The role of the anesthesiologist during and after surgery

The article was consulted with Specialist Doctor I Nguyen Duc Thong - Anesthesiologist - General Surgery Department - Vinmec Danang International General Hospital.

Anesthesiology is a specialty area of ​​practical medicine dedicated to pain relief and the overall care of patients before, during, and after surgery for which physicians are highly trained. The stage of anesthesia is very important to the success of the surgery and the person who controls the anesthetic enough for the surgery without letting the anesthetic harm the patient is a qualified anesthesiologist.

Many misconceptions suggest that the anesthesiologist is only in the operating room before surgery, but the preoperative anesthesiologist's role is also very important, especially in the preoperative assessment.
The purpose of preoperative evaluation is to help physicians identify risk factors that may adversely affect anesthetic safety. In particular, anesthesiologists need to know the patient's medical history, history and diagnostic tests; help anesthesiologists draw up a specific plan for each case, for each surgery to contribute to ensuring the success of the surgery. Pre-anesthesia assessment is also an opportunity for the anesthesiologist to interact with the patient and talk to them about the outcome of the surgery and the risks and benefits of this treatment, without creating a crisis for the patient. , helping patients understand the importance of making appropriate choices and handling risks. Pre-anesthesia examination is considered as the most effective sedative for patients about to enter surgery.

Pre-anesthesia examination sometimes also helps the anesthesiologist to review the patient's comorbidities such as hypertension, diabetes, cardiovascular disease and medications the patient is taking. These are risk factors that, if hidden by the patient, can have very serious consequences on the operating table.

Anesthesiologist in this stage, in addition to deciding on the method of anesthesia as well as the anesthetics used in surgery, also monitors the patient's vital functions (pulse, breathing rate, blood pressure, heart rate). , and correcting the electrolyte balance to stabilize the patient during surgery.
In large hospitals, anesthesiologists receive the maximum support of modern medical equipment, but in areas where there is a shortage, this monitoring work must be done manually, making the doctor Anesthesiologists are under a lot of stress to keep the patient safe and the surgeon calm during surgery.

The role of the anesthesiologist in the post-anesthesia care unit or “resuscitation room” is even more important because the patient is subject to residual anesthetic effects after surgery. At this point the anesthesiologist needs to monitor the patient's activity level, breathing, circulation, alertness, and oxygen saturation; Recovery of movement and sensation after spinal anesthesia. The recovery room is a place where complications often occur, so patients are closely monitored and monitored to avoid unnecessary errors. Anesthesiologist is the person responsible for detecting and promptly handling the complications caused by anesthesia - anesthesia and surgery in the first 24 hours after surgery.
In addition, the anesthesiologist also participates in the pain management unit not only after surgery but also pain from other causes such as cancer, burn pain, neuralgia due to shingles, back pain and Neuropathy in people with diabetes is also directly managed and treated by anesthesiologists.
Anesthesiologists - pain relievers at Vinmec are trained to update continuously to apply the latest advances in medicine to bring the best results for patients. Technical procedures in anesthesia - analgesia are standard procedures, uniform throughout the system; Doctors work together in teamwork to ensure the highest safety.
Vinmec International General Hospital is one of the hospitals that strictly applies safe surgical anesthesia practice standards according to international guidelines. With a team of experienced anesthesiologists and nurses, along with modern equipment such as nerve detectors, ultrasound machines, Karl Storz difficult airway control system, anesthesia monitoring system GE's comprehensive AoA (Adequate of Anesthesia) including monitoring of anesthesia, pain and muscle relaxation will deliver high quality and safety, helping patients to have adequate anesthesia, not awake, no residual relaxant muscle after surgery. Vinmec Health System is also proud to be the first hospital in Vietnam to sign with the World Anesthesiology Association (WFSA) towards the goal of becoming the safest hospital for surgical anesthesia in Southeast Asia.
If you have a need for consultation and examination at Vinmec Hospitals under the nationwide health system, please book an appointment on the website for service.