How General Anesthetics Play An Important Role In Surgery

By Lila Barry


General anesthetics are medications given to patients to prepare them for surgery which cause a total loss of consciousness and sensation. It is not known exactly how these drugs actually work, but there are several theories. Although these theories differ, they all indicate a disruption in the receptor cells of the central nervous system which prevent pain from being experienced.

General anesthesia can be administered either via an intravenous drip or inhaled through a mask. Usually a combination of both is used. The anesthetist is the doctor who specializes in this type of procedure and he or she will administer the anesthetic and will also continuously monitor the patient's response until it is time to reverse the effect and bring about consciousness.

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.

While the surgery is taking place, the patient's vital signs will be monitored continuously. Upon recovery, it is normal to expect some side effects such as nausea, chills, dizziness, and discomfort in the throat from the breathing tube being inserted. After a few hours, these feelings should dissipate and the patient will be recovered fully. The advantages general anesthetics have to offer considerably outweigh the risks and side effects.




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