Clipping of news on Brazilian Culture, Law and Citizenship
30/03/2016
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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The anesthesiologist, Dr. Jose Abelardo Meneses, clarifies the matter.
The first demonstration of a successful inhalation anesthesia occurred on October 16, 1846, at Massachusetts General Hospital, when William Thomas Green Morton anaesthetized Robert Abbott for resection of a cervical tumor the surgeon John Collins Warren care. This made ran the world and is considered one of the most important nineteenth century, the era of inventions and discoveries.
From then, over these nearly 170 years, there anesthetic techniques and agents that have diversified the possibility of application of anesthesia as the patient's clinical condition and the surgical approach. Thus, it is possible to the doctor, a specialist in anesthesiology, perform intravenous anesthesia, inhalation and a combination of both with or without intubation of the trachea and application of artificial ventilation; or locoregional anesthesia, those that block pain only at the site of surgery, spinal anesthesia, the rachis and epidural and peripheral nerve blocks.
Despite scientific and technological advances, there is still a reasonable expectation as to the result of the application of anesthesia, although its practice is considered safe, given the progress made in the late twentieth century, the agents or drugs, venous, locations, and inhalation equipment for the application of anesthesia and especially the tools available to control anesthetic and its monitoring.
are added to this, advances in scientific knowledge in conducting complex procedures in patients at extremes of age, with complex and high-risk conditions and understanding of pathophysiological changes involving these approaches. These technical and scientific nuances give the anesthesiologist depth knowledge and security to conduct clinical cases of extreme complexity and the ability to control complications such as allergy and even anaphylaxis, which can be treated properly despite fears of the population.
Thus, it is not difficult to understand that advances in different surgical areas were only possible thanks to technological advancement and human knowledge in anesthesia, which came to provide extraordinary gains for humanity. examples can be cited, such as cardiac surgery with cardiopulmonary bypass the brain surgery, intrauterine fetal surgery, labor analgesia, the laparoscopic surgery, robotic surgery, among many others. Must remember that, currently, several diagnostic investigation procedures are performed under anesthesia or under sedation performed by anesthesiologists, like the endoscopies, examinations of magnetic resonance imaging and computed tomography, some biopsies etc., when there is a medical indication or request patient. Importantly, "deep sedation can only be performed by qualified physicians and environments that provide safe conditions for its realization, getting the patient care the doctor's office that is not performing the procedure that requires sedation," as provided in Resolution CFM 1.670 / 03.
For the anesthetic-surgical procedure is successful, you must follow certain assumptions. First, the professional is prepared to meet the needs of the surgical procedure and its variants; second that the environment is properly equipped for what is proposed; third party that the patient pre-anesthetic evaluation and medical exchange the necessary information to the seamless integration involving previous history, its comorbidities, medications prescribed by doctors or not (self-medication is still very common, especially for weight reduction, herbal medicines etc.) , use of licit or illicit drugs (this is a critical point that deserves special attention because of the social stigma), allergies, complications in previous procedures and the patient is clear about the importance of following the guidelines for the pre- and postoperative (medications that may not have stopped its use, those who necessarily need to be suspended, such as preoperative fasting and abstaining from alcohol and other drugs, are some examples).
"... The specialist in anesthesiology is not only the professional applying anesthesia, but became the professional perioperative medicine and some expand its activity in areas of expertise in controlling chronic pain, acupuncture and intensive care."
Currently, the specialist in anesthesiology is not only the professional applying anesthesia, but became the professional perioperative medicine and some expand its activity in areas of expertise in controlling chronic pain, acupuncture and intensive care. Thus, the specialist in anesthesiology has been actively involved in the whole process that involves the surgical patient. In addition to suppressing pain, taking consciousness and of holding the patient during surgery, anesthesiologists attending the patient taking care of the harmony of the functioning of its organs and systems, avoiding consequently damage to your health. Therefore, blood pressure, heart rate, level of consciousness, breath control, urinary system, blood glucose, the basic acid balance and replacement of lost fluids and blood are under the direct responsibility of the anesthesiologist.
Despite fears of some people to undergo anesthesia, there is no formal contraindication to its application for surgical and diagnostic procedures. Only to be taken special care before special situations. It is essential to establish a trust relationship between the anesthesiologist and the patient, so that the information exchanged between them are the most faithful and the guidelines of the professional are met. At the time of pre-anesthetic consultation, obtaining informed consent is established norm and should be followed whenever there performing elective procedures, those that are programmed in advance. For cases not programmed, the so-called emergency and / or emergency, this contact must be maintained, even without the rigors and the liturgy of the pre-anesthetic consultation, in order to obtain the necessary information for the satisfactory end result. A sentence could be as guidance, know your anesthesiologist, he is the guardian of his health.
Source: iSaúde Bahia
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This article was translated by an automatic translation system, and was therefore not reviewed by people.