When having a pre-surgical consultation with your doctor, they will determine whether or not you will have to go under anesthesia. Complications may occur if the patient is awake or aware of what is happening during the procedure. For those patients who are having surgery or receiving anesthesia for the first time, they may have some questions beforehand including what may happen after the procedure. Here are some anesthesia FAQS for general surgery and anesthesia, and the answers may vary depending on the type of surgery and your doctor’s preferences. What is the Health History of the Patient? The number one asked question for physicians is the health history of the patient. Past experiences for the patient may alter and change the procedure and anesthesia. Medications being taken or allergies suffered can also affect the process of anesthesia. What type of Anesthesia will I be Receiving? Another question typically asked is what are the different types of anesthesia you may be receiving? The most common ways to receive anesthesia are injected in the arm or inhaled through a mask. The patient may request a certain way to receive it depending on how they feel about it, but the doctor may feel more comfortable with one option insisting that it’s done that way over the other for medical reasons. Injection through IV usually has a shorter recovery time than through a mask which makes the patient more tired for a longer period of time. Depending on the patient and type of surgery, the doctor will determine which one is more suitable. How do I Prepare for Surgery? How to prepare for surgery is another area of interest for most patients. What needs to be done to prevent any complications for the doctor? Avoiding solid food for several hours before surgery, following all doctor’s instructions, and possibly stopping certain medications that may interfere with the anesthesia are all common recommendations leading up to a procedure. The doctor or medical assistant will go over all the pre-surgical procedures and recommendations with the patient to ensure a safe and controlled environment. What are the Common Side Effects of Anesthesia? Common side effects is another area of interest for most patients preparing for a procedure. Some side effects can occur, but are very minor consisting of nausea, dry mouth, tiredness, and a sore throat. These side effects may not occur at all or appear suddenly depending on the patient. Also, on occasion, there are more serious complications after surgery due to the anesthesia, but they are very rare. Most questions you have can be answered by the doctor or staff on hand. It is always beneficial to the patient and staff if the patient is well-prepared and knowledgeable of the proper directions for any operation. By doing this, the procedure runs more smoothly and allows the doctor and staff to complete the surgery as planned and allow for a quicker, more routine recovery for the patient.
New anesthesia and medical training techniques are regularly being created, however a recent study found that a familiar childrens toy can benefit doctors training: Legos. Anesthesiologists require high levels of accuracy, dexterity, and patience, and specific types of training help them practice these skills. Read more to learn how Lego building blocks help establish practice techniques for doctors in anesthesia. Researchers developed a task where people copied shapes using bricks that they could see in a two way mirror. This strange but useful tactic was used to train and help the doctors to maintain the patience and understanding of 2 and 3 dimensional objects. These objects were premade, giving the doctor a view of what the object had to look like. The doctor would then recreate the object to exactly match. Researchers asked the doctors to use Lego Duplo Building Bricks in a 2 way mirror recreating these objects until perfect. Making them train and recreate the objects gave them the practice needed to better their hand eye coordination and movement when going to inject the anesthesia. The Lego Bricks were a simple solution for training. They found this simple training improved student performance in an ultrasound-guided regional anesthesia task. “This research provides a simple and innovative solution to improving people’s spatial rotation and awareness. That is, to perform many modern medical technical skills a doctor has to understand how a two-dimensional image of an organ relates to the three-dimensional world inside the body.” Technology is rapidly changing for this anesthesia medical industry, allowing those to change and adapt to the new ways coming will bring costs down, innovation to grow and better research for future market growth. Within the simulations used for the research and practice, time was shaved off the doctors time making the process quicker and more efficient. This advancement and study shows the potential anesthesia has to grow and make better for hospitals, doctors, medical industry, and most importantly the safety of the patient. https://www.anesthesiologynews.com/Policy-and-Management/Article/09-20/Lego-Training-Helps-Improve-Regionalists-Spatial-Manipulation/59524 https://www.sciencedaily.com/releases/2020/07/200721114720.htm
The market for anesthesia devices and drugs are expecting a huge increase in the next few years due to various drivers in the industry. Factors such as a growing population, anesthesia monitoring systems, and patient surgery volume. With these positive factors growing in the near future there are also some challenges this industry will face such as cost and side effects of the drugs issued to patients. There will be Market growth and decline during COVID-19 Pandemic which will cause us to see an increase in jobs requiring more anesthesiologists and technical build up for devices. The healthcare industry is consistent with being one of the most profitable industries in the market. There is a positive and negative view on this subject, regarding the market and growth of not only the industry but technology and research can have a large impact and will have a productive future within the industry in the next few years. The pandemic caused by COVID-19 is advancing the growth of these devices and drugs being issued. Giving the market a full boost effect for the future and giving the market the ability to grow substantially. COVID-19 has and is continuing to anticipate the change in the healthcare industry in the future. The risk that COVID-19 has brought to people is extreme and has increased the care for people needing anesthesia. Decisions being made by professionals are vital because of COVID-19 and how it might affect or interfere with anesthesia during surgery. The general use of anesthesia may be affecting the timing and decisions making process during surgery for patients with COVID-19. Anesthesia has its benefits and is a vital part to a surgery. During the COVID-19 pandemic, there are even more steps to the screening process and making sure the appropriate precautions are taken to ensure safety not only for the patient but for the staff on hand as well. Overall the pandemic has caused many issues for many people but is boosting and advancing the market growth for many industries and businesses within the health industry. Slowly but surely we will see a strong push for the healthcare industry including those advancements for the anesthesia industry.
When undergoing surgery, some patients may need to be put under anesthesia which can be scary to some. Patients may have general concerns with going under anesthesia and may also wonder if there are any long term effects. As for older patients (ages 70 and up) that need to be put under, some are concerned there may be a link between anesthesia and Alzheimer’s Disease. When a person has Alzheimer’s Disease, the outer layer of the cerebrum (Cortical), begins to thin which causes memory loss. The older we get, for some individuals memory begins to deteriorate quicker than others. A new study has shown that Anesthesia not linked to Alzheimer’s disease. According to the British Journal of Anesthesia, there is no link between the surgery with anesthesia and suffering from Alzheimer’s. Juraj Sprung, M.D., Ph.D., from the Mayo Clinic in Rochester, Minnesota, and colleagues assessed brain amyloid-β (Aβ) burden among older patients (aged 70 to 97 years) who underwent surgery with general anesthesia either after age 40 or within 20 years of neuroimaging. The results suggest that there was an association noted between exposure to surgery/general anesthesia and an increased likelihood of abnormal cortical thinning in those exposed after age 40 years and among those exposed in the prior 20 years. “This finding suggests that the modest cortical thinning associated with surgery/general anesthesia is not related to Alzheimer disease pathology, but rather is caused by other processes,” the authors write. Other exposure and processes have higher risk of Alzheimer’s such as environment, lifestyle and genetics. More common side effects you may experience after receiving anesthesia can include nausea, vomiting, dry mouth, sore throat, muscle aches, itching, shivering, sleepiness. The likelihood of any Alzheimer’s spiking in an individual is not likely but can increase the process if the patient is genetically septiable to this disease. In conclusion, the study shows anesthesia alone is not directly linked to the chances of getting Alzheimer’s Disease. Usually there are no side effects when under anesthesia, but depending on the individual age and prior lifestyle, some may suffer from different side effects.
Anesthesia is a necessary part of the health system and is essential to perform many different types of surgeries today. Without it, some procedures could never happen, causing major health problems for many people. Anesthesia through the years has come a long way since it was first was traced back all the way to ancient times. Original anesthesia processes were performed using opium from poppy seeds which the Greek, Chinese, and Babylonians used in ancient times. Moving forward to the mid-1800s soldiers and those needing a surgical procedure would have to take the pain, or use a form of Chloroform or Nitrous Oxide to help them get through the surgery. These methods led to more research and the development of more modern tools and practices. Moving into the 1900s, new anesthesia methods and techniques were developed which brought us closer to what we use in medical facilities today. From oral, eye, internal or external procedures more methods became popular and became necessary to perform a procedure with a positive outcome. During the mid to late 1900s, muscle relaxants and the inhalation of the anesthetic started to be used in place of an injectant. In the late 1900s, a new machine was invented which diffused the liquid, creating a vapor which could be inhaled by the patient. Anesthesia through the years has improved and there has been an immense amount of research, making it easier to perform pain free surgical procedures. The three types of anesthesia used today are Local, General and Regional methods. The type of anesthesia you get will depend on the type of surgery and your medical condition. Whichever method or technique used, patients and surgeons can have peace of mind knowing the surgery will be pain free.
Recent studies show that a common anesthetic, Ketamine, can be used to treat severe depression. This recent breakthrough has come from clinics in Denver where people are given very small doses to treat severe depression. All of the patients that were given a minuscule dose of Ketamine, had previously tried a number of other antidepressants that were not helpful. Since Ketamine has an addictive quality, none of the patients tested have had a history of addiction. Patients were closely monitored while being given the doses through an IV or a small nasal spray infusion. One patient was quoted saying “I thought the depression was going to kill me because I couldn’t live like that anymore. I had done everything” Another patient spoke of depression, saying “It tells you that you will be better off by not being here. There’s been numerous times when I felt that and almost acted on it”. For many of these patients, this was their last resort. Anyone who was given a dose of Ketamine was closely monitored through the entire process due to ongoing research that is being conducted on the healing effect Ketamine may have on the brain. Ketamine is FDA approved, but not for the use of an antidepressant. It is used off-label, which is a legal practice that is used often across the country. Each infusion costs about $350 and patients have to be cleared before being administered any of the drug. We don’t know what the future will hold for the relationship between Ketamine and severe depression. Will Ketamine be a long-term cure to severe depression? Will it have an addictive quality that is not safe for widespread consumption? Will it become cheaper and more widely available, and if so, how soon? With all of the constant testing and progress being made on this possible breakthrough the answers to these questions shouldn’t be too far away.
Whether you’re nine years old or fifty-nine years old, having surgery is always a pretty nerve-racking experience. When the procedure requires anesthesia, this can add even more apprehension before going under the knife. In the past, doctors have tried to find ways to entertain patients as they are preparing to go under anesthesia in hopes to distract them and calm their nerves. A fairly new technology, virtual reality, can distract and entertain patients going under anesthesia. A new program at Texas Children’s Hospital aims to calm pediatric patients before heading into surgery. The program is known as the CHARIOT program – Childhood Anxiety Reduction through Innovation and Technology – and it is designed to distract patients through virtual reality during the beginning stages of anesthesia. “The use of our various technologies has made it easier to focus our patients’ attention away from an experience that is new and different and possibly frightening to them and on to something that they’re much more comfortable with—and it helps them work through this experience to get surgical procedures that they very much need,” said Clint Fuller, M.D., a pediatric anesthesiologist at Texas Children’s Hospital. “It’s made it a much easier process both for them and for us.” Depending on the age and preference of the child, the suite of technology has different entertainment options the patients can choose from. Many will choose to watch their favorite Disney movie while another child may want to play an interactive game to pass the time. While the program originally started as a way to distract children before going under anesthesia, they are now using it for other procedures including IV placement, oral exams, scopes and more. “I think it was really helpful, definitely with the anxiety, because we’re doing these invasive procedures where we’re putting scopes in their noses and their mouths and it’s kind of intimidating and scary for them,” Julina Ongkasuwan, M.D., pediatric otolaryngologist and director of the Pediatric Voice Clinic at Texas Children’s said “This is definitely a change in our approach, and I think anything we can do to decrease the trauma is beneficial, especially for those kids who have to come repeatedly.” The CHARIOT program first began at Stanford Children’s Health in California and Texas Children’s is one of the first hospitals in the nation to start using an entertainment suite. While these programs are currently for children, it seems that they would be beneficial for adult patients experiencing anxiety before a procedure.
In the United States, 1 out of every 8 women will develop invasive breast cancer over the course of her lifetime, according to statistics from breastcancer.org. A cancer diagnosis is a life changing, and scary time for a patient and their family. Many women who are diagnosed with breast cancer will need surgery as part of their treatment. A recent study revealed that breast cancer recurrence is not linked to Anesthesia type that is used during surgery. In recent years, there had been concern that the type of anesthesia used on a patient needed a Surgical tumor resection may be connected to the recurrence of cancer later in a patient’s life. “The leading cause of death after cancer surgery is the recurrence of cancer,” said senior study author Jin-Tae Kim, MD, PhD, of the Department of Anesthesiology and Pain Medicine at Seoul National University Hospital, South Korea. “If there is a difference in cancer recurrence rate according to the type of anesthesia used, even a small difference would make a big difference for patients.” In this study, the long term outcomes of 5,331 patients with breast cancer were analyzed. The researchers used propensity score matching to ensure the IV and volatile anesthetic cohorts (1,766 in each group after matching) shared similar baseline characteristics. Patients in the IV group were treated with propofol and remifentanil, and those in the volatile group received enflurane, isoflurane, sevoflurane or desflurane. The primary endpoint was recurrence-free survival following surgery, and the secondary end point was overall survival. The results of the study concluded that there was no significant difference in the recurrence rate of the patients of either group that had been studied, meaning breast cancer recurrence is not linked to Anesthesia type that is used during surgery. Based on the study results, Dr. Kim said, “Both anesthetic techniques can be used for breast cancer surgery, and the choice of anesthetic agent should be made according to the characteristics of the individual patient. Selection of IV or volatile anesthesia should be based on factors other than cancer recurrence.” These findings should give patients suffering from breast cancer and that are in need of surgery peace of mind knowing the anesthesia given will not affect the recurrence of cancer in the future.
With marijuana being legalized for both medical and recreational use in many states throughout the United States, more people are now using the drug and the amount is increasing everyday. Ten states have legalized the recreational use of marijuana and twenty-one states have made the use of medical marijuana legal. Between 2007 and 2015, the use of marijuana increased 43% in the United States, where an estimated 13.5% of adults use marijuana, according to a United Nations report. The increasing marijuana use throughout the country is affecting medical care in different ways and is bringing about many questions and studies hoping for more answers. A new study aims to answer the question do regular marijuana users require more anesthesia? Researchers at Community Hospital in Grand Junction, Colorado performed a study where they collected data from 250 Colorado patients who had colonoscopies and other endoscopic procedures between January 1, 2016, and December 31, 2017, which was years after the state legalized recreational marijuana in 2012. The study, which was published in the Annals of the American Osteopathic Association, compared marijuana users and non-users to see if there was any difference in the amount of anesthesia needed during a procedure. Results showed that patients who reported using marijuana on a daily or weekly basis required 14% more fentanyl, 20% more midazolam and 220% more propofol to achieve optimum sedation for routine procedures. For example, it took 13.83 milligrams of propofol, on average, for 225 nonusers to be sedated, compared to an average of 44.81 milligrams that was needed by marijuana users. “Although marijuana use has been legalized for recreational and medical use in many states, it’s been a very poorly studied substance,” said the study’s lead author, Dr. Mark Twardowski, a specialist in internal medicine who is in private practice in Colorado. “So we can’t say it doesn’t have an effect on other medications and substances that patients might be using. Our study demonstrates that it seems to have an effect on at least the classes of medication used for sedation for simple endoscopic procedures.” Although this study offers some interesting insight, there is still a great amount of research that needs to be done on the topic. It does however, highlight the importance of patients telling their surgeons about marijuana use. Twardowski said “Knowing if someone is using marijuana regularly might affect how we do anesthesia.”
The American Psychiatric Association defines Posttraumatic Stress Disorder, or PTSD, as “a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event such as a natural disaster, a serious accident, a terrorist act, war/combat, rape or other violent personal assault.” In the past, it has often been associated with war and typically went by the names of “Shell Shock” or “Combat Fatigue”, however it is associated with many experiences other than combat. People who suffer from PTSD have disturbing thoughts or feelings that are somehow related to the traumatic experience they suffered, and they often relive the event through flashbacks or nightmares. There are many therapies and methods used to help treat PTSD, however, a new study poses the question: can anesthesia help take away painful memories of PTSD patients? The new study, which was published in the journal Science Advances, studied 50 volunteers who were preparing to have a gastroscopy or colonoscopy. The week before the procedure, each volunteer was asked to memorize two slide shows that involved scenarios that most would consider to be upsetting. A week later, right before their procedure, the volunteers were shown the first slide from the scenarios and asked questions about it. After the procedures, half of the group was interviewed immediately following the procedure and half was interviewed 24 hours later, once the anesthesia had worn off. The volunteers that were interviewed immediately following the procedure remembered the stories from the slide show well. The group that was interviewed 24 hours later had much less recollection of the stories from the slide show, especially the heavily emotional details. “The [brain] circuitry involved in emotional memory is probably quite sensitive to anaesthetics,” Bryan Strange, study author and a neuroscientist at the Technical University of Madrid, explains in New Scientist. “This is good for a potential treatment because you don’t want to remove information that isn’t dramatic or unwanted.” Researchers involved in the study hope these findings can be helpful in developing more treatments for patients suffering from PTSD. PTSD is a very complex disorder, however the results will hopefully lead to the development of treatments that can help people who suffer from this disorder each and everyday.
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