Anesthetic Doses During Surgery?
Good evening Doctor. I want to ask about the surgical procedure regarding anesthesia alias anesthesia during surgery. For example, the anesthesia chosen by the patient is a local anesthetic (Consciousness, you only anesthetize the part that will be carried out, namely a laparoscopic removal of a cyst, an injection in the spine). The estimated operation is 90 minutes. Will the anesthesia dose be added by the doctor? Then he added to inject the spine again? Or not doctor? The second question, then the doctor in this local anesthetic, is it possible in the middle of the operation that the patient experiences something like shortness of breath, unexpectedly? As a result of this incident, is it possible for doctors to increase the level of anesthesia by replacing with other types? For example regional or general maybe.
Good evening, thanks for asking at HealthReplies.com. Regarding your question, actually in general that is the reason why there must always be anesthetist or anesthetist in every operation in the operating room / operating room.
In a major operation, the operation is certainly not done alone by the doctor, but by the team. The team consists of at least the doctor who operates it himself or the operator, the assistant operator, the nurse, and the anesthesiologist. The role of the anesthesiologist in this team is to ensure that the patient is completely unconscious (if the anesthesia is total) or completely painless (if the anesthetic is local). Not only that, anesthetists also play a role in ensuring patients can safely undergo surgery, and safely return to the recovery room. So the doctor doesn't just come, anesthetize, then leave. He will be in the room until the operation is complete.
So regarding your question, if indeed during the operation the patient shows gestures that he feels pain (which is shown by the monitor if the patient is unconscious), the anesthesiologist will increase the dose of the anesthetic. He will add to the spine again if it was previously there and if possible, or adapted to the situation. If it's still not strong enough, it can be used as general anesthesia. Even if the patient is shocked, that is the responsibility of the anesthesiologist there. For shortness of breath, these risks can arise and are not limited to anesthesia. The operating procedure itself can also cause such symptoms. And again, it's a teamwork effort to ensure that doesn't happen. Even if that happens, it is also the team's work to save the patient on the operating table. So, hopefully answering your question.