Management of anaesthesia: key to post-pastification security
In modern medical practice, anaesthesia, as an important part of the surgical process, is essential for the patient ‘ s post-operative recovery and safety. Anaesthesia, i.e. the period between the patient ‘ s cessation of his or her acceptance of the substance and the complete restoration of his or her consciousness and the stabilization of his or her vital signs, is a crucial stage in the process of re-energizing his or her physiological function. This paper will provide detailed information on the management of anaesthesia, including its importance, common complications, preventive measures and care points, with the aim of raising public awareness of anaesthesia and promoting post-operative safety.
The importance of anaesthesia is a gradual transition from an anaesthesia to a normal state of awakening. The length of the process depends on a number of factors, including the type of narcotic drugs, the amount used, the patient ‘ s state of health, the part of the operation and the length of time. In the wake of anaesthesia, the physical function of the patient is gradually returning to normal, but at the same time it is in a more vulnerable situation and prone to complications. Therefore, scientific and effective anaesthesia management is important for ensuring the safety of patients and promoting post-operative recovery.
Common complications of anaesthesia and its effects 1. Respiratory complication Respiratory inhibition and suffocation: Respiration is likely to result in respiratory central inhibition as a result of drug residuals, in the form of slowness in breathing and a decrease in blood oxygen saturation, with the possibility of even a suffocation in serious cases. Failure to do so in a timely manner may threaten the life of the patient. Inhalation pneumonia: Patients who misinspire in gastric fluids, food residues or oral secretions may cause inhalation pneumonia, causing symptoms such as lung infections, respiratory difficulties and fever. 2. Complications of the circulatory system Low blood pressure and cardiac disorders: Anaesthesia can lead to vascular expansion and myocardial inhibition, leading to low blood pressure; at the same time, the effects of anaesthesia on the heart-transmission system may cause a heart disorder. 3. Complications of the nervous system Ignorant, pretentious and convulsive: residual effects of anaesthesia, electrolytic disorders or damage to the central nervous system may lead to these nervous system complications, manifested in irritation, gibberish or twitches.
Pre-operative evaluation and optimization. In the case of patients with high-risk factors, such as the elderly, persons with CPR deficiencies, etc., the treatment should be optimized in advance, e.g., improvement of CPR function, correction of electrolyte disorders, etc. 2. Reasonable choice of an narcotic drug. Doctors shall select the appropriate narcotic drugs and doses according to the patient ‘ s specific circumstances and the needs of the operation. Avoid overdose or inappropriate drugs to reduce complications. In the course of surgery, doctors should pay close attention to the vital signs of the patient and the depth of the anesthesia and adjust the quantity and speed of the substance in a timely manner. At the same time, the respiratory tracts are kept open and incidents such as suction and suffocation are avoided.
IV. The point of care for anaesthesia. 1. In case of a patient who is not awake, he or she shall take a side or a pillow and try to keep his or her breathing open. If necessary, a catheter can be placed to closely observe the frequency and extent of the breathing. 2. To maintain the stability of the circulatory system To monitor changes in the circulatory system such as observing changes in blood pressure, pulses, urine, skin colours, velocity of intravenous fluids and electrocardiograms. Discrepancies such as low blood pressure and heart disorders are detected and addressed in a timely manner. 3. Pain management Assessing the strength of the pain and giving painkillers or assisting patients with the application of self-controlled pain relief devices, as prescribed by the doctor. Effective pain management helps to alleviate the discomfort of patients and promotes post-operative recovery. 4. Body temperature management Maintain appropriate room temperature to avoid symptoms such as cold war or fever due to low or high body temperature. 5. Wounds and flow management In the case of those who do not have a catheter, care is taken about the sufficiency of the bladder, and the patient is able to excrete himself or otherwise. Keep the pipes open and avoid infection. 6. In addition to the above-mentioned care measures, efforts should be made to prevent the occurrence of complications such as scabies and deep veins. Preventive measures such as the use of air mattresses should be taken in cases where the patient is unable to turn over for a long period of time.
5. The criteria for the transfer of anaesthesia from the anaesthesia recovery room may be considered when the patient is fully awake and the vital signs are stable. Specific transfer criteria include: Stewart score > 4; Patients who receive sedatives or analgesics after surgery and who observe no abnormal reaction for at least 30 minutes after drug use; Patients who are able to maintain independent and open airways, where ingestion and cough reflexes have recovered, air is normal and breathing frequency is 12-20 times per minute, PaCO2 is within normal range or pre-operative level and PaO2 is above 9.33 kPa when mask oxygen is used
(70 mmHg), no less than 3-5% of SpO2 prior to surgery;
VI. CONCLUSION. Anaesthesia is an integral part of the operation and is essential for the safety of patients. During this period, the biological function of the patient is being realigned and is prone to complications. Therefore, scientific and effective anaesthesia management is important for ensuring the safety of patients and promoting post-operative recovery. Medical personnel need to closely monitor changes in the vital signs of patients and take appropriate care to ensure their safety; at the same time, patients and their families need to be actively involved in the process and to work with health personnel to enable patients to successfully survive anaesthesia. Through the joint efforts of both medical and medical patients, we can better safeguard the lives of post-operative patients and promote their early recovery.