How General Anesthetics Play An Important Role In Surgery

By Lila Barry


General anesthetics are often administered to patients prior to surgery in order to induce a complete loss of sensation and consciousness. While it is not totally understood how these medications work, there are a few speculations. The common thread found in each of these theories is that the drugs disrupt the function of the receptor cells in the nervous system, thus preventing the sensation of pain.

There are two possible ways to administer a general anesthetic, intravenously or though inhalation. In most cases a combination of the two methods is used. A doctor called an anesthetist will administer the anesthetic and monitor it closely during the surgery, afterwards it will be reversed and the patient will become conscious.

Inhaled anesthetics are delivered using an anesthesia machine, which mixes gases or vaporized liquids with oxygen, air, and in some cases nitrous oxide and releases these through a breathing mask which goes over the patient's nose and mouth. This apparatus monitors the patient's response and also manages the levels being administered. The compounds most often used are Isoflurane, Desflurane, and Sevoflurane.

Injectable anesthetics are typically fast-working and work to both induce unconsciousness and maintain it during the procedure by means of an intravenous drip. In some cases benzodiazepines are given simultaneously as a sedative. The drugs most used for surgical IV's include Etomidate and Propofol.

As a rule, any more extensive surgical procedure is best done while the patient is under a general anesthetic rather than a local one. The patient can discuss this matter with the anesthetist prior to the operation. Certain kinds of surgery most always use a general anesthesia, for instance hernia repair, hysterectomy, and removal of appendix and gallbladder.

As there are some rare but possible risks associated with anesthesia, the anesthetist will first ask the patient some questions about his or her health history. Most complications are seen in obese patients, heavy drinkers or smokers, or those with unusual allergic reactions. It is also important to always follow the instructions given by the doctor too, such as not eating for several hours before surgery as to avoid the possibility of vomiting and aspirating.

Anesthesia typically consists of four stages. First is unconsciousness. Next is the REM stage. The third stage is the most important and is when the actual operation will be performed, it is known as "surgical anesthesia" and is indicated by even breathing, muscular relaxation, and constricted pupils. The fourth stage needs to be prevented as this indicates an overdose of the anesthetic and can result in death if not reversed.

During the procedure the patient's vital signs will be closely watched to ensure they are not in jeopardy. There are also some side effects which may be experienced after the use of general anesthetics. The patient may feel nauseous, have chills, be dizzy, or have a sore throat due to the insertion of a breathing tube. These feelings typically abate in a few hours and a full recovery will take place. The benefits of this type of anesthesia normally outweigh the minor discomforts which can accompany it.




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