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History of anesthesia paper
History of anesthesia paper
History of anesthesia paper
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Introduction : What is ‘anaesthesia’? The word ‘anaesthesia’ means ‘loss of sensation’. Administration of anaesthesia into an individual will renders their feeling of pain or any other sensations like touch or heat. There are three major types of anaesthesia, which are local, regional and general anaesthesia in which each single type has their own mode of administration of anaesthetic substance. One must remember that not all anaesthesia will cause unconsciousness. Back in 1897, where anaesthesia has not been discovered in this world, one elderly Boston physician could only compare it to Spanish Inquisition. He recalled “yells and screams, most horrible in my memory now, after an interval of so many years.”[1] This gives us a vague picture about medicine world way before the introduction of anaesthesia. There is also an interesting British Broadcasting Coporation (BBC) Documentary entitled “SCREAM : The History Of Anaesthesia” which provides a very good insight about the discovery of anaesthesia. Prior to 1846, elective surgery was really uncommon. According to annual reports by Massachusetts General Hospital, from 1821 to 1846, a total of only 333 surgeries were performed, representing barely more than one case per month.[1] Surgery was the last resort chosen by most of people as it was usually resulted in horrifying memories. During that time, only surface surgery like removing fungating cancer, amputation and removal of bladder stones were the only area accessible for surgery.[2] Access to internal organ in the skull, chest and abdomen seemed to be impossible and speed was the only determinant of a successful surgeon.[2] Although there were lots of interventions to administer anaesthetic agents in the decade 1835-1845, they we... ... middle of paper ... ...th. Hence, any patient whom suspected of recall following anaesthesia should be offered psychiatric counselling.[7] It is very challenging for anaesthetic to keep the patient asleep so that they will not have to experience any traumatic memory of surgery. Conclusion There are actually lots of other complication associated with anaesthesia after surgery. However, these above points and figures are the most common or perhaps the facts that most of the patients feared. In spite of all these problems, the discovery of anaesthesia itself has brought a major transition in modern medicine. Since most of these complications do not overweight the benefits of anaesthesia itself, it is still being accepted by people around the world. We, as new generation, will try to unleash a lot more anaesthetic agents or ways to minimise the complications. Together we can change the world!
Prior to intubation for a surgical procedure, the anesthesiologist administered a single dose of the neuromuscular blocking agent, succinylcholine, to a 23-year-old female to provide muscular relaxation during surgery and to facilitate the insertion of the endotracheal tube. Following this, the inhalation anesthetic was administered and the surgical procedure completed.
Brody, Michael, and Donald Martin. “The Role of Anesthesiologists.” Physicians Protecting Patients. N.p. N.d. Web. October 21, 2015. An anesthesiologist is a physician who has received at least 8 years of schooling and has completed a residency program dealing with anesthesiology. Now, a licensed physician, an anesthesiologist deals with the administration of anesthesia during many medical procedures, including surgical or obstetric procedures, and pain management for acute and chronic illnesses, or cancer related pain. Anesthesiologists are also in charge of “anesthesia care teams” that include the anesthesiologist, an anesthesia assistant, certified registered nurse anesthetist, and an anesthesia technician. As the leader of the care team, the anesthesiologist is responsible for assessing the patient before, during, and after medical procedures, as well as developing and monitoring performance and quality of practices and standards in regards to administering anesthesia. The entirety of
This essay describes how the anaesthetic machine and airway management equipment are prepared in operating theatres and discusses how they are ensured safe for use. It evaluates the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines related to safe practice and the preparation of the ET tubes, laryngeal masks, guedels, Naso pharyngeal airways and the laryngoscope. The function of the anaesthetic workstation is to deliver a mixture of anaesthetic agents and gases safely to the patient during the induction process and throughout surgery. In addition, it also provides ventilation to support breathing and monitors the patient’s vital signs to minimise the anaesthetic risks to the patient whilst in the care of health professionals. The pre-use check is vital to patient safety as an inadequate check of the anaesthetic machine or airway management equipment can and does lead to significant harm of the patient including mortality (Medicines and Healthcare Products Regulatory Agency (MHRA), 2008 and Magee, 2012).
According to Career Cruising, “anesthesiologists are doctors who administer drugs or gases that prevent patients from feeling any pain or sensation during surgery.” They monitor the patient before, during, and after the operation. Career Cruising also noted that before surgery, anesthesiologists consult with patients and make decisions
It is not uncommon for a patient to experience pain and anxiety before or after a major procedure or breathing treatment. Imagining the myriad of complications that might occur during an operation can send one into multiple panic attacks. Coping with the loss of mobility and independence joined by the pain that accompanies recovery are only a few examples of the complex and traumatic experiences awaiting pre/post-operation patients. Fortunately, a medication was synthesized by Armin Walser and Rodney I. Fryer in 1975 to aid patients by easing anxiety and promoting sleepiness before an operation. An added benefit was that the events experienced during the operation were also forgotten while the medication was still in effect.
Thatcher, V.S. (1953) History of Anesthesia, With Emphasis on the Nurse Specialist. Philadelphia: J.B. Lippincott Company.
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
In the early 1800’s, before the use of anesthesia, many patients with life threatening issues would forgo surgery and choose the permanent path of death rather than undergo a painful, emotionally scarring procedure such as surgery before anesthesia. When surgeries did take place, they would be performed on the top floors of hospitals so that the other patients couldn’t hear the screams. More than 8,000 anesthesia-free operations were performed in the Ether Dome at Mass General Hospital, coincidentally the birthplace of the first surgery “without pain” (Mass General).
Although the comorbidities and type of surgery dictate certain decisions in managing patient care, anesthesiologists maintain various modalities for the perioperative period. These consist of anything from local to regional anesthesia, including neuraxial techniques and peripheral nerve blocks, as well as monitored anesthesia care with sedation to general anesthesia. Overlapping of different anesthetic types and combinations of regional analgesics to supplement general anesthesia occur frequently.
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anaesthesia. Anaesth Intensive Care 2001; 29: 494-500.
Individuals need to understand the use of anesthesia always comes with risks. In most cases, however, it's safe when administered by someone with the proper training. Certain individuals, such as those with obstructive sleep apnea or ones who are obese, need to speak to their physician before being sedated, as their risk of complications is higher.
Certified Registered Nurse Anesthetists (CRNA) are high trained nurses who use their developed training in the use of anesthesia to alleviate patient pain and discomfort due to medical procedures. Nurse anesthetists have been providing anesthesia for more than 125 years, dating back to the early Civil War. ("Nurse anesthetist," 2014). They undergo rigorous training post nursing licensure that allows them to hold a high position in the nursing field working beside surgeons, anesthesiologist, dentists, podiatrist, and many other skilled healthcare professionals ("Nurse anesthetist," 2014). Pain management is one of the main aspects in any procedure, if not the most important to the patient, therefore giving nurse anesthetists a wide spectrum of work settings in the medical field that they can practice in.
The role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record
The invention of machines occurred in the Egyptian city of Alexandria in the 3rd century BCE and had a profound effect on the practice of medicine “Berrey Alexandrian Physiology.” The invention of machines, such as valves, pumps, levers, and wedges influenced the way in which ancient physicians described and understood the body, in addition to providing new methods for treating conditions. Machines provided a means to treat previously untreatable conditions, served as a form of entertainment, and contributed to a separation of power between medical practitioners.