Anaesthesia science in the aorta-lapse: the key to protecting life
The aorta is the largest artery in the human body, and it is like the backbone of a large tree, delivering blood to the whole body. And the aortic cortex is like this “inner crisis” of the backbone. The aortic membrane layer is due to the partial tearing of the aortic membrane, which is subject to a powerful blood shock, and the membrane is gradually disassembled and extended to form real and false cavities in the artery. It is an extremely dangerous disease, with rapid and rapid progress. If it is not treated in a timely manner, if the layer breaks, like the flood of the embankment, the patient will die quickly as a result of extensive blood loss. The anesthesia of the aorta is the key to the success of the operation and the safety of the patient.
Prior to the operation, the anesthesiologist is required to conduct a thorough and detailed assessment of the patient, like a sophisticated detector. The medical history inquiry is the first step in understanding whether the patient has associated risk factors such as chronic hypertension and Marfan syndrome, and this information provides important clues for the design of anaesthesia programmes. At the same time, a comprehensive physical examination is essential, including CPR, liver and kidney, and nervous system conditions. For example, the assessment of the heart function can determine whether the heart can withstand the challenges posed by surgery and anaesthesia by means of tests such as electrocardiograms, ultrasound cardiac maps, etc.
Anesthesia is a fine balancing exercise. The blood pressure of patients in the aortic larvae needs to be strictly controlled, as sharp fluctuations in blood pressure may lead to further ripples and a sharp deterioration of the condition. Anesthesiologists opt for drugs that have a minor effect on blood flow mechanics, such as itomite, which allows the patient to enter a state of anaesthesia in a smooth manner and avoids a sudden rise or drop in blood pressure. At the same time, co-operation with the use of opioids to mitigate stress during the intubation of gas tubes ensures the safety of the induction process.
During the maintenance phase of the anaesthesia, monitoring must take place in every case. Basic vital signs monitoring, such as blood pressure, heart rate, blood oxygen saturation, etc., are the focus of constant attention. But it’s not enough, and high-level monitoring tools such as E.C.E.A.D. will be applied. TEE provides a clear picture of the internal structure and function of the heart and helps an anesthetists to detect myocardioma, aortic retrogression, etc. There is an arterial blood pressure monitoring that more accurately reflects blood pressure changes in order to adjust the depth of anesthesia and the use of vascularly active drugs at any time. In addition, CVM helps to assess the patient ‘ s blood capacity and right heart function.
Brain protection is an important part of the anaesthesia of the aortic cortex, especially for operations involving the lifting of the artery. An appropriate reduction in body temperature can reduce brain metabolic rates and reduce brain oxygen consumption. At the same time, appropriate blood pressure and brain pressure are maintained to ensure the blood supply of the brain and to avoid ischaemic and anaerobic damage. It’s like an umbrella for the patient’s brain during surgery.
Anesthesia after surgery is equally challenging. The agitation period needs to be strongly avoided, as it can lead to a sharp rise in blood pressure and increase the risk of re-opening the aorem. The anesthesiologist selects the appropriate timing and method for the removal of the tube, depending on the patient ‘ s state of operation and recovery, so that the patient can move from an anaesthesia to a state of soberness.
The anesthesia of the aorta is a complex and fine system project, each of which is closely linked and every decision is about the life or death of the patient. Anaesthetists are heroes behind the scenes, using their professional knowledge and skills to provide a solid basis for the patient ‘ s protection and rehabilitation in this fight against the death.
Anaesthesia.
