Surgery anaesthesia of heart failure: a fine game on the lifeline

In the vast field of medicine, the surgical anaesthesia of heart-impaired patients is undoubtedly a game of challenge and sophistication. Heart failure, i.e. heart failure, is a serious disease that reduces the capacity of the heart pump to meet the blood needs of organs of the body. For such patients, surgical anaesthesia is not only a matter of success but also a major test of life. The high risk of surgical anaesthesia for patients with heart failure is first and foremost due to the serious impairment of their heart function. As an engine for the human body, once its function is reduced, the entire body’s circulatory system is in trouble. The use of narcotic drugs may further affect the heart function, increase the heart burden and even cause or exacerbate heart failure. Therefore, before a decision is made to operate an anaesthesia on a heart condition, a doctor must conduct a detailed heart function assessment, including, but not limited to, electrocardiograms, ultrasound aneurysms, etc., to ensure that the physical condition of the patient is able to withstand both anaesthesia and surgery. The choice of anaesthesia is of critical importance for people with heart failure. Local anaesthesia or regional detoxification is generally considered to be the preferred because it has less heart effects. These methods of anaesthesia can limit the spread of narcotic drugs in the body and reduce direct effects on the heart, thereby reducing the risk of surgery. However, in some cases, a full-body anesthesia may be necessary. At this point, doctors should choose to use myocardials to inhibit small narcopharmaceuticals and to strictly control dosages to avoid an excessive burden on the heart. Monitoring and adjustment during surgical anesthesia should also not be overlooked. After anaesthesia, life signs such as blood pressure, heart rate, EKG and blood oxygen saturation can change significantly. Doctors must closely monitor these indicators and promptly identify and address any anomalies. For example, in cases where life signs, such as blood pressure and high heart rate, are unstable, doctors should immediately adjust the depth of the anesthesia and the medication to ensure the patient ‘ s safety. In addition to the precision of the anaesthesia process, post-operative management of patients with heart failure is equally critical. After the operation, the heart function of the patient may be further challenged and it is therefore necessary to continue to monitor the heart function closely and to provide the necessary support treatment. The use of medications such as strong heart and urine can help patients improve their heart function and reduce the burden on the heart. At the same time, doctors should monitor the recovery of patients and adjust treatment programmes in a timely manner to facilitate their early recovery. It is worth noting that surgical anaesthesia of heart patients is not a constant pattern. The specific circumstances of each patient vary, so that doctors must take into account the individual differences of the patient when developing an anaesthesia programme. For example, in cases of heart failure that combine other basic diseases such as coronary heart disease, hypertension, etc., doctors should treat these diseases and stabilize them before performing anaesthesia. In addition, doctors should work closely with multidisciplinary teams such as anaesthetists and intensive care doctors to develop individualized treatment programmes to ensure the smooth operation and safety of patients. The surgical anesthesia of a heart failure patient is a fine game on the lifeline. It requires a doctor to have a high level of medical skills, a critical attitude and insight to meet the challenges that may arise during the operation. At the same time, it reminds us that every detail of medicine is essential in the face of life. The value and meaning of medicine can be truly realized only if we treat each life with a sense of piety and protect every health with a skillful skill. In this game, we see the complexity and greatness of medicine and the fragility and resilience of life. May every person suffering from heart failure, with the care of a doctor, overcome the disease and regain health and hope.