Sedative before surgery. How to prepare for anesthesia and surgery

Date: 26.04.2019

I want not to be afraid! I understand that if I try, none of the doctors will play around and persuade me, but I will not enter THERE voluntarily!

You told about the beginning of the action of anesthesia

I understand that I need to drink a sedative, but this will not help me. I'm afraid of panic, although I understand that I need it, and not someone else, and it depends only on me, but.

Where do they get an injection for general anesthesia? Sorry for the stupid question, but, as you understand, I am a coward and I want to know where the general anesthesia is injected.

into a vein in the arm, but before this anesthesia, for 10 minutes something else is injected into the ass, I don’t know what kind of drug. husband had surgery 2 months ago

Special thanks for the calming, but if I was not given to a good pleasant doctor to insert lenses into my eyes, although all my life I dreamed of blue eyes)))) Then, I'm afraid, I just can't look at the light bulb and voluntarily surrender to the doctor. I myself understand how stupid it sounds, but what I'm afraid is to say nothing.

secondly, dirty operations are only in traumatology, there is always tin, rarely in cardio and neurosurgery (

thirdly, you didn’t inject anything to relax, such as relanium. usually people after them are lethargic and have little resistance.

I in your place agreed to general anesthesia (fell asleep, woke up and that's it.

they are treated with the nurse's hands / gloves almost every minute, because the blood on the gloves is already aseptic))) the costumes change immediately with a new patient or with severe contamination (and when the cyst is removed, there is practically no blood), and the surgeons are washed. straight surprisingly, as if in another state. maybe you have a very, very small operation. well, as completely without relaxation, even though baralgin should be poked.

Hello! I am an anesthesiologist. And I can hopefully answer your questions about pain, pain relief

Questions and answers are not censored, everything is transmitted in the original. This is not journalistic material, this is direct speech. Some eyes will hurt.

Hello! I am an anesthesiologist. And I can hopefully answer your questions about pain, pain relief, anesthesia and anesthesia.

Please tell us about the funniest / most ridiculous case from your practice related to anesthesia (and resuscitation - you are probably also a resuscitator?).

Yes, I am an anesthesiologist-resuscitator. The most, the most to highlight is somehow hard. There were many of them. Very often I remember a case when a ten-year-old child, in order to carry out a minimal surgical intervention (opening an abscess, lymphadenitis, in my opinion), had to inject a dose of drugs ten times higher than the usual one. The man had an individual hypersensitivity to drugs for anesthesia.

Novocaine and its later derivatives actually potentiate (enhance) the effect of psychotropic substances (alcohol is one of them). After an overdose of alcohol, there is an increased amount of enzymes in the blood that destroy it. Accordingly, the effect of the "injection in the gum" may be insufficient.

Differences in the structure of some genes can affect the metabolism of certain drugs. Of the means for anesthesia, this applies to a greater extent to opiates (analogs of morphine). In some people, their elimination / destruction is slowed down.

I doubt very much that they will be able to determine the allergy to drugs for anesthesia. If only because you need to have these drugs in your laboratory and determine the antigen-antibody reaction by them. And they do not have the right to store these drugs, for this they need a license, a room with bars in the walls and on the doors, and a double alarm circuit. This is regulated by the drug trafficking law. There is a strong belief that some of these "laboratories" are engaged in quackery.

This, apparently, for the time being.

we used to be like that too. Then another, new, inspector from OBNON came and said that now he would not fine the hospital, and the next time he came, it would be obligatory, if nothing changed. It was already a very long time ago, moreover.

If tests are done for each drug prescribed to a patient, there will not be enough resources (time, human, material). Therefore, before prescribing the drug, the doctor should carefully collect the patient's history, find out the general predisposition to allergic reactions, the presence of allergies to this in close relatives, etc. Anaphylaxis develops in sensitized patients, that is, those who have already received this drug have antibodies in their blood that can give such an immune response. Often anaphylaxis in dentistry is mistaken for a reaction to intravascular injection of the drug, when a needle accidentally falls into blood vessel, and the introduction of the drug into the vascular bed, causes a sharp drop blood pressure, with all the ensuing consequences.

There are many drugs for anesthesia, there is no specific drug for a specific operation. Almost all patients with water anesthesia (before falling asleep) experience pleasant sensations similar to light intoxication.

I use a combination of ketamine, sibazone and fentanyl for ENT operations. I even have an author's experience on these operations in children. The younger children do not remember the fact of the operation, the older ones say that they had a dream. And yes, indeed - deep anesthesia is impossible, the cough reflex must remain.

It has been noticed that hallucinatory manifestations after the administration of ketamine to women are often erotic, in men they are more often alarming and threatening. The introduction of sibazon, in most cases, neutralizes these manifestations.

Didn't know about such statistics. Where does the information come from?

Perhaps this is the right approach.

This means the removal of adenoids and tonsils in children, deep anesthesia cannot be given, without tracheal intubation.

at the same time - and it is convenient for the surgeon. The patient does not resist, does not gurgle with blood, you can pick the operating field as you like, make normal hemostasis.

Here the endotracheal tube just interferes with the ENT surgeon. In the clinic where I work, we have been operating on children under anesthesia for 2 years already, the number of operations has increased significantly, precisely because under anesthesia. The technique is without intubation, partially developed by me. Prior to that, most of these children were operated on (under anesthesia) at the Regional Children's Hospital and at the Institute of Emergency and Reconstructive Surgery. Just today, the parents of one of the children were categorically against anesthesia, his adenoids were removed under local anesthesia. Nasal septum plasty was operated as usual - relaxation, intubation, etc.

And further. I am just an ardent opponent of "profit" operations, a child's psychotrauma can persist for the rest of his life. And I went to the manager for two years. The ENT department and moaned: let's start operating under anesthesia. Now we are best friends, he likes to remove adenoids and tonsils under general anesthesia much more.

Peking - oral cavity tamponade, in Russian. And we chronically do not have tubes with cuffs (cans), I buy for mine, periodically.

Do not persuade me, it is much easier for me to intubate the trachea, conduct relaxants, and breathe in a bag slowly. The reality is that we work without intubation.

Where are you now, if it's not a secret? In what country, in the sense?

How are you in the hospital with drug supply? We are shitty - marcaine appeared only a week ago, lidocaine is running out, listonone and atropine are counted, and epidural sets and spinal needles are given out to the department in single quantities ..

Ours is no better. For example, in 2012, my colleagues and I purchased atropine several times using our own funds. They wrote out a prescription according to the "A" list and purchased 20 packs at once.

After a short acquaintance and a night together, the girl says to the man:

Do you want me to guess who you work for?

Doctor, you washed your hands so thoroughly.

I can guess who is by specialization.

How did you guess?

I didn't feel anything.

- (with pride) well, I'm an anesthesiologist!

The drug of choice, I believe, is ultracaine. As an option - cytanest. Why they offer lidocaine is unclear, sometimes doctors prefer to prescribe inexpensive drugs, and the rest depends on the technique of local anesthesia.

Thank you, ultracain is our everything 🙂

I am waiting for the doctor's answer. Thanks.

Any chemical substances harm our body, in the case of intravenous anesthetics 2 anesthesia for 1 hour will not bring irreparable harm. Some patients endure 25 anesthesia a year, no fatal consequences have been noticed.

I will add a little. In principle, any manipulation accompanied by a violation of the integrity of the vessel wall (vein) can provoke increased thrombus formation. Some drugs (propofol, for example) have an irritating effect on the vascular endothelium (hence phlebitis and possible thrombosis)

I absolutely agree with you. Therefore, I gave propofol as an example of a drug that is not diluted and is injected (more often) into a peripheral vein.

Tell them to bring a price list for the services of an anesthesiologist, signed by the head physician. Ask if they will give you a cashier's check for the services rendered?

There are no drugs for general anesthesia (anesthesia) on the market.

Well then, and nitrous oxide.

Xenon anesthesia cannot be performed without the appropriate equipment. And by the way, ask about the cost of this gas - about $ 30 per liter. With xenon anesthesia, taking into account recycling, 5 liters of this gas are consumed per minute.

Try drugs based on nimesulide, dexalgin. If you are taking any other medications during this time, or have any chronic diseases be sure to check with your doctor.

For reduction of bone fragments (fracture reduction) in children, intravenous anesthetic ketamine is ideal. Mask anesthesia is now very widely used in adults, as an induction prior to the application of low-flow anesthesia.

An operating team of 15-16 year old acne surgeons adolescents, for whom a patient in anesthesia and with a purulent process in the abdominal cavity is the only way to finally part with her virginity. Well, you get me, right?

7 daily doctorsheeshka: on average, about 30-40 anesthesia is obtained per month, plus a shift in intensive care. The staff is in short supply. People come after their internship, they will work for a year or two and leave as medical representatives.

Considering that I also work in a maternity hospital (in intensive care for newborns), then I have 18-19 daily shifts per month.

There is nothing for the bet, there is no time for two. By the way, I myself sometimes think about a medical facility - I was called to Astrazeneca, it is only the love of my specialty and belief in a better future that stops me. The salary, with all the surcharges and VMP, barely reaches 1k USD. But I don’t take bribes, I don’t twist patients for loot, it’s a shame to receive gratitude since the days of sanitation.

And yet - suddenly you know: 10 years ago I did a blood test - an allergic reaction to anesthetics. Now, for some reason, such tests are not done, doctors say that they do not show anything, and it is possible to find out the reaction to the pain reliever only after the fact. Is it really so?

The analogue of septanest is ultracaine, in them active substance the same thing: articaine. There are many manufacturers of popular medicines, they differ only trade names... In your case, after a clinical blood test (see the level of eosinophils), it is advisable to get the advice of a competent allergist, then go through, on his recommendation, a 3-5 day course antihistamines(diphenhydramine, suprastin desloratadine, etc.). And, after careful premedication, perform local anesthesia. Local anesthetic must be combined with adrenaline. In any case, doctors know better on the spot. My advice can only be advisory in nature.

The questions are not stupid, the usual questions of a normal inquisitive person. A common practice in modern general anesthesia is the use of multiple drugs to achieve the surgical stage of anesthesia. Due to the mutual potentiation (enhancement) of the action of each of the administered drugs, the total dose of a single substance is less than with mononarcosis. Thus, the risk of developing side effects inherent in each of the drugs is minimized. The same goes for the mask, most likely to maintain background anesthesia, you were allowed to breathe with a mixture of oxygen and nitrous oxide (1: 2). A tube is inserted into the trachea to ensure adequate patency respiratory tract when carrying out mechanical ventilation during the operation. Before the operation (in the ward), you were given a so-called premedication, a combination of drugs to prevent disorders heart rate, excessive salivation and vomiting.

The mechanism of action of most modern general anesthetics is a reversible disruption of the impulse transmission process in the central nervous system. I think it's unrealistic to highlight all the nuances in the post. Nevertheless, I will try to answer most of the possible clarifying questions.

Thank you very much for your reply! In fact, there are a lot of questions about the nuances of the action of anesthesia on the central nervous system precisely at the neural level. I understand that it is pointless and rather inconvenient to describe everything here. So I will be grateful for links, perhaps, to some popular science articles or books on this topic, and in general on neurobiology, if there are such at hand, of course. Thanks!

Epidural anesthesia is performed without turning off the patient's consciousness. This is a variant of local anesthesia, not anesthesia. Sometimes, intravenous hypnotics are used for epidural anesthesia, but this is not anesthesia (not general anesthesia). Light music in the operating room is a common practice both here and abroad.

Most likely, this is your individual sensitivity. Moreover, the sister has the same feature.

You are unlikely to be able to influence the value of the pain threshold. You can train your will, i.e. by volitional effort to subdue more severe pain. You can also recall the techniques for controlling consciousness (meditation, etc.)

I am sincerely glad that everything ended well! Respect to a colleague, health to my son. Do not be ill!

WHOM did you do the COP ?? WHAT is the injection done before the operation? What is under the arms is then taken to the table.

Mobile application "Happy Mama" 4.7 It is much more convenient to communicate in the application!

By the way, my husband was given gas in front of the spinal, tk. the shaker took possession of him before the operation and he was shaken))))

the doctor still gave a choice: sleep or laugh))

not what sedatives do not prick ... the author of the post amused me))))))))

everything will be fine

You will lie on a narrow table and have a catheter put in and inject medication into a vein. seconds 10 and dozvidannya)))

By the way, you can ask that the tube be inserted into the urethra after anesthesia, because it is very unpleasant.

general anesthesia or what?

and I saw and heard everything. it seemed cool to me.

how many cool moments there will be ... how your lyalya will smile with a toothless smile.

even a shame ... she suffered in childbirth from 2 am until 5:20 pm she gave birth to the oldest 4218 ..

And then she came, went to bed, fell asleep, woke up a few hours later and they already brought the lyalka and only 3600 ... the worst thing at the COP is to get up for the first time after the operation ..

and as soon as you get out of bed, it is advisable to do it faster ... then you need to pull yourself together and straighten up completely holding the seam of course ... and it is better to get up immediately in a bandage ...

Sedative injection before surgery

I am not very good at this .. intravenous

Recently there was an experience, not the first, but the previous operations were quite easy, but this time everything turned out seriously. The most important thing is the choice of a doctor. If you trust him, then great, chase disturbing thoughts with reflections on his talent. Do not be superstitious in the negative, but on the contrary, catch good signs. You won't be able to rejoice now, so just be sure and calm: fifa :. Plan what you will do after the operation, start something now: 020 :. If the hospital staff is normal, then you will be completely relaxed there. You will receive a soothing injection before the operation, and modern anesthesia you shouldn't be afraid, he should be happy.: flower:

Ahhh, this is not a long-term operation, so don't worry. :)

But in general, despite the diagnosis and the complexity of the operation, I was calm because of my daughter, because children feel everything!

The operation is not difficult, they say, it will be 15 minutes, but I'm still scared ((

I try to hold on and think about the good, because a lot depends on the mood too.

Do not worry. It seems to you that this is an invasion of the holy of holies - your beautiful body. This is a routine job for a doctor, and a doctor does the job well. I believe that the evening before the operation, you will be given a sedative pill to get you a great night's sleep. Sometimes there is an inexplicable rationally fear of anesthesia, but it is somewhat absurd - you are not afraid to fall asleep in your bed in the evening - fearing not to wake up in the morning? Don't be afraid here, too.

Everything will be fine.: Flower:

You will be given an IV in the operating room, then they will give you an injection - you will wake up in the ward. Very, very rarely transferred to intensive care for several hours after surgery for thyroid gland- either if the operation is very protracted (5-7 hours - this happens, not your case), or if the patient is of advanced age and health problems. Also, I think, not your case.

NB: it is in this clinic for this type of surgery. Each clinic does it in its own way - for example, Muscovites after thyroidectomy are forced into intensive care for a day. Although, IMHO, there is no need for this - three hours after the first - two-hour - operation, I screwed up my lunch with a bang 🙂 The second was longer, but after dinner I was already walking along the corridor.

How lively you are though. 😉 I could not eat after the operation (thyroidectomy), I only drank broth until the next morning - it was uncomfortable to eat! Got up four hours later somewhere, when I slept: 008:

First of all, the conversation with the anesthesiologist helped, who, firstly, kindly laughed at my fears, and secondly, she threatened that she would not take me to the operation with such an attitude.

And besides, they put me in the ward on the eve of the operation to the girl after the operation, although she was with a swollen eye, but alive, this also cheered me up :))

I read the next topic about the SHZ and found that you and I have the same diagnosis, only I was diagnosed with it a year ago and already cut off everything that was in the way. : 008:

Tell me what you were told about the seaside vacation, I understand that you cannot sunbathe, and you cannot be under the sun. In one place the doctor said that you can, but in another he said you can’t. I so dreamed of going with a child to the sea at least in September

1. "Kashchei the Immortal drowned himself, hung himself, threw himself off a cliff - in general, he had fun as best he could." This I mean that if you have done thyroidectomy and - if necessary - have been treated with radioiodine, then in principle you can afford anything. Restrictions on the sun and the south - most likely not even in the line of carcinoma, but in the line of general health - it is necessary to select the correct level of thyroxine in order, on the one hand, to achieve suppressive therapy, on the other, not to get rid of all the negative of thyrotoxicosis.

But they didn’t drive them to the intensive care unit either - this is a rarity, indeed, a rarity during an operation on the thyroid gland!

I'm not lively, I wanted to eat - they didn't feed me since the evening before the operation, monsters!: 001 :: 004:

Regarding resuscitation, these www.endocrincentr.ru, for example, are always put for a day. “It’s accepted in our country,” they say. Moreover, they do not prescribe an operation if there is no room for a person in the intensive care unit. Another surgical school.

I had a spine surgery, I was sooooooo scared: 001:

The day before, the anesthesiologist was supposed to make a conversation with me, but for some reason he could not. In the morning I'm waiting for the operation, and I drank tea. (Nobody said anything to me: 005 :). I don't know exactly what time the operation will take place. Suddenly my sister bursts in and yells: why isn't she ready, why isn't she undressed?: Wife: Me: Nobody told me anything.

She: I hope you haven't drunk anything since evening? Me: Current water 🙁 Me: And if you start to vomit during the operation and you choke?: Wife :: wife :: wife :.

Having undressed, I crawl onto the gurney. Me: Why are the nails under varnish? 015 :: 015 :: 015: And erase the gloss from your lips! The lips will turn blue - we won't notice!

Where am I supposed to find out everything, if no one told me!: 009: That's how I went to the operating room.

The most unpleasant thing in this whole process is when you are taken naked under a sheet on a gurney along the corridors to the O. hall, where they prepare you for surgery, put on anesthesia, there is uncertainty ahead.

I woke up in the same place in the OZ. I was forcibly woken up and talked to me so that I would not fall asleep. So we got to the ward.

There the girls were told that they would not let me sleep for another two hours. They explained that I had anesthesia through an intravenous teter + tube. If I fall asleep, I can forget to breathe. And I wanted to sleep so much: 073:

Then I was not allowed to get up for a day, it was assumed that I would go to the toilet on a ship, in a diaper or on an absorbent sheet. It didn't work out! Well, I could not force myself! :(

In general, I did not go to the toilet or drink for a day, no matter what I wanted. This was my biggest mistake! Don't repeat it! On the contrary, you need to drink more so that the toxins after anesthesia would go out faster!: Ded:

The next day I could not stand it and had to get up. But. no strength. I could get up only from all fours and in the correct posture so that the spine would not bend. I was lying on my stomach, could not find the strength to pull my legs under me.

In general, I got up somehow. The whole room led me to the toilet.

But by lunchtime I finally walked away after half a liter of water I had drunk. : 014:

The most interesting thing is that the operation site did not hurt at all! This is a mystery to me.

And I looked at the seam during the dressing in the mirror over my shoulder. As if they just drew a scar on my skin. A couple of days there was a slight edema and that's it.

So the operation itself is not scary. You just need to properly prepare for it.: 020:

Before the operation - how to tune in and not be afraid?

Psychologist, Skype Consulting

Uzhgorod (Ukraine)

Now preparation will begin and devote yourself entirely to it, direct all your attention there, in currently... Bad thoughts will go away on their own.)

Psychologist, Constellator On-line therapist

Patient reminder before surgery

Why do I need to be tested again?

Usually, before the operation, I prescribe clinical analysis blood, biochemical analysis blood tests to assess changes that may have occurred since the test results were received at the place of residence. Unfortunately, the necessary parameters are not always determined at the place of residence, which is one of the most common reasons for repeated blood tests.

I determine the blood group before any operation, which is mandatory in all hospitals.

Why is it necessary to see a therapist?

Unfortunately, often the conclusions of the therapist from the place of residence do not suit me due to the fact that they do not contain information about the patient's current state, about the need and expediency of carrying out preoperative preparation.

There are many diseases that do not manifest themselves until a person gets into stressful situation... Often, while in the hospital, patients experience exacerbation of chronic diseases, and this requires correction of the therapist's prescriptions.

How many days will hospitalization last?

On average, hospitalization lasts for days. The duration of hospitalization depends on the need for preoperative preparation, complications surgical treatment... In general, the following rule can be formulated - "the younger the patient and the fewer chronic diseases he has, the earlier he will be discharged."

10 days is the minimum allowable period for treatment under the compulsory medical insurance.

What do you need to have before the operation?

elastic bandage (5-6 meters long, wide). After the operation, I bandage the patient with an elastic bandage in order to press the skin flaps to chest wall and improve their engraftment.
compression stockings... Compression stockings are especially important for patients with varicose veins. lower limbs), for the prevention of thromboembolic complications. It is known that cancer patients the risk of developing thromboembolism (blockage of blood vessels by blood clots) is higher than that of others.
good mood

Before the operation, the patient is given an injection to relieve pain and reduce the level of fear. Nurse takes him on a sit-down gurney to the operating room. The patient is placed on an operating table and an intravenous infusion system (dropper) is placed. The patient falls asleep and wakes up after the operation.

Preparing for surgery under general anesthesia

General anesthesia is prescribed to the patient in the event that during the operation it is impossible to do with local anesthesia to fully relieve pain. Hundreds of thousands of people go through this procedure every day. To reduce the likelihood of complications, both during and after surgery, competent preparation for anesthesia will help. The patient is required to strictly follow the recommendations that will help him prepare for the upcoming test physically and psychologically.

In many cases of surgical intervention, it is impossible to do without general anesthesia. With its relevance and necessity, such anesthesia still remains not entirely subject to the will of a person. Medicine cannot give a 100% guarantee that this artificial sleep will not render negative impact... An honest and open dialogue between the patient and the anesthesiologist is important when planning an operation, which should be prepared in advance.

Advantages and disadvantages of anesthesia

Back in the middle of the last century, anesthesia before surgery was associated with a risk to the patient's life. Today, thanks to a huge leap in the development of all branches of medicine, as well as due to the use of advanced technologies, it is no longer necessary to talk about mortality due to anesthesia. However, there is little chance of a threat to health. human brain(mental disorders are possible).

Almost everyone who has to go through this procedure experiences fear, sometimes turning into panic. But, since there is no alternative to such anesthesia, it is necessary to use all available possibilities to achieve maximum safety. For this, before anesthesia, it is important to prepare your body in accordance with the established rules and the individual requirements of the attending physician. If you do everything the way the anesthesiologist advises, you can reduce the likelihood of complications.

The advantages of general anesthesia include factors such as the patient's lack of sensitivity to surgical procedures, and the patient's absolute immobility, which allows surgeons to work with concentration and without stress. Also, the person under general anesthesia completely relaxed, which allows doctors to work even with hard-to-reach vessels and tissues, without wasting time. Another advantage is that the patient's consciousness is turned off during the operation, therefore, there is no fear.

In some cases, anesthesia is accompanied by such side effects as attention disorder, nausea, vomiting, disorientation, pain and dry throat, and headaches.

These unpleasant sensations are temporary, and their intensity and duration can be adjusted if you prepare for the upcoming surgery as the doctor requires, for example, do not eat or consume water for several hours before the procedure.

Preparing for surgery

To surgery under general anesthesia it is important to prepare correctly. Depending on the complexity of the upcoming surgical intervention, general condition the patient's health and many other factors, preparation time can vary from 2 weeks to six months. During this time, the patient sometimes develops a persistent fear of surgery and anesthesia, which is fueled by the stories of other patients or, read in the yellow press, anonymous testimonies.

The anesthesiologist, together with the surgeon who is to operate on the patient, should conduct an informative conversation with precise instructions on what to eat and drink a month before the operation, a week before and on the day of the operation. In addition, the patient must be examined by other specialized doctors who study the state of his health and also give him useful tips to adjust, for example, smoking, weight, lifestyle, sleep.

Even before a short and uncomplicated operation under general anesthesia, at least the following examination of the patient's state of health is carried out:

blood test (general);
urine analysis (general);
blood clotting test;
general analysis urine.

It is important to tell the truth about how you are feeling. If the patient was regularly preparing for the operation, but a few days before it noted an increase in temperature or an exacerbation chronic illness, for example, gastritis, the attending physician should know this! If the patient does not feel well, the operation is necessarily postponed.

Fear of surgery under general anesthesia

Feeling afraid of anesthesia or the surgeon's scalpel is normal and should not be ashamed of. To reduce the feeling of anxiety, you can seek help from a psychologist. In many developed countries, each patient must be consulted by such a specialist before the operation, and if necessary, consultations can be repeated. In our country, few clinics and hospitals can boast of such an opportunity, therefore, patients themselves sometimes have to ask the attending physician for a referral to a psychologist or psychiatrist for a conversation.

It is believed that the patient's psyche is already traumatized in the clinic, when the doctor recommends surgical treatment to his ward. Even then, in the mind of a person, fear begins to occupy a dominant position. Those who are about to undergo surgery need the sensitivity of the medical staff.

Each patient, without exception, should be reassured and encouraged. If the patient shows a feeling of fear especially intensely (often cries, talks about death, sleeps and eats poorly), he needs urgent consultation with a psychologist. In the preoperative period, most patients are in dire need of preparation for surgery, not only medically, but also psychologically. There are several areas of mental support for patients:

training of children and elderly people;
preparation for an emergency operation;
preparation for a planned operation.

Fear is a strong emotion, which in this case plays a negative role, preventing the patient from tuning in to a favorable outcome of the operation.

Since the consequences of anesthesia depend not only on the anesthesiologist, but also on the patient, you should carefully consider your own emotional experiences and see a specialist in a timely manner to restore mental balance. You can be afraid of anesthesia or the outcome of surgery, but at the same time live full life, without poisoning it either to yourself or to loved ones. To do this, you should prepare for the operation psychologically and physically, controlling not only what you can eat or drink, but also what you can and should think about.

Psychological attitude

First of all, you should abandon ostentatious bravado and admit to yourself: "Yes, I'm afraid of anesthesia." Fear is experienced by every patient who has to go through a serious surgery. This is a normal state, since a person is used to controlling the work of his own body, and the thought that he will be helpless inspires fear and anxiety. In addition, there is fear for the consequences of anesthesia and the success of the operation itself. Such anxiety is normal if it is not constantly present and does not disturb the patient's usual rhythm of life.

In order to psychologically prepare for an operation under anesthesia, feeling fear, you can do auto-training, yoga, meditation. It is enough to master the technique of correct relaxation and breathing in order to feel peace of mind after a few sessions. Breathing exercises and a positive attitude will help to overcome fear and panic.

Physical training

In addition to psychological aspect body preparation is important:

about all accepted medicines(even about 1 aspirin tablet) the anesthesiologist and the treating surgeon should know;
should tell doctors about recently past diseases and allergic reactions;
it is impossible to hide the diseases transferred in the past, which are considered indecent by the people (syphilis, gonorrhea, tuberculosis);
you can not eat or drink 6 hours before the operation;
quit smoking, preferably 6 weeks before the appointed date;
must be removed from the oral cavity removable dentures and piercings;
need to take off contact lenses and a hearing aid (if available);
decorative varnish is removed from the surface of the nails.

A week before the operation, you should eat foods that help cleanse the intestines from toxins and gases. If you prepare correctly, the body will undergo anesthesia easily and without complications. A competent approach and compliance with the instructions will help you not to be afraid of the upcoming procedure and will allow you to recuperate after the operation.

The duty of the attending physician is to help the patient overcome the fear and oppression of pain, as well as to prepare the patient's body systems for surgery.

The patient should be open and honest about everything that worries him. Only a trusting relationship and strict adherence to the rules and regimes will help to pass this period without a serious stress load on the psyche and body.

What sedatives can I take before surgery?

Do not take any medications before the operation. Be it sedatives, antibiotic, hormonal, etc. without the appropriate instructions of the doctor. Alcohol is strictly prohibited the day before the operation, as well as alcoholic products (including alcohol tinctures, such as valerian).

You need to distract yourself from thoughts, not to think and, most importantly, not to wind yourself up. This is the worst thing) A person from a lack of information (and in this case, the process of the operation is unknown to us) begins to wind himself up and imagine God knows what. He brings himself to a fainting state, and when everything goes away he says: "Well, what was I so afraid of ?!"

The day before my operation, I watched all sorts of comedies, ate sweets. Thoughts receded into the background. She went to bed early, eventually got enough sleep and came to the operation in a cheerful manner. After comedies and good night the mood was at its best, which was passed on to the doctor) in the end everything went just as well as possible) The main thing is to tune in that the operation is good for you, and no one is going to harm you)

Anesthesiologist: "Anesthesia has almost no side effects"

Tatiana GAPEEVA

General anesthesia cannot provoke hair loss and memory problems, and women in labor should not be afraid of "epidurals," said the head of the surgical department with short-term stay of patients within a direct line to the editorial office of "BG" medical center"LODE", anesthesiologist of the first category Yuri Shidlovsky.

What should the patient tell the anesthesiologist before the operation so that there is no fatal outcome during the operation? (Sergio, by email)

The risk of death during anesthesia is almost is zero... There is a percentage associated with an allergic reaction. We always ask the patient for suspected allergic reactions. Necessarily - about all surgical interventions: what were the operations, how they got out of anesthesia, were there any complications, were there any chronic diseases, were any drugs taken all the time. This is a pretty serious inspection. And, of course, we look at the anatomical and physiological characteristics of a person.

Is it better to treat teeth from a health point of view with or without anesthesia (we are not talking about removing a nerve)? (Pasha, by email)

At the moment, anesthetics with a predictable effect are used. They do not cause serious side effects, so teeth with anesthesia can be treated fearlessly.

Before the operation (laparoscopy, hysteroscopy) I am always terribly worried. The problem is falling asleep. Can I take some kind of sedative, sleeping pills the evening before the operation? Will this affect the effectiveness of anesthesia? Very scared of waking up before the operation is over (Mariya, via email).

It is possible and necessary to take sedatives and sleeping pills. According to the rules, the patient must be hospitalized. Premedication is carried out on the eve of the operation (the patient can also carry out it at home with conventional drugs "for sleep"). Sedatives are prescribed at night so that the patient can sleep well and not worry too much. Because the operation is stressful, if there is high blood pressure, the anesthesiologist will have to correct it.

Hello. Can hair fall out after anesthesia (lasted 3.5 hours)? Two months later, my hair began to fray. Blood tests are normal (Katerina, by e-mail).

No, at the moment, drugs that provoke baldness are not used.

Please tell me if metabolic processes in the body are disturbed after general anesthesia? Do I need to somehow remove anesthesia from the body? Maybe you need to drink some medications for the liver or something else? (Maxim, by email)

Metabolic processes slow down during anesthesia, but after coming out of anesthesia, they are restored in full. It is not necessary to remove drugs from the body. They are quickly disposed of. During the first day, they are no longer in the blood.

Hello! I had an operation under general anesthesia. Six months later, a vegetative disorder of the nervous system was diagnosed. She was treated for a long time, all the symptoms have not completely gone away, but there is still one more operation to be performed under general anesthesia. Are there any contraindications? Can general anesthesia be a disease provocateur? (Sonya, by email)

There is no such thing as general anesthesia. There is general anesthesia.

Currently, drugs are used that are safe from the point of view neurological disorders... The term "autonomic disorder of the nervous system" is not clear as such. The patient must have misread the diagnosis. The trigger mechanism for the emergence of neurological disorders is most likely preoperative or postoperative stress.

In general, if the anesthesia is carried out correctly, can there be any side effects? ("BG")

At the moment, drugs are used that are devoid of serious complications. They are quickly eliminated from the human body without any side effects.

My daughter faints every time she visits the dentist after an injection. How can you check if it's a drug or nerve reaction? She says she is not afraid (Mom_Oly, via email).

It is necessary to conduct an allergic test for anesthetics. You can ask your daughter whether there was such a reaction during the first administration, that is, whether there was preliminary sensitization. If it was not, then it is not an allergy.

Please tell me if general anesthesia affects the quality of a man's sperm? My husband and I are in the active planning stage, and he urgently underwent surgery to remove a growth in his throat (Albina, by e-mail).

Sperm quality is not affected by anesthesia.

Good day! I have a broken tooth. And a week after the day of removal, I will have an operation on the thyroid gland. Can teeth be removed a week before surgery? (Oleshka, by e-mail)

There are no contraindications, but it is advisable to pause for up to a month. It is believed that a month should pass between any operations. But tooth extraction can be done a week before the upcoming surgery.

Are there control questions that the patient can ask the anesthesiologist in order to understand that this is a professional? (ValentinKa, by email)

Probably, there are hardly such questions. But I am pleased when patients ask about something.

How does the communication with the anesthesiologist go? ("BG")

The anesthesiologist always examines the patient on the eve of the operation and immediately before the operation. The patient can have as many contacts with the anesthesiologist if desired.

Is it true that redheads need more anesthesia than, for example, brunettes? (Mytholog, email)

No. There are some differences between the Negroid race and the Caucasian. This is not due to the pain threshold, but to the peculiarities of the urinary system.

Hysteroscopy and other operations were done (about 10 times). Consequences - it is difficult to concentrate and bad memory, some events from my life I can’t even remember. He will have 3 more anesthesia in connection with the IVF procedure. What are the risks of complications with subsequent anesthesia? Are there any ways to prevent this phenomenon? (Guest, by email)

Concentration problems cannot be attributed to the use of anesthesia.

I have crowns on my front teeth. Can the anesthesiologist damage them when injecting anesthesia? (Oksana K., by email)

Unfortunately, this option is possible. In particular, this is due to difficulties in tracheal intubation. We predict difficult intubation, but sometimes we can be wrong. There are notions of a short neck, restriction of the opening of the mouth, a large epiglottis. Such options are possible.

Which anesthesia is better - "mask" or "injection into a vein", for example, with hysteroscopy? (Margot, by email)

Intravenous anesthesia with this surgical intervention is optimal.

My child underwent two operations with anesthesia at the age of two. Could this weaken his immunity and negatively affect his health in the future? (Anya, by e-mail)

Good day! Please tell me if the presence of tattoos on the back is a contraindication for spinal anesthesia? (Katya, by email)

Good afternoon. I am 14 weeks pregnant and I have an operation to remove a cyst in my eye. Doctors say they will start with local anesthesia, but general anesthesia may be required. How can both of these types of anesthesia affect the health of my unborn child? (Curious, via email)

Anesthesia will not affect the health of your unborn child in any way.

Is general anesthesia given to children during dental operations? (Olga, question by phone)

Yes, this is practiced. V dental clinic there is an anesthesiologist. He comes on certain days and administers anesthesia to the children. Can be used from any age. The risk is associated only with the administration of drugs, but it is very low.

Good afternoon. Please tell me if any studies are performed on the patient before surgery to determine whether he is allergic to this or that drug? (Guest_I, by email)

How, then, to determine a possible allergic reaction? ("BG")

The severity of the allergic reaction does not depend on the dose. Anaphylactic shock can develop with a dose of 0.0001 of the drug. Therefore, it is assumed that the survey simply does not make sense. When conducting tests, you can get the same reaction as when the anesthetic is administered. Allergic response studies can be carried out ex post facto, in a situation where it is necessary to decide whether it is an allergy or the human body's response to stress and in polyvalent allergy variants.

I have an operation to remove myoma (along with the uterus), but I have problems with my nose (curvature of the septum and permanent allergic rhinitis). Will this affect the course of the operation and is there anything to be afraid of? (Patient, by email)

It is necessary to warn the anesthesiologist that you have such a pathology. But this is not a contraindication. If the patient is afraid, the same operation can be done under spinal or epidural anesthesia. This is anesthesia that is characterized by adequate pain relief and minimizes blood loss during surgery.

And why do they say that epidural anesthesia is not allowed during childbirth? ("BG")

It's a delusion. Epidural anesthesia ensures a comfortable delivery, adequate generic activity... There will be a minimum number of ruptures, minimal blood loss, and no depression in the newborn.

Yes. The only contraindication is the refusal of the patient. In general, in traumatology, gynecology, urology, this is the anesthesia of choice.

Preoperative premedication is the preliminary drug preparation of the patient before surgery in order to reduce the patient's anxiety. As a rule, before the operation, a person experiences a state of anxiety or even panic. Fear of anesthesia and surgical intervention brings the body into a state of "compressed spring". As a result, blood pressure rises, the pulse quickens, nerves and muscles are tense. In order to stabilize the patient's condition and reduce the risks of surgical treatment, as well as possible complications, a sedative drug preparation for general anesthesia is carried out.

How to prepare for general anesthesia

Preparation for anesthesia begins at the stage of getting to know the patient, examining him, and also prescribing additional diagnostic tests. Depending on the duration of the operation, the preparation stage can last from several minutes and end in several weeks.

Anamnesis is an essential part of the preparation for anesthesia. From this data, the specialist gains the following knowledge:

After studying the anamnesis, additional examination may also be necessary. Therefore, before giving a soothing injection, the doctor will evaluate equally important indicators. Namely:

The patient's height, weight and build;
The structure of the face and neck;
Condition of teeth and tongue;
Eye shape and pupil size;
The state of the cardiovascular system;
Teaching the patient how to calm down with breathing.

Important! For severe patients, a rational infusion compensating therapy is selected and only after that, based on the testimony of the attending physician and other specialists, the timing of the operation is prescribed.

The beginning of premedication begins the day before and continues until the morning of the appointed day of the operation. As a rule, it is carried out by the ward nurse, and the main goal is to calm the patient before the introduction into anesthesia. Successfully implemented measures will minimize the negative consequences of anesthesia, which are represented by the gag reflex, as well as hypersalivation of reflexes.

The day before surgery, the doctor usually prescribes tranquilizers, and for less calm patients, it may be necessary to take more than sedatives, but also hypnotics, as well as barbiturates of different duration of action.

Hygiene measures

The day before the scheduled operation, the patient undergoes a thorough hygienic preparation, which includes an enema, shaving and washing. Half an hour before the start, you will need to release bladder, disinfect the oral cavity, and also free the stomach from the contents by flushing it.

Important! If you carry out anesthesia on full stomach, there is a great danger in the form of Mendelssohn's syndrome. Therefore, gastric lavage is an important part of preparation.

Fear of surgical treatment

Fear of surgery or anesthesia occurs in many people, and should not be ashamed. To reduce its effect

an advance visit to a psychologist is recommended. In developed countries, a psychologist works with the patient before starting surgery. In our country, not all clinics can boast of such services. That is why it is recommended that patients independently ask for a referral to these specialists.

Trauma to the psyche begins from the moment when the doctor announces the need for an operation. Already at this time, fear arises and in the future it becomes stronger and more destructive. Every patient who needs this kind of treatment should be under the strict guidance of staff.

All patients, without exception, should be encouraged. And if it manifests itself quite intensely (crying, thoughts of death, loss of appetite, etc.), especially careful work with a psychologist is necessary.

The consequences of general anesthesia depend not only on the qualifications of the anesthesiologist, but also on mental state person. Fear is a completely natural phenomenon in this situation, but you need to properly prepare for the upcoming operation and be able to cope with it.

Advice! Yoga, meditation, or auto-training can help you cope with stress. Respiratory gymnastics in relation to the mental attitude will help to overcome panic

Premedication technology

Preparation for anesthesia includes the following steps:

Preparations for premedication

According to the doctor's prescription, premedication drugs are used at night, as well as a couple of hours before the start of the operation. Their introduction is possible in several ways: orally or rectally, some medications can be administered intravenously: sleeping pills, pain relievers, and antihistamines.

It is important to know that the types of preparation for anesthesia are prescribed strictly on an individual basis, after the anesthesiologist has conducted a thorough conversation with the patient. There are general recommendations on how to spend a quiet period before anesthesia:

Young children do not need premedication as they have no fear of the procedure. In such cases, the anesthesiologist injects "Ketamine" by intramuscular injection and after a few minutes the child falls asleep. After that, he is transported to the operating room.
Sleeping pills are prescribed for the elderly and especially anxious patients with particular caution and only at the request of the patient himself.
Premedication with Atropine is not desirable in advance; it is better to use it directly on the operating table.
Analgesics based on narcotic substances ("Promedol" and others) are recommended to be used only in rare cases, since they can cause respiratory arrest, especially in elderly and debilitated patients.

Premedication before surgical treatment is extremely important, since it affects the favorable outcome of anesthesia, as well as the patient's mental health.

In many cases of surgical intervention, it is impossible to do without general anesthesia. With its relevance and necessity, such anesthesia still remains not entirely subject to the will of a person. Medicine cannot give a 100% guarantee that this artificial sleep will not have a negative effect. An honest and open dialogue between the patient and the anesthesiologist is important when planning an operation, which should be prepared in advance.

Back in the middle of the last century, anesthesia before surgery was associated with a risk to the patient's life. Today, thanks to a huge leap in the development of all branches of medicine, as well as due to the use of advanced technologies, it is no longer necessary to talk about mortality due to anesthesia. However, there remains a small likelihood of a threat to the health of the human brain (mental impairment is possible).

The advantages of general anesthesia include factors such as the patient's lack of sensitivity to surgical procedures, and the patient's absolute immobility, which allows surgeons to work with concentration and without stress. In addition, a person under general anesthesia is completely relaxed, which allows doctors to work even with hard-to-reach vessels and tissues, without wasting time. Another advantage is that the patient's consciousness is turned off during the operation, therefore, there is no fear.

In some cases, anesthesia is accompanied by such side effects as attention disorder, nausea, vomiting, disorientation, pain and dry throat, and headaches.

Preparing for surgery

It is important to properly prepare for the operation under general anesthesia. Depending on the complexity of the upcoming surgery, the general health of the patient and many other factors, the preparation time can vary from 2 weeks to six months. During this time, the patient sometimes develops a persistent fear of surgery and anesthesia, which is fueled by the stories of other patients or, read in the yellow press, anonymous testimonies.

The anesthesiologist, together with the surgeon who is to operate on the patient, should conduct an informative conversation with precise instructions on what to eat and drink a month before the operation, a week before and on the day of the operation. In addition, the patient must be examined by other specialized doctors who study the state of his health and also give him useful advice on adjusting, for example, smoking, weight, lifestyle, sleep.

Even before a short and uncomplicated operation under general anesthesia, at least the following examination of the patient's state of health is carried out:

blood test (general);
urine analysis (general);
blood clotting test;
general urine analysis.

It is important to tell the truth about how you are feeling. If the patient was regularly preparing for the operation, but a few days before it noted a fever or exacerbation of a chronic disease, for example, gastritis, the attending physician should know this! If the patient does not feel well, the operation is necessarily postponed.

Fear of surgery under general anesthesia

training of children and elderly people;
preparation for an emergency operation;
preparation for a planned operation.

Fear is a strong emotion, which in this case plays a negative role, preventing the patient from tuning in to a favorable outcome of the operation.

Since the consequences of anesthesia depend not only on the anesthesiologist, but also on the patient, you should carefully consider your own emotional experiences and see a specialist in a timely manner to restore mental balance. You can be afraid of anesthesia or the outcome of surgery, but at the same time live a full life, without poisoning it either to yourself or to your loved ones. To do this, you should prepare for the operation psychologically and physically, controlling not only what you can eat or drink, but also what you can and should think about.

Psychological attitude

Physical training

In addition to the psychological aspect, body preparation is important:

the anesthesiologist and the treating surgeon should know about all medications taken (even about 1 aspirin tablet);
doctors should be told about recent illnesses and allergic reactions;
it is impossible to hide the diseases transferred in the past, which are considered indecent by the people (syphilis, gonorrhea, tuberculosis);
you can not eat or drink 6 hours before the operation;
quit smoking, preferably 6 weeks before the appointed date;
removable dentures and piercings must be removed from the oral cavity;
you need to remove contact lenses and hearing aids (if available);
decorative varnish is removed from the surface of the nails.

Maria Kalinina

10 Dec 2012, 09:12

Maria Kalinina, anesthesiologist-resuscitator of the Novosibirsk clinic of aesthetic medicine "Golden Section", told Taiga.info about doctors with whom it is not scary to fall asleep, as well as about 10 phobias of patients before anesthesia.

Anesthesia as a way to make the patient not only not hurt, but so that he did not feel and did not see the surgical intervention, was first introduced into practice by the dentist Thomas Morton in 1846. The inscription on his monument in the United States reads: "Before him, surgery at all times was an agony." But here's the paradox: more than a century and a half later, in most cases, patients are afraid of anesthesia and its consequences much more than the operation itself. And this despite the fact that, based on world statistics, anesthesia is safer than driving in a car.

To say that anesthetics and their use are absolutely harmless, of course, is also not necessary. Sir Robert Mackintosh, the first head of the very first department of anesthesiology in Europe, more than 60 years ago expressed the idea that anesthesia is always dangerous, and therefore its implementation requires special training of specialists. At the same time, a recent survey of UK residents showed that almost 40% of the population have no idea who an anesthesiologist is. What is this percentage in Russia, one can only guess.

About doctors with whom it is not scary to fall asleep, as well as 10 phobias of patients before anesthesia Taiga.info told the anesthesiologist-resuscitator of the Novosibirsk clinic of aesthetic medicine " Golden ratio"Maria Kalinina.

Fear of anaphylactic shock. They say that allergy tests for anesthesia drugs are not done in Russia. Is it so? How, then, is the anesthesia chosen for the operation? How is the patient's individual intolerance to a particular anesthetic drug determined?

- According to medical publications, the incidence of anaphylactic shock 1 in 5-25 thousand patients who received injections of general anesthetics. Allergy tests for some general anesthesia drugs are really not carried out on the territory of our country. However, when choosing the method of anesthesia, the doctor carefully assesses the possibility of developing this complication. A qualified anesthesia team is always ready to develop this serious complication.

Fears "anesthesia takes 5 years of a person's life", "anesthesia affects the heart!" Does anesthesia have a frequency limit? Why does a well-done anesthesia not carry risks? How to understand that the anesthesiologist is a real professional in front of you?

- Anesthesia is inevitably associated with surgical treatment. If the operation is absolutely indicated, then anesthesia is only part of the complex. treatment measures... If we talk about general anesthesia, or anesthesia, then this is, first of all, the protection of the body during surgery, and the task of the anesthesiologist is to protect the patient from surgical trauma. Moreover, adequate anesthetic care can significantly reduce the need for treatment during the perioperative period, that is, during the period of the body's stress response to surgical aggression and physiological adaptation to it.

Fears of anesthesia date back to the period in the development of medicine when toxic drugs were used for anesthesia.

Often, all these fears of anesthesia are groundless and refer to the period in the development of medicine when toxic drugs were used for anesthesia. For now, complications from general anesthesia are minimal. Before administering anesthesia, the doctor explains to the patient the method of choosing anesthesia and possible risks... If the patient has questions that the doctor cannot answer, then he has the right by law to refuse the help of this specialist. Given the rather high responsibility, there are not many amateurs in our profession.

Fear "anesthesia is the same drug." Is it true that the most best drugs for intravenous anesthesia in Russia are not available, and therefore, when carrying out such anesthesia, doctors often use drugs that put you to sleep well, but do not relieve pain well? Are drugs really added to drugs to avoid this?

- Intravenous anesthesia is a multi-component technique. The effect is achieved by a combination of several drugs, the action of which is aimed at creating sleep, pain relief, and muscle relaxation. And only their competent combination gives a comfortable, effective anesthesia. Today in Russia there is no shortage of drugs for this type of anesthesia.

Fear "What if I wake up during the operation ?!" How is the process of falling asleep and waking up controlled? Can the patient really wake up during the operation? How will he feel in this case? Will the operating team notice?

- According to medical publications, the problem of "intraoperative recovery of consciousness" is the most common reason lawsuits in the United States. But, as a rule, it is associated with a period of awakening, in which the patient can hear the conversation of the people around him. Today, in order to exclude such cases, the depth of anesthesia is monitored, which makes it possible to reduce their number to a minimum.

The patient does not have to endure pain. Adequate pain relief is one of the main tasks of the supervising doctor.

Fear "If during the operation I do not feel pain, then after waking up all this will be replenished!" How do you cope with the pain of the postoperative period? Many people believe that it is better to endure it than to "stuff yourself with chemistry."

- Pain, unfortunately, is an integral part of the postoperative period. It is associated with the inevitable tissue damage during the operation. Its severity can vary, and this is due to the method of surgical intervention. At the moment, there are many methods and preparations for adequate postoperative pain relief... The patient does not have to endure pain! Adequate pain relief is one of the main tasks of the supervising doctor.

Fears “In my sleep I will be delusional and the doctors will laugh at me. What if I hear it? "," What if I say something under general anesthesia? " Are there frequent cases of patient delirium during surgery? And how is the ethical side of the matter resolved in this matter?

- Ethical issues are topical for our society as a whole. Failure to comply with these canons lies with the personal responsibility of each person. But in general, if we are talking about professional ethics, then the medical staff of any clinic, including the Golden Section, is legally responsible for disclosing both medical secrets in general and what a patient may inadvertently say under anesthesia.

Fear "anesthesia cripples the psyche of children", "any anesthesia is dangerous for the elderly - the heart will not stand it, a stroke may occur." Is it really growing children's organism and a weakened old man automatically puts these people at risk?

- If surgical treatment is necessary, then the lack of adequate anesthesia in childhood and the older age group are significantly more dangerous than the risks associated with anesthesia. In children, regional anesthesia is usually combined with general anesthesia. There is such a principle: the child should not "be present" at his operation. Because for him it is a psychological shock, fear that can remain for a lifetime. That's what's important. This principle must be followed 100% of the time.

Fear of spinal and epidural anesthesia: “I'm afraid of an injection in the back - they will hurt spinal cord I'll either die or be crippled. " Are these fears so unfounded? How can this be avoided?

- According to studies conducted in Switzerland, the incidence of serious complications caused by regional anesthesia techniques ranges from 1 in 40,000 to 1 in 200,000 patients. With a strict, prescribed protocol, adherence to the methodology and sufficient technical support, these complications are minimal.

The modern technique of anesthesia allows you to start it comfortably already in the ward and thereby neutralize fear

Fear “Suddenly before the anesthesia I will start panic attack? " What to do with neurotics?

- Firstly, it is important here psychological preparation the patient - and how his conversation with the doctor will turn out, and how the person will adjust himself. And secondly, modern technique conducting anesthesia allows you to start it quite comfortably already in the ward and thereby neutralize fear. So, in the "Golden Section", anesthesia does not begin on the operating table, among special equipment and instruments, which makes fear even more, but in a comfortable ward, in which the patient also has to wake up.

Fear "I will fall asleep and will not wake up." Can the patient insist on local anesthesia if he is afraid to fall asleep?

- Adequate local anesthesia in some cases it can be a priority in choosing. But only the presence of an anesthetic team can clearly control the situation and create comfort.

If the clinic staff has an anesthesia team, this indicates high professionalism, the availability of expensive equipment, safety and the ability to minimize all risks. With such doctors, you can fall asleep without fear.

Photos by Tatiana Lomakina

Even before a routine vaccination or going to the dentist, people sometimes feel anxious. Fear of an operation is a normal psychological reaction of a person to something unknown that lies ahead. What can we say about surgery. Moreover, it is not always possible to understand what exactly we are afraid of: force majeure, rehabilitation period, unwillingness to be in the hospital ... Usually this is just an inner fear that holds the whole body down, which is not easy to overcome. What to do and how to calm down before the operation?

Possible reasons for fear of surgery

The most common cause of fear is the lack of information about the upcoming surgery. After all, not every doctor speaks frankly with a patient, explaining to him his diagnosis, the need for surgery and warning about the consequences. And this is not because surgeons are soulless or inhuman. It's just their responsibility to save lives and correct the physiological health of a person. And sincere conversations are the prerogative of psychologists.

The second reason is the opposite of the first: excessive awareness of the patient about his diagnosis. What do we do when we want information? 8 out of 10 people go to search for it on the Internet, which may not always be useful. Indeed, today on the Web you can watch explicit videos showing the progress of the operation, or read horrifying stories about how it all went. Result: the fear that has arisen, growing into a panic.

Anesthesia is another aspect of surgery that causes fear in people. And some are afraid that the anesthesia will not work and it will hurt them. Others fear the negative effects of anesthesia. The fear of the third is not to wake up from a narcotic sleep at all.

Ways to get rid of the fear of surgery

The patient always has a choice: agree to the operation or refuse it. In the second case, given that the doctor or a council of doctors clearly established the need for surgery, it will be necessary to write a written refusal. This will remove the responsibility of doctors in case something happens to your health or life.

It is highly undesirable to refuse the operation, but sometimes fear is the reason for the reluctance to agree to it. Those. the person understands that the clinic is worthy, the operating team is experienced, and the risks are minimal, but some internal anxiety does not allow consent.

The most logical and reasonable advice for overcoming your fear of surgery is to try to understand that surgical intervention- the only way to improve health and, possibly, save life. But this is precisely the problem. Often, a person understands with his head that the operation is necessary, but cannot cope with his emotions. What to do and how to tune in to the operation?

Pray

Skeptics are now probably flipping through this paragraph, but it is thanks to prayer that people really manage to relax and overcome their fear of surgery. It is not necessary to go to church, call the priest or search the Internet for texts of prayers: just turn to God as you can. Sincerity and a bright spiritual message will help you overcome fear and gain faith that everything will be fine.

Get distracted

The most unpleasant time is the evening and night before the operation. The hospital patient is left alone with his thoughts, and fear automatically awakens in him. To prevent this, you need to find something to do. Watch a comedy or your favorite talk show, read a fascinating book, solve a crossword puzzle. In general, do whatever you can think of.

Weigh the risks

If the reason for the fear is precisely the fear of force majeure situations that may happen during the operation, then you need to think it over with a cool head. Indeed, from anesthesia or medical error, only one out of 250 thousand people dies, and almost every first person dies from a ruptured appendix.

No matter how hard a person tries to distract himself, before going to bed he still involuntarily thinks about the upcoming operation. It is impossible to force yourself not to think, but to switch to something more joyful is quite possible.

Reflect on how your life will change after surgery. If this is, you might think that soon it will be possible to gnaw the seeds again. If a gynecological intervention is to be performed, the patient may dream of a fulfilling life and conceiving a child.

Do not pump

Especially impressionable people in no case need to enter queries like “death during surgery” or “the surgeon left a scalpel in the patient” in a browser search engine. The Internet can be used in another way: watch a good movie, listen to music, play an online game. For the same reason, there is no need to arrange an evening of horror stories with colleagues in the hospital ward on the topic of "the terrible consequences of surgical interventions."

Drink a sedative

Chamomile, St. John's wort, mint, linden, fireweed - decoctions of these herbs have a beneficial effect on nervous system, allowing you to relax and not think about problems. If the fear is severe, you can take a medicated sedative.

Attention! Any sedative or herbal medications before surgery should be discussed with your doctor.

If you know how to deal with the fear of an impending surgery, help your roommates. Perhaps they are very scared, but they are afraid to show it and are worried alone with themselves. They need your support.

Physical preparation for surgery

In addition to the psychological attitude, the actual readiness for the upcoming surgical intervention is also important. You can ask your doctor about it. Usually this is the observance of simple rules:

do not smoke or drink alcohol;
follow the prescribed diet;
do not use decorative cosmetics and perfumes;
follow drug treatment only with those drugs prescribed by the doctor;
keep a diary of morning body temperature, blood pressure, etc.

In fact, there is nothing to be afraid of. After all, nothing depends on you during the operation itself. Everything is done by a team of doctors and nurses. Although, there is such a thing as reasonable fear, i.e. not internal emotional, but with specific explanations. In this case, you need to change the circumstances. For example, if you know for sure that your doctor is a bad specialist (this is proved by the facts), then you can turn to another surgeon. Upon receipt of unreliable ones, they must be retaken. Feeling unwell may also cause the operation to be postponed, so do not be afraid to inform your doctor about it.

Being completely honest with your doctor will help you avoid the fear of surgery. What does it mean? Sometimes patients withhold some intimate information (venereal diseases, for example), do not consider it necessary to say something, or simply forget to report some fact from their anamnesis. And then, when the day of the operation has already been appointed, the person begins to realize that the doctor made a diagnosis and prescribed treatment without fully owning the information. This is a completely reasonable and understandable fear, which can turn into real unpleasant consequences. Therefore, before it is too late, it is imperative to talk with the doctor again.

Perhaps the most fearless people can be called those who deliberately go under the surgeon's knife for no apparent reason. We're talking about people who do plastic surgery correcting body parts. Can we say that they are not afraid of anything? Unlikely. Just the desire to change, to transform dulls the feeling of fear. It is the same with ordinary operations: you need to understand that this is a necessity that will make you healthier, get rid of an illness, and you will be able to live a full life. Therefore, there is no need to be afraid of the operation. You need to be afraid of what can happen to you if the surgery is not performed on time.