Archive for April 2019

The Risks and the Process of Anesthesia

This means that it is about 25 times lower than the risk of having a very serious car accident and it is comparable, from a probabilistic point of view, to the risk that you would take by taking a long journey by plane. Speaking in simplistic terms, you are much more likely to have a serious accident in your daily life that could cause you permanent death or disability, than during the anesthesia to which you should be subjected. He must know that in 1982 the risk of a serious accident during anesthesia was 1 / 10,000-20,000. This is where persons like Dr. Grewal know their trade well.

The Development of Complication

However the risk of developing complications in anesthesia also depends on his age, sex, his life habits (smoke , alcohol , drugs, etc.), his health and the presence or otherwise of heart diseases , of the lungs , of the liver , of the kidneys etc.

  • All these aspects will be carefully evaluated by your anesthesiologist in order to choose, with you, the most adequate and safest method and technique for your case and your health condition. If any of your family members had a problem in an anesthetic in the past, tell your anesthesiologist. There are some hereditary diseases that can occur during anesthesia. However, know that they are exceptional and very rare events.
  • The anesthetic visit is a stage of approach to the surgery of fundamental importance, during which the anesthesiologist will proceed to compile an in-depth anamnesis, evaluating for example:
  • This visit allows the anesthesiologist to properly calibrate the anesthesia, to guarantee the patient first of all the necessary safety and, secondly, to minimize the risk of discomfort and side effects.

What are the differences between the different types of anesthesia?

We can identify three main types of anesthesia:

Local anesthesia: the anesthetic drug is injected onto the skin in order to anesthetize a small surface, generally superficial; is a technique widely used especially in dermatology.

Regional anesthesia: The two most common loco-regional anesthesia approaches are the spinal and epidural , useful for anesthetizing large regions of the body, for example from the waist down. In many cases the patient remains awake and conscious, does not feel pain and there may be a reduced or absent sensitivity to the area to be operated.

General anesthesia: This is the most invasive approach, in which the patient is put to sleep; both drug and intravenous drugs can be used. During surgery, a breathing tube is usually inserted through the mouth to ensure respiratory function

We also remember the possibility of resorting to sedation only, which helps to prevent anxiety and pain; the patient may “doze” during surgery, but can easily be woken up if necessary.

Why do we prefer spinal and epidural to the total?

Heart and brain are not affected by regional anesthesia and the risk of serious complications is thus drastically reduced.

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