This year's March 3th to April 27nd is the "Chinese Anesthesia Week", and the theme of this year's event is "Respect Life, Doctors and Patients Walk Together". With the rapid development of clinical surgical technology, anesthesia technology and people's health are becoming more and more closely linked. Recently, the National Health Commission issued the "Pilot Work Plan for Integrated Pain Management" to improve the quality and safety of medical services for integrated pain management.
Simply put, anesthesia technology allows patients to feel no pain or feel less pain during surgery. Anesthesia is a highly specialized task, performed by a dedicated anesthesiologist, and almost every procedure requires the involvement of the anesthesiologist throughout the entire process, including before, during, and after the operation.
Huang Yuguang, Chairman of the Anesthesiology Branch of the Chinese Medical Association: We have five vital signs: blood pressure, pulse, breathing, body temperature, including pain. What does anesthesia do? It does not mean that the injection is over, it is the whole control of the patient's life indicators in their own hands. In this way, safety must be ensured first, then medical treatment must be effective, and the third patient must be comfortable. So from this point of view, anesthesiology is to make our patients safer from this aspect, and then clinical treatment is more effective, more so that our patients can have dignity and a comfortable feeling in the whole process of medical treatment.
Preoperative evaluation of painless gastrointestinal endoscopy is essential
Gastrointestinal endoscopy has been done by many people, and it is one of the main means of diagnosing digestive tract diseases. With the popularity of painless gastrointestinal scope, not only greatly reduce the patient's pain, but also shorten the examination time, compared with ordinary gastrointestinal scope, the biggest difference between painless gastrointestinal endoscopy is the participation of anesthesiologists.
Painless gastrointestinal endoscopy is to allow patients to complete the examination in an unconscious state through general anesthesia during endoscopy. After the general examination, the patient wakes up quickly, and the whole process only takes about 5 to 15 minutes. Despite the advantages of painless gastrointestinal endoscopy, it is not suitable for everyone due to the inherent risks of anesthesia. Therefore, the anesthesiologist needs to evaluate the patient's physical condition before the examination to determine whether anesthesia is tolerated.
Huang Yuguang, Chairman of the Anesthesiology Branch of the Chinese Medical Association: One of the (assessment) examinations is to see his age, and the other is that he has a past medical history. If his past medical history is cardiovascular, angina, high blood pressure, diabetes, then routine electrocardiogram, echocardiogram, and some blood draw-related indicators. And if you have chronic bronchitis in the elderly, bronchial asthma, long-term smoking, and poor lung function (medical history), then it is necessary to do a lung function (examination) for the condition of the lungs. Everyone's situation is different. The assessment of the general condition is an important part of ensuring the safety of the anesthesia medical process.
The anesthesiologist will pay attention to the patient's psychological stress response
Many patients are nervous, scared, and even psychologically stressed before surgical anesthesia. At this point, the anesthesiologist will intervene on the patient to relieve anxiety and help the patient enter anesthesia smoothly.
Li Tianzuo, Chairman of the Anesthesiology Professional Committee of the Chinese Society of Integrative Medicine: As an anesthesiologist, the first is how to build this relationship of mutual trust with patients in the short contact with patients before surgery, and enable patients to know that they are escorted by anesthesiologists when entering the operating room, which is a very safe, very controllable process, and can recover quickly. At the same time, for some special patients, we can also take some drug interventions, such as helping him sleep and reducing his anxiety. Another is to comfort and explain after entering the operating room, during the period when the patient is not asleep, and at the same time help the patient complete the preoperative preparation and smoothly enter anesthesia induction. That's all we can do.
Awareness of analgesia in childbirth needs to be improved
In 2018, the National Health Commission issued the Notice on Carrying out the Pilot Work of Labor Analgesia, requiring the improvement of natural childbirth medical treatment under the condition of labor analgesia, and over the past five years, the average labor analgesia rate of 5 pilot hospitals for childbirth analgesia in China has reached 912.53%. Labor analgesia improves the quality of delivery and maternal comfort, ensuring the safety of mothers and babies. However, according to the data of the "2 World Analgesia Day Research Report", there are still some misunderstandings in the public's perception of analgesia in childbirth.
"Analgesia in childbirth", commonly referred to as "painless childbirth", aims to reduce the pain of natural childbirth, improve the quality of childbirth and maternal comfort. However, according to the data of the "2022 World Analgesia Day Research Report", about 36% of people in China do not know about or have only heard of painless childbirth, and some respondents believe that painless childbirth will leave sequelae for pregnant women. In this regard, experts said that these are all misunderstandings, and the public's awareness of labor analgesia needs to be improved.
Mi Weidong, vice chairman of the Anesthesiology Branch of the Chinese Medical Association: In fact, there is a large amount of clinical evidence that the techniques of neuraxial delivery analgesia that we currently use, including medication, will not bring adverse effects to the mother and newborn, and there will be no other special accidents in the normal process. Therefore, the benefits far outweigh the disadvantages, because adequate analgesia is not only beneficial to the mother's entire production process, but also the control of stress response, which can control 10 points of pain and 9 points of pain at 3 points or less, which can improve the adverse effects of the mother's own production process.
(CCTV reporter Li Bin)