Anesthesia in bile-intestinal surgery

The article was consulted professionally by Specialist Doctor II Nguyen Binh – General Department – Share99 Ha Long International Hospital.

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Anesthesia is a method that is used quite a lot in surgeries, making the patient no longer feel pain during the operation.

1. What is anesthesia?

Surgical anesthesia of the intestinal bile is also known as an insymable method, which is used with the aim of losing consciousness, reflexes and sensations temporarily with anesthesiology drugs that directly affect the central nervous system of the person. Anesthesia mainly acts on the brain and leads to loss of sensation for the whole body.

Specialists may choose to inject the drug intravenously or give the patient the appropriate anesthetic drugs through the airways. After anesthesia, the patient will no longer know anything and will not feel pain when performing bile-intestinal surgery.

Intravenous injection

Intravenous anesthesia

Anesthesithesietic based on the path into the body of the patient will be divided into 3 main types:

1.1 Anesthesia with the patient's respiratory tract

Anesthesies are introduced into the patient's body through the respiratory tract as the patient inhales the anaesthetic vapor and the drug passes through the alveoli to get into the bloodstream, then effectively works.

1.2 Anesthesia by other lines

Anesthesia is caused by other lines such as rectal sugar, muscle, or, intravenously.

1.3 Combined anesthesia

  • Using different anesthesies that enter the patient's body through one or more different routes for anesthesia (e.g., using propofol intravenously, the patient then maintains the anesthesia process by passing the isoflurane anesthetic through the patient's respiratory tract).
  • Combination of anesthesies and analgesic or muscle relaxer
  • Anesthetics combined quickly with regional anesthetics

The main stages of anesthesia before the surgery of the bile – intestines:

  • Pain relief: The patient is still awake at this time but feels drowsy and responds to pain relief stimulation.
  • Irritation: The patient gradually falls into a state of loss of consciousness, the appearance of inhibition of the cortex leads to the person falling into an agitated state, becoming aggressive, salivation, or vomiting.
  • Surgery: The patient loses consciousness, dilates the sedular muscles along with loss of reflexes, stops eye movement and breathing begins evenly, gradually, losing the reflex that closes the eyelids.

Stop using anesthesies, the inhibitory effect of the drug will cease and the functions of the patient's body will begin to recover. But if more drugs are added to the patient's body, it can cause myeloid paralysis and lead to death.

coma

Use the right dose of anesthesia to avoid complications for patients

2. Anesthesia during bile-intestinal surgery

Bile-intestinal surgery is usually indiced to cases where gallstones have Oddi muscle stenosis, or biliary stenosis. In addition, it is carried out when the patient is diagnosed with biliary atrophy, pancreatic tumors, gallstones accompanied by the pancreatic sclerosis bile duct cyst, or biliary lesions during surgery.

2.1

Relatively in dinhed to cases where there are many stones in the liver, have had bile re-surgery many times because of flawed stones or recurrent stones, there is a lot of bile sludge, and narrowing vater balls to medium…

2.2 Contrainning

Contraindicing to patients who are in a serious condition, have diseases related to the connecting muscles (e.g., obstruction, inflammation, narrowing, scarring in the intestines), acute pancreatitis, diseases of bile obstruction caused by worms …

Anesthesia during intestinal bile surgery is the first step, performed by doctors and nurses of the emergency resuscitation department, anesthesia in surgery is also called anesthesia including:

  • Sleeping pills: Including intravenous anesthesies (etomidate, propofol, thiopental, ketamin …), and vaporizing type anesthesies (sevofluran…).
  • Analgesgesgesy such as fentanyl, sufentanil, morphine …
  • Muscle relaxer (only used if necessary): succinylcholin, rocuronium, vecuronium …
  • Conditions for in-administration: the patient has slept deeply, checked for sufficient muscle dilation.

In-administration anesthesia

In-in-administration tubeing when the person is completely asleep deeply

2.3 Inastation

There are two techniques for inngication: Oral or nasal.

  • Insymetic insymural insymural insaden is combined with air ularity during body anesthesia: The muscle parts of the body will be paralyzed during the course of the patient's body anesthesia. Therefore, ventilators are used to provide breathing instead of lungs.
  • Closely monitor the process by which the patient is under total anesthesia: By using electronic devices necessary to monitor the patient's heart rate, number of breaths, blood oxygen levels and ECG.
  • Awakening after the end of general anesthesia: Depends on the type of surgery they perform as well as how they breathe will be. The main goal after a full-body anesthesia is that the patient can have the inemanation tube withdrawn as soon as possible after the end of the operation.

2.4 Safety after the end of a full-body anesthesia during intestinal bile resuming surgery

  • In the first days after the surgery is over, the patient should spend most of his time resting quietly, along with taking a nap in combination with performing relaxing activities.
  • Recommendations include: Do not operate heavy machinery, do not drive cars. Pay attention to patients absolutely do not drink alcohol or use sedatives without following the doctors' prescriptions.

Dr. Nguyen Binh has more than 20 years of experience in the field of anesthesia – resuscitation in thoracic surgery, anesthesia for elderly patients … Currently a Doctor of General Surgeon, Share99 Ha Long International Health Hub.

Any questions that need to be answered by a specialist as well as customers wishing to see and treat at Share99 International Health Hub, you can contact Share99 Health System nationwide or register online HERE.

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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