Many people refuse to lie down on the operating table because of fear of anesthesia. Are these fears justified?
Despite the fact that today the majority of people consider themselves very "advanced" in matters of medicine, the word "anesthesia" for them often have sharply negative connotation. Even those who, in principle, is not afraid of surgery, anesthesia is usually fear. And how: because according to popular myth philistine general anesthesia supposedly can not fully awake, or have a chance to suddenly wake up directly during surgery. And many fear that by sleep medication can not wake up at all. Also still alive opinion that "anesthesia takes away a few years of life." It hardly needs to take seriously all the various rumors and prejudices that have no relation to contemporary reality. Moreover, it is necessary to emphasize - that to date, because some basis for these fears are still there. But, fortunately, it is associated with a rather distant history.
By trial and error
Although general anesthesia (anesthesia) has been used in medicine since the middle of the XIX century, for decades this area was purely practical, that is based on the method of trial and error. Anesthesiology as a science began to develop only in the middle of the XX century. Even some fifty years ago, in the Soviet Union, professional anesthetists not trained. Carrying anesthesia in those days most trusted surgeon - usually the losers of which were of little use in the operating room. But if the person was unable to learn to handle a scalpel, it was hard to expect from him an ideal work and in other areas of medicine. So it's really different complications during anesthesia (including death) in those days were common. And the quality applied in the distant past of drugs for general anesthesia and equipment left, right to say much to be desired.
No absolute contraindications
Now, when the professionally trained experts, as well as high-tech equipment and modern drugs, anesthesia really become one of the most secure things in our lives. For those who are best to convince the figures can give an example: in relatively healthy people (it is clear that 100% but a healthy person usually does not need surgery), the probability of severe complications from the use of anesthesia - one case per 200,000 operations. That is, the risk of dying on the way to the hospital (for example, had an accident or received on the head with bricks or icicle from the roof) is 25 times higher than the risk of dying as a result of general anesthesia.
Some patients may experience such unpleasant consequences of anesthesia, such as nausea, dizziness, temporary memory loss, sore throat, hoarseness, and so on. N. But these feelings usually pass quickly and do not cause harm to the body. And with the competent anesthetist and an individual approach to the patient such things do not happen.
It lacked a basis in reality, and the point of view that is particularly harmful to the health of some anesthesia, transferred over a short period of time. For example, it is known that patients with severe burns often receive general anesthesia and long (because they need regular dressings, and skin grafting and plastic), and while there are no reliable statistical evidence that anesthesia causes them serious complications.
Perhaps someone confused about the word "relatively healthy patients." It is clear that among those who routinely gets on the operating table, young and perfectly healthy people are not as often. Concomitant diseases - hypertension, angina, asthma, and so on. N. - Could complicate the work of the anesthesiologist. But this including consists professionalism anesthesiologist. After all, this person must receive before the operation is not a formal piece of paper from a neurologist, cardiologist or physician with the words "shown anesthesia" or "counter-anesthesia", and objective information about the state of human health.
Absolute contraindications to the use of anesthesia does not exist, but in some related diseases is still some degree of risk, which can and should be minimized. If the anesthesiologist considers that at the moment the patient's health is not optimal for the anesthesia, he will direct the patient to a specialist to rectify the situation (for example, to stabilize his blood pressure).
Not everyone in the teeth
In recent years it became fashionable to treat teeth under general anesthesia. View a huge number of large and small health centers that actively advertise this treatment, however, they are often unprepared for the safe conduct of anesthesia. Meanwhile dentistry - the only area where general anesthesia may often be associated with significant risk. Even in the United States and Europe, where the level of medicine is much higher than in Russia, doctors try to avoid anesthesia during dental procedures. The fact that in this case, the anesthesiologist does not have access to the respiratory tract, are unable to control their protective reflexes can not always prevent the leaking fluid (blood, pus) in the trachea, - and similar situations dangerous to life.
Unfortunately, in our country, willingness to pay is often the main indication - so to speak, 'every whim for your money. " Dental treatment under general anesthesia - just the case when no compelling reason to act up is not worth the price can be prohibitive. And if there is a real need for this, it is necessary to apply to the specialized centers, which have an operating unit with the necessary equipment, it is possible to provide emergency assistance in case of emergency put the patient in intensive care, or at least to the House postanesthetic observation.
In all other cases of contraindications to general anesthesia is not. On the contrary - some medical procedures and examinations much easier and safer to do under general anesthesia. For example, colonoscopy (bowel study) throughout the civilized world is a necessary procedure in the clinical examination in people over 50 years and it is mandatory performed under anesthesia. And not only that without anesthesia it can be painful and psychologically uncomfortable. And also the fact that if the patient has a heart condition or high blood pressure, you endure pain for it rather dangerous, and it can often lead to complications than competently anesthesia.
Of course, the risk of side effects from the use of anesthesia, the smaller the higher the qualification of anesthesiologist. And the output is the same: to prepare for surgery or examination under general anesthesia, it is necessary to as closely as possible to choose the medical establishment does not apply where "cheaper and closer to home," and to those professionals who are credible. It is best not to rely on the hype, and objective information on the experience of relatives and friends. It is not worth striving to ensure that your anesthesiologist has been a candidate or doctor of sciences, more importantly, that he was a great experience, extensive practice.
SourceIndustry News
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