What is general anesthesia? Or anesthesia?
The ideal method of anesthesia should be consistent with: (a) the needs of surgery (b) safety first (c) the patient's cognitive principles. Perhaps, many of the considerations can not take into account at the same time, as long as more with your anesthesiologist or anesthesia nurse communication, based on your surgical characteristics, physiological conditions and preferences, I believe will be able to decide one of the most suitable for your anesthesia.
On the other hand, B case of ovarian ectopic pregnancy with internal bleeding, due to the patient has been showing restlessness, shortness of breath, blood pressure instability and other signs of shock, this time, general anesthesia is a more appropriate choice. Thus, the same two lower abdominal surgery, based on patient safety first considerations, have different anesthesia.
Finally, the patient's awareness of anesthesia and preferences, but also about the choice of general anesthesia or half anesthesia. When the patient's physiological condition is stable, the same surgical conditions, the risk of half anesthesia, naturally relatively lower than the general anesthesia. However, the general public fear, and even exclusion of half anesthesia mentality prevalent. An anesthesiology magazine published by the Anesthesiology Society of the Republic of China published a survey on "Reversal of Half anesthesia in Caesarean and Pregnant Women". A total of 344 caesarean sections were surveyed and asked to speak of a person who refused to undergo anesthesia Or two reasons, as a result, there are two hundred maternal rejection of half anesthesia, the most common of which is the reason for fear of hearing, seeing (48.42%) and fear of back pain (14.58%) combined with the above view when understood, In fact, it does not matter "good body" or "half good".
Second, regional anesthesia:
Regional anesthesia is mainly targeted at specific parts of the surgery, given local anesthetic. During the course of surgery, the patient's consciousness remains awake but does not feel pain. When necessary, the anesthesiologist can still give sedation from the intravenous drip to reduce the patient's anxiety.
Regional anesthesia can be divided into: (1) spinal anesthesia - direct injection of drugs into the spinal fluid, the nerve conduction block to achieve analgesic effect; (2) epidural anesthesia - drug injection in the spinal cord, Spinal cord fluid, its nature and spinal cord anesthesia approximation; (3) upper and lower limb nerve blockade - drug injection in the arms and feet around the nerve.
Spinal anesthesia and epidural anesthesia, is the general public awareness of "half anesthesia." It is currently the most widely used in a regional anesthesia, mainly for lower extremities, lower abdomen and other aspects of surgery.
Anesthesia in addition to the needs of surgery, and different, the patient's physiological condition, and sometimes affect the choice of anesthesia. To occur in the author of the case of the hospital, for example, one day at noon, the operating room came in two consecutive gynecological emergency surgery. A case of ovarian torsion with acute abdominal pain, the patient's life is still stable, according to the needs of the surgical site, we chose a half anesthesia, and intravenous injection of sedatives, to ease the patient's nervousness.
