How General Anesthetics Play An Important Role In Surgery

By Lila Barry


Patients are often given general anesthetics before undergoing surgery in order to prevent them from being conscious and feeling pain. These are special types of drugs which there is some debate about how they work exactly. Several theories exist which differ yet basically all suggest that these medications effectively block the central nervous system's receptor cells and prevent the pain sensation.

Two methods are used to deliver this type of anesthesia, inhalation and intravenous. Usually a combination of both methods is used. Anesthesiology is the branch of medicine which deals with the prevention of pain during surgery, and the doctor who provides this care to the patient is called an anesthetist. This professional is responsible for ensuring the safe delivery of the drug during the operation and reversing it to bring about consciousness afterwards.

Inhaled anesthetics are delivered using an anesthesia machine, which mixes gases or vaporized liquids with oxygen, air, and in some cases nitrous oxide and releases these through a breathing mask which goes over the patient's nose and mouth. This apparatus monitors the patient's response and also manages the levels being administered. The compounds most often used are Isoflurane, Desflurane, and Sevoflurane.

Injectable anesthetics are typically fast-working and work to both induce unconsciousness and maintain it during the procedure by means of an intravenous drip. In some cases benzodiazepines are given simultaneously as a sedative. The drugs most used for surgical IV's include Etomidate and Propofol.

The use of a general anesthetic is usually indicated when the procedure to be performed is one that is lengthy and more complicated. The patient will discuss the issue of the most suitable type of anesthesia with the anesthetist. Examples of surgeries almost always requiring a general include removal of gallbladder or appendix, hernia repair, and hysterectomy.

Before the patient is given the anesthetic, the anesthetist will normally ask him or her several questions to determine if there is an increased risk. Such risks are very rare, but anesthesia does come with its potential dangers. Patients with allergies, smoking and drinking habits, and obesity are more likely to be affected by these complications. Another reason for such incidents is patients not following instructions properly, such as eating before surgery which may result in vomiting and aspiration.

Anesthesia typically consists of four stages. First is unconsciousness. Next is the REM stage. The third stage is the most important and is when the actual operation will be performed, it is known as "surgical anesthesia" and is indicated by even breathing, muscular relaxation, and constricted pupils. The fourth stage needs to be prevented as this indicates an overdose of the anesthetic and can result in death if not reversed.

As the patient is undergoing surgery, his or her vital signs will need to be carefully monitored by medical personnel. It is normal for there to be some side effects immediately after the patient is revived such as dizziness, nausea, chills, and a sore throat from the breathing tube which was inserted. After a few hours these feelings will usually subside however. Overall, the benefits of general anesthetics are greater than the discomforts associated with it.




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