Anesthesia in laparoscopic surgery to suture gastric wounds

The article was professionally consulted by Specialist Doctor I Nguyen Xuan Tinh - Anesthesiologist - Resuscitation - Department of General Surgery - Vinmec Phu Quoc International General Hospital.

Patients with gastric perforation will feel severe pain in the epigastrium, such as a sharp object piercing the stomach, in addition to some symptoms such as: pale face, rapid breathing, body. profuse sweating, low blood pressure, etc. Often feel more pain when the abdomen is distended, and feel more comfortable only when bending over. The abdominal wall of people with stomach wounds will shrink and have a certain hardness to the touch. In pediatric patients, an inguinal hernia may also occur due to gastric contents irritating the surface of the abdominal cavity. Initially, patients with gastric perforation often present with shock, but this condition will subside quickly because the acid in the stomach begins to secrete outside the abdomen, causing irritation to the vagus nerve, causing the vagus nerve. For a slow pulse at first, the patient's body temperature also decreases but then returns to normal. Stomach wounds, also known as gastric perforation, if not treated in time, can lead to inflammation and worsen the condition, which is necrosis of the stomach and digestive organs. out death. Therefore, if there are signs of gastric perforation, immediately contact a specialist for timely examination and treatment. The sooner the patient is treated, the lower the risk of bad complications of the disease and help you recover quickly.

Endotracheal anesthesia is the most commonly used method in gastric bypass surgery. This is a technique used for general anesthesia, endotracheal intubation for the purpose of controlling the patient's breathing during the entire surgery as well as resuscitation after the surgery is over.
An anesthesiologist team will include an anesthesiologist and an additional nurse assisting with anesthesia. This nurse has full responsibility for the equipment, facilities, medications, lines, and monitors, to help the anesthesiologist complete their duties. An anesthesiologist is responsible for his or her expertise, making decisions regarding anesthetic techniques and procedures performed on the patient.
Before administering anesthesia to the patient in the operating room, the doctors will conduct an examination and prepare the patient for surgery. This examination along with some main tests is a mandatory condition.
Anesthesia in laparoscopic surgery to suture stomach wounds includes:
Checking the patient's medical record. Check the patient's health condition before surgery. Performing anesthesia

2.1 General procedures Adjust the patient to supine position, and give 100% oxygen at least 5 minutes before induction of anesthesia. The anesthesiologist installs a monitor and establishes a highly efficient line, administering anesthesia to the patient (if necessary).
2.2 Induction of anesthesia This process usually uses intravenous anesthetics, volatile anesthetics and analgesics, muscle relaxants to reduce pain for the patient during surgery. Only when the patient has had a deep sleep and has enough muscle relaxation, the conditions for endotracheal intubation are met. There are two commonly used endotracheal intubation techniques: oral or nasal.
2.3 Maintain anesthesia With volatile or intravenous anesthetics, analgesics, and muscle relaxants. Can control the patient's breathing by machine or hand squeeze.
2.4 Monitoring the patient's condition Check the depth of anesthesia based on important factors such as: blood pressure, heart rate, tearing, sweating, ... In addition, it is also necessary to monitor the signs. Vital signs of the patient are based on blood pressure, heart rate, SpO2, EtCO2, body temperature.

Statistically, complications and anaphylaxis are possible with all procedures that can interfere with the patient's body, as well as for all cases of foreign objects being introduced into the body. the patient's body, including drugs and vaccines.
The rate of anaphylaxis will depend on the drugs used during anesthesia because each drug will have a different rate of complications, in addition, different bodies also have a different rate of anaphylaxis difference. It can appear at any time during the patient's treatment and anesthesia.
This is considered a serious complication, which can lead to rapid death if not diagnosed and treated promptly. Manifestations of anaphylaxis are hypothermia, hypotension, cardiovascular collapse, smooth muscle spasm, and increased vascular permeability. Some cases occur very quickly after withdrawing the needle, even after only a few seconds, the patient dies immediately. The earlier symptoms appear, the more severe the disease and the higher the mortality rate. Therefore, anesthesia in laparoscopic gastric bypass surgery needs to be examined and performed correctly to ensure the safety of the patient's health.
At Vinmec International General Hospital, all customers are consulted and consulted for planning Resuscitation of anesthesia / anesthesia / analgesia before surgery / procedures. This is essential to ensure client safety and quality during resuscitation/anesthesia/anesthesia/analgesia. To have a plan for prognosis, prevention in all cases before conducting surgery/procedure/pain treatment. Currently, the hospital also has a full range of modern medical equipment: Anesthesia machine, emergency resuscitation facilities, monitoring equipment: ultrasound machine, monitor, PCA, Auto bolus and a team of experienced doctors. directly involved in the examination and treatment process. Therefore, customers can completely rest assured when doing at Vinmec.
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