It is one of the oldest and most important fields in medicine. People made an effort to ensure that the patient did not feel any pain during surgery already in ancient times. Various methods have been used, from opium-containing plant extracts to the introduction of gaseous anaesthetics. What is anaesthesia in the 21st century? Completely safe and gentle for the patient and his surroundings (environment)!
At the Mediestetik clinic, patient safety and comfort are the alpha and omega of all procedures. Even in plastic surgery, we emphasize working with first-class technologies and top experts. Concerning anaesthesia, we use the most modern anaesthesiology device and the inhalation anaesthetic. Its clear advantage, among other things, is the quick awakening of the patient to the full consciousness. We also pay close attention to the treatment of postoperative pain.
When our anaesthesiologists treat you, you don't have to think about anything other than what you want to dream about during anaesthesia. However, it's good to know what exactly is going to happen. We wrote in short how does the anaesthesia work.
- Before a hospitalisation
at the clinic, the patient undergoes a preoperative examination. Usually, provided by a general practitioner or internist. The examination must include the patient's medical history, allergies, current medication, laboratory examination and ECG. If the patient has a chronic disease, he/she has to provide a report from a specialist. He/she is then examined by an anaesthesiologist, who determines whether the patient can undergo surgery.
- The evening before surgery
a light dinner is recommended. The patient can eat last time approximately 6 hours before the surgery and drink water a maximum of 2 hours before. The patient should not smoke for as long as possible.
- In the morning
the patient completes a short questionnaire. Approximately half an hour before the procedure, he/she gets a so-called premedication, the aim of which is to minimize anxiety, worries and tension and to ease an administration of general anaesthesia. Subsequently, the nurse inserts a plastic cannula into a vein, through which antibiotics are administered.
- At the moment
the patient comes to the operating theatre, a team consisting of anaesthesiologist, anaesthesiology nurse and the perioperative nurse is waiting for him/her.
- After placement
on the operating table, the team monitors blood pressure (through a cuff on the arm), ECG (using 3 self-adhesive electrodes on the chest) and the amount of oxygen in the blood (sensor on the patient's finger). This way, the patient's body functions are controlled throughout the procedure.
- Anaesthesia is supplemented
i.e. a combination of an inhaled anaesthetic, opioids and muscle relaxants is administered.
- Introduction to anaesthesia:
the patient inhales pure oxygen for a short time, then receives an opiate (a strong painkiller) and an anaesthetic (after which he falls asleep) through a well-established intravenous cannula, and usually also a muscle relaxant. Subsequently, his/her airways are secured (by intubation or laryngeal mask, according to the nature of the operation).
- The course of anaesthesia:
the patient inhales the anaesthetic. His/her vital functions are continuously monitored, and he/she receives medication according to his/her current condition and needs. Before the surgery ends, the patient receives additional pain medication, which minimizes postoperative pain, and medicine to reduce the risk of postoperative vomiting. Due to continuous monitoring, the patient can't be conscious or in pain during the procedure.
- When the surgery has finished
the administration of the inhalational anaesthetic is terminated, or the effect of muscle relaxants is cancelled, and the patient wakes up to full consciousness in a short time.
- Although, it is possible
that the patient does not remember anything, he/she is already able to communicate on the operating table and is stable. The patient is in full consciousness transported to the postoperative room, where he/she receives the permanent and continuous monitoring of vital functions and treatment of postoperative pain. The patient can eat and drink after anaesthesia according to his/her current condition after agreement with the anaesthesiologist.
Is permanently present at the clinic until the patient is discharged the next morning and oversees the patient's condition and medication. Anaesthesiologist indicates, among other things, the appropriate treatment of postoperative pain.
However, the treatment of postoperative pain begins already during anaesthesia, not only by administering drugs into a vein but also by infiltration of a local anaesthetic into the wound area. This ensures maximum comfort and minimizes pain in the treated area after the surgery.
Do you have any questions regarding plastic surgery? Do not hesitate to contact us - the doctor will discuss everything with you during the consultation.