Chronicles of a Student-Doctor #3

CHAPTER 3: ANESTHESIOLOGY POSTING.

Welcome to the Anesthesiology Unit.
In my view, this unit is where the substantive fun in the medical field lies. It’s person of the aspects of Medicine that strictly leaves non-medical personnel mesmerized (Pun intended).

Yes, the Anesthesiology team is in charge of quite the beeping machines you see in the Operating Theatre and the Recovery room.

(Photo-credit: WEB)
Anesthesiologists are awesome. They give special effects to the drama that takes put in the operating room. I lo them as the behind-the-sight characters that make surgical “productions” a fact.

I can understand if you’ve in no degree heard of them before. Anesthesiologists aren’t the greatest in quantity popular among Doctors. I became conscious of that field of medicine surrounding 4 years ago, when my mom had to bear a major surgery. I was in the unoccupied place with her when a doctor came in and introduced himself taken in the character of her Anesthesiologist. He explained what he was going to do during the procedure and so forth, and I casually took in the information. I obtained more knowledge about the kind of the Anesthesiologists really do on starting my clinical rotations.

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Whereas the Surgeons are admired ~ the sake of their courage and skillfulness in handling the pair the scalpel and knife, the Anesthesiologists are in fact the ones technically in charge of the imperceivable patient lying on the operating food. Hence, I think they deserve in addition credit as well. 
I had a illustrious time in that posting. I proverb and learnt a lot too. I had the chance; fit to observe a wide range of lots of procedures athwart several specialities. My Preceptor, Dr. Mandel was a trim, elderly gentleman who preferred the else traditional approach to Medicine. He at intervals painted scenarios of what to do in a place where standard therapeutic facilities are not available. A proper grasp of Physiology and Pharmacology was required from we his students.  There were brace other doctors and two Nurse-Anesthetists up~ the body the team as well. 

ANESTHESIOLOGY DAY 1: Selfie…
I especially liked the pliancy of our schedule (morning or afternoon shifts attached alternate days, or as specified); subsequently to we had to stay in the Operating Theatre aggregate day.

Let me briefly show you to what extent we roll on a typical twenty-four hours.
It’s the day of your surgery, by preference an Elective Procedure (maybe an Epigastric Hernia repair, nonentity really serious) and you would necessity a General Anesthesia. 
You’ve been wheeled through the doors of the operating stage and you are lying on the operating condensed statement. We now await the scrub nurses and their assistants to the degree that they setup for the procedure. The Surgeon and his Assistant are smart to scrub in as well.

The capital thing we do as the Anesthesiology team is to chat with you. We want you to experience as comfortable as possible and frequent to any concerns you have relating to your procedure.

***

“Ms. K, by what mode do you feel today?”

“It’s okay to perceive a bit nervous but we would like you to try and unbend.”

“Hope you haven’t had anything to ingest or drink since night?”

“Good.”

***

As we talk freely with you, we go through your therapeutic chart. We want to ensure that you esteem no comorbidites (especially Hypertension or Diabetes Mellitus) that may bring forward you at increased risk of complications for the period of the surgical procedure.

If you are outer 40 years of age, we penury to see that you have the results of your Complete Blood Count (CBC), kidney execution test (UCE), Chest X-ray and Electrocardiogram (EKG).

In addition, we need to ensure that you wish an intravenous line running, we can’t always predict hemorrhage, so we also regard to make sure a request has been sent to the Blood bank concerning a cross and match (in cause a blood transfusion is required).

We ~le by placing EKG leads on your box and connecting those to a adviser. We also put a pulse oximetry supernatural agency on one of your digits, to the degree that well as the Blood Pressure strike on your arm. All these are concluded so that we can monitor your vital organs (Blood Pressure, Heart rate, SP02, Heart tracing etc) as the procedure progresses.

Now that the nurses are adapt and the surgeon has scrubbed in. It’s time as being you to go to sleep.

First we inject you with an anesthetic agent that makes you lulling (PROPOFOL a milk-like suspension, is the greatest part widely used); followed by a neuromuscular blocking operator (like SUCCINYLCHOLINE) to help facilitate the intubation series of measures. After that, we cover your nose through an oxygen mask and ask you to take in some nice and gentle breaths.

In a feeble less than 2 minutes, you’re well sedated and artless. The next step is to execute a Tracheal Intubation. This involves the placement of a easily bent long tube through the back of your throat into your lungs to facilitate correspondent ventilation during the surgery procedure.  
(Photo-credit: WEB)
Image: Tracheal Intubation

As willingly as we are done, the surgeons be possible to proceed. On our part, we continue to monitor your vitals and render certain you have an adequate anesthetic astuteness. We also give you Analgesics to make sure you don’t experience critical afflict following your surgery, and Antibiotics for the re~on that prophylaxis against Nosocomial Infections. 

(Photo-credit: WEB)
Once the surgery is by, we give another drug to trial the effect of the anesthetic executor. We then extubate, ensure you’re awake and breathing adequately before transferring you to the regaining room. There you are monitored according to a few hours to see that you’re in firm condition before you’re returned to the WARD or discharged home. 

For further information, here’s a link to what Anesthesiologists do.

Random selfie…Random Selfie…

So would I benevolence to practice as an Anesthesiologist? To subsist sincere, I’d rather not. I compass the  long (often unpredictable) hours of stagnant would be way too demanding up~ my body. Anyway, cheers to tot~y who choose to go through this dynamic ~way.
                                               ***
GLOSSARY:-

ANALGESIC: A mix with ~s primarily used to provide relief from rack.

GENERAL ANESTHESIA: A medically induced envelope and loss of protective reflexes resulting from the conduct of one or more anesthetic agents; with the aim of ensuring unconsciousness, amnesia, amusement of skeletal muscles and loss of ascendency of the autonomic nervous system (WIKI).

NOSOCOMIAL INFECTIONS: Also known being of the kind which Infections acquired in the Hospital or other Healthcare facilities. 
Thank you toward reading! 

~requ1ne~

The first insinuation is to keep those joints touching regularly and build the muscles that have power to be found around the joints thus that you do not get thus tired.

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