfortable medical care, so that anesthesia from surgery to internal medicine, obstetrics and gynecology and other departments involved in invasive diagnosis and treatment;
► Anesthesiology derived from the Department of Anesthesiology, specializing in the application of anesthetic drugs, anesthesia methods, and anesthesia techniques to treat diseases.
The anesthesiologist's rescue skills in the operating room are also helping them become experts in emergency resuscitation. The "behind-the-scenes heroes" next to these monitors are gradually moving towards the "front of the stage".
However, the expansion of medical services has led to a chronic shortage of anesthesiologists.
In order to cultivate more outstanding medical talents in the field of anesthesia, Southern Medical University began to recruit undergraduate students majoring in anesthesiology in 2017. In 2019, the School of Anesthesiology of Southern Medical University was officially established, with Liu Kexuan as the first dean.
The School of Anesthesiology gathers the strength of anesthesiology experts from many affiliated hospitals of the university, adopts small class teaching, and implements a "one-to-one" tutor system, and implements the "double early" model, that is, early clinical practice and early scientific research training. The Anesthesiology Center of Nanfang Hospital is the main undertaking unit of the School of Anesthesiology.
"Our graduate school rate is 62.5 per cent, and the employment rate is 100 per cent. The college has also become one of the largest and most advanced undergraduate teaching bases of anesthesiology in China. Liu Kexuan said that although the college has been running for a short time, the results achieved are gratifying.
Not only that, since 2016, the Anesthesiology and Surgery Center of Nanfang Hospital has spared no effort to hold national training courses for anesthesiologists directors and scientific research training courses, so that more anesthesiologists can benefit. At the same time, the center also actively carries out extensive exchanges with domestic and foreign counterparts to jointly promote the development of anesthesiology.
In the past eight years, the Department of Anesthesiology of Nanfang Hospital has continuously overcome difficulties and has become one of the most rapidly developing disciplines in the hospital and even in China. "We have crossed one peak after another, and the future of anesthesiology is worth seeing. Liu Kexuan said with confidence.
Edit | Ren Junfei is in charge of the editor| Zhang Xiuli
Source | Nanfang Hospital, Southern Medical University
Produced by the Guangdong Health Online all-media team