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How General Anesthetics Are Used For 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.

Surgeries which are more complex procedures that typically take a longer time to complete are usually best suited to using a general anesthetic as opposed to a local. This will be decided by the patient and his or her anesthetist. Some operations which normally always use a general include gallbladder removal, hysterectomy, hernia repair, and appendectomy.

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.

There are four stage to anesthesia. The first is the initiation of unconsciousness. The second is referred to as the REM stage. The third is called "surgical anesthesia" and is marked by the relaxation of the muscles, constriction of pupils, and a regular breathing pattern. This is the optimal time for the surgery to be done. Stage four is an overdose of the anesthetic compounds and can be deadly if it isn't 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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