Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Medicine of ancient greeks essay
Ancient medicine early pioneers
Ancient medicine early pioneers
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Before the improvements of anesthetic practices, surgery was a last resort for patients. According to Dr. John Sullivan, Massachusetts General Hospital only performed 333 surgeries from 1821 to 1846. At this rate, surgeries were only being done around once every month. This trend was common in most hospitals during the 19th century. Surgeons tried multiple techniques such as hypnosis, distraction, and alcohol to help ease the pain of operations. In some extreme cases, a state of unconsciousness was reached through a forceful hit to the jaw, allowing doctors a small window to perform surgery (Sullivan). This year, Massachusetts General Hospital reported that more than 42,000 operations are performed annually ("Hospital"). The primitive practices …show more content…
As stated by Dr. Christopher Press, "General anesthesia is the state produced when a patient receives medications for amnesia, analgesia, muscle paralysis, and sedation." This particular type of anesthesia is different from local or regional anesthesia in that it affects the entire body, including the brain. Regional anesthesia is a temporary sedative that eliminates pain in the area of the operation, and local anesthesia is injected into the skin in the precise location of the operation, reducing pain and sensation in a single area ("Pediatric"). These types of anesthesia do not completely prevent awareness of surgery and can even be administered when the patient is awake and functioning on their own. General anesthesia is most useful in complicated surgeries that involve the most amount of pain and require absolute stillness of …show more content…
As seen in "A Walk Through the Use of Anesthesia," patients being prepared for an operation must first have their lungs cleared of nitrogen. The anesthesiologist will begin the process of administering anesthesia by allowing the patient to breathe pure oxygen through a mask before adding the anesthetic. This provides that the patient 's body will more willingly accept the medications and circulate them more efficiently through the bloodstream. As the oxygen becomes concentrated with anesthetic, the patient then enters the four stages that are associated with general anesthesia. The first stage involves analgesia, or the reduction of sensation and pain. In this stage, a patient is still conscious and able to hold a conversation but may lose awareness of surroundings. This stage is often when anesthesiologists will begin IV lines (Sisk). The next phase is known as the "excitement" phase because patients may experience delirium or violence due to increase in blood pressure and higher breathing rates. This stage is often avoided by added medications such as sodium Pentothal or other barbiturates (Sisk). The patient then enters the surgical anesthesia stage in which surgeons begin the operation. Breathing becomes regular, eye movements cease, and muscles are completely relaxed due to additional medication added to the anesthetic
Prior to intubation for a surgical procedure, the anesthesiologist administered a single dose of the neuromuscular blocking agent, succinylcholine, to a 23-year-old female to provide muscular relaxation during surgery and to facilitate the insertion of the endotracheal tube. Following this, the inhalation anesthetic was administered and the surgical procedure completed.
Popular television paint a glorified image of doctors removing the seriousness of medical procedures. In the non-fiction short story, “The First Appendectomy,” William Nolen primarily aims to persuade the reader that real surgery is full of stress and high stakes decisions rather than this unrealistic view portrayed by movies.
It is not uncommon for a patient to experience pain and anxiety before or after a major procedure or breathing treatment. Imagining the myriad of complications that might occur during an operation can send one into multiple panic attacks. Coping with the loss of mobility and independence joined by the pain that accompanies recovery are only a few examples of the complex and traumatic experiences awaiting pre/post-operation patients. Fortunately, a medication was synthesized by Armin Walser and Rodney I. Fryer in 1975 to aid patients by easing anxiety and promoting sleepiness before an operation. An added benefit was that the events experienced during the operation were also forgotten while the medication was still in effect.
IV sedation is reserved for our most complicated procedures and patients with very high levels of fear and anxiety. IV sedation creates a sleep-like state that allows you to wake up from a procedure with no memory of the sights, smells, sounds, or sensations that occurred during the treatment. This form of sedation is administered through an intravenous line and only by a licensed
Breathing is the most important AL (Roper et al, 1998). A detailed assessment of her airway would be performed because protection of the airway throughout anaesthesia is essential (Yates, 2000). This does not just include recording of respiration rate and oxygen saturation (SpO2) but also noting any use of accessory muscles, shortness of breath, auscultation of chest and lungs areas for wheezes/crackles and asking patient about history of any respiratory illness/smoking (McArthur-Rouse, 2007).
Anesthesia was not used in surgeries until 1846, so prior to that the patient was completely conscious when they operated on him or her, unless the patient passed out from pain. Patients were unwilling to be cut into while they were awake: “Dragged unwillingly or carried from the ward to the operating theatre by a couple of hospital attendants (in Edinburgh a large wicker basker was used for this purpose) the patient was laid on the operating table and if necessary strapped down” (Youngson 27). The tools used in surgeries can be seen here. Anesthetics Anesthetics were not used in surgery until October 16, 1846, at Massachusetts General Hospital (Youngson 51). Anesthesia is an inhaled gas known as ether.
Now let’s break down what General Anesthesia actually is. General Anesthesia makes you both unconscious and unable to feel pain during medical procedures. A study done by a team from Harvard Medical School, Weill Cornell Medical college, and the Massachusetts Ins...
Volles, D. F. (2011, April 11). University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures. Retrieved May 12, 2011, from University of Virgina Health System: University of Virginia Health System Adult and Geriatric Sedation/Analgesia for Diagnostic and Therapeutic Procedures
According to Career Cruising, “anesthesiologists are doctors who administer drugs or gases that prevent patients from feeling any pain or sensation during surgery.” They monitor the patient before, during, and after the operation. Career Cruising also noted that before surgery, anesthesiologists consult with patients and make decisions
Many historians, like James Robertson, claim that “Instances were many when the only ‘anesthesia’ used was a bullet or a piece of wood thrust between a soldier’s teeth to keep him from biting his tongue while the surgeon cut, sawed, and sutured.” These narratives base their arguments solely on diaries and letters from soldiers who witnessed patients being physically restrained for surgery by doctors and orderlies and assumed the patient did not have anesthetic or saw surgeons perform operations on howling and writhing men while assistants held them down. Today, medical historians have separated the truth from the myth. With the truth being that surgery under anesthesia began in 1846 and became a universal requirement during the Civil War. Doctors near the battlefield used chloroform, while hospitals primarily used ether for operations and painful wound treatments. Many of the passing soldiers saw the patient in the excitement stage of anesthesia where an anesthetized person moans, shouts, and writhes regardless if surgery is being performed or not, thus explaining why doctors needed assistants to hold patients down so they could work and perform operations successfully. Plus, doctors normally gave their patient just enough anesthetic to make the patient insensible to the pain. Numerous military historians argue along the same lines as Duffy and Bollet, but instead of focusing
Brody, Michael, and Donald Martin. “The Role of Anesthesiologists.” Physicians Protecting Patients. N.p. N.d. Web. October 21, 2015. An anesthesiologist is a physician who has received at least 8 years of schooling and has completed a residency program dealing with anesthesiology. Now, a licensed physician, an anesthesiologist deals with the administration of anesthesia during many medical procedures, including surgical or obstetric procedures, and pain management for acute and chronic illnesses, or cancer related pain. Anesthesiologists are also in charge of “anesthesia care teams” that include the anesthesiologist, an anesthesia assistant, certified registered nurse anesthetist, and an anesthesia technician. As the leader of the care team, the anesthesiologist is responsible for assessing the patient before, during, and after medical procedures, as well as developing and monitoring performance and quality of practices and standards in regards to administering anesthesia. The entirety of
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
Before NO is administered, the patient should be as stable as possible so sedation, blood pH, FiO2, and in rare cases muscle relaxers should be considered. For mechanically ventilated patients, when the patient is prepped, NO is administered with the use of delivery system that is able to put out a constant concentration throughout the patients breathing cycle (Eagans, 2013). Delivery systems, such as the INOmax DS can also be used with a facemask or nasal cannula (Eagan’s, 2013).
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Everyday, people go through surgery and require a specialist that will monitor their surgery as well as give them what they need to be able to persevere the pain, which is exactly what anesthesiologists do. In order for the patients to be able to get into surgery and deal with the agonizing aches after the abscission, anesthesiologists have to give the sufferer the proper treatment before and after the surgery. Overall, anesthesiologists must be highly educated in both medicine and communication, they need to be able to give the patient the right amount of medicine as well as speak with the family of patients and other doctors to inform them all with what will be done during the surgery, and they need to be able to properly assist the surgeons during operations.