There are many elites in the medical field. I like to sit quietly on a bench in the historic compound of the Union, and watch the elegant medical elites come and go in their white coats, the men are handsome and the women are beautiful, very eye-catching. However, one doctor relayed to me this medical circle joke: “Twenty years later, just wait for the second fool next door to see you. If the environment doesn’t change, good doctors, I’m afraid, will slowly leave the team. I really don’t want to open the door of my clinic one day and see the “idiot next door” sitting in the clinic. I hope that all doctors will be in good health, and that they will be able to match what they get with what they pay for, and that they will be able to face their patients with peace of mind and dedication; and that all the people who suffer from illnesses like my mother will feel like a spring in their step. Because of this simple idea and various realities, as an investigative journalist, I have been following a group that has not attracted much attention and has even been ignored for the past six months – anesthesiologists. What I know, let me deeply disturbed A. Surgeons to treat diseases, anesthesiologists to save lives April 22, 2014, a hospital operating room, an emergency transfer to a one-and-a-half-year-old patient. The child was brought in with a severe state of hypoxia and respiratory failure, which was very dangerous. The parents suspected that he had taken something and choked on it in his trachea. The anesthesiologist quickly administered drugs and the child was quickly put under general anesthesia. The surgeon then began to remove the foreign body and the operating room resounded with the sound of stabbing and stabbing. However, the sudden appearance of vocal spasms prevented oxygen from being given in smoothly. Looking at the silent, naked little one, my heart lifted and I silently prayed for safety Children’s conditions change rapidly, and giving them anesthesia is very risky. Some data show that the mortality rate of anesthesia in children is much higher than that of adults, and the time left for anesthesiologists is even less for small patients in emergency situations. For this little baby, if oxygen is not given in quickly, cardiac arrest may occur within a few dozen seconds, and even if life is saved, it may bring serious sequelae, which is a lifetime of trouble. ”Huffing and puffing”, the anesthesiologist rushed to pressurize the oxygen. Due to the rapid operation, the child’s vocal door finally opened, and about twenty seconds later, the airway was open and oxygen was given in smoothly! There were two life-threatening emergencies, both of which were handled quickly within a dozen seconds. An hour later, half a peanut choked into the child’s trachea, was finally successfully removed. The young surgeon, the hands of a green cloth pad, cloth on a small tray, the half of the peanut, placed in the tray. This insignificant can be gently crushed small things, but almost to a child’s life. “Ka ka ka —” the little baby woke up, he waved his two fleshy arms and made a kind of painful sound. In this kind of surgery, anesthesia is critical. Hospital surgeons say, “Anesthesiologists are very important to our surgeons, and the first to observe changes in the condition and make timely treatment are anesthesiologists. Anesthesiologists are the outpost of surgeons, without them escorting the operation, it is impossible to do it safely and smoothly.” Oh, this statement, I really heard for the first time. In surgery, administering the anesthetic is only the first step in the anesthesiologist’s work. In addition, many trivial details, such as the adjustment of drug doses, need to be taken into account at all times. In the prevention of surgical accidents and complications, anesthesiologists play a key role; in emergency situations and high-risk stages of surgery, they must also compete every second to adjust the patient’s heart rate, blood pressure and respiratory status to ensure life safety. There is a jargon in the anesthesia industry that surgeons treat diseases while anesthesiologists protect lives. Because anesthesiologists not only provide “painless” technology, but more importantly, guard the life safety of patients. Many front-line anesthesiologists often use the phrase “only minor surgery, no minor anesthesia” to warn themselves. However, in the case of the singer Michael Jackson, who died from an overdose of the anesthetic drug isoproterenol, and in the movie “Life-Saving Surgery”, anesthesia became a life-threatening killer. In recent years, China has also been frequently bursting with anesthesia deaths: anesthesia events, abortion vegetative events, long vegetative events, Supergirl death events, 26-year-old woman to do fox odor surgery to play anesthesia death. Anesthesia, can save lives, but also can take lives. In the course of surgery, what anesthesia, with how much, how to use, completely in the hands of anesthesiologists. Anesthesiologists have a great responsibility in a surgery, between life and death. Some data show that among the various factors affecting anesthesia safety, the most important one is the fatigue of anesthesiologists. The total number of anesthesiologists in a certain area is only a mere 900 (some sources say that 200 people have changed their profession), and the excessive workload makes the individual anesthesiologists who stay behind exhausted, and the anesthesia death rate remains high. An article published in the Journal of the Taiwan Society of Anesthesiology: From 2002 to 2008, the anesthesia-related death rate in one place was about 12 per 100,000, which is 12 times that of Japan and 21 times that of the United Kingdom. There is no research data on anesthesia-related mortality rates in mainland China. According to current regulations, the qualifying standard for anesthesia-related deaths in tertiary care hospitals in mainland China is 1 in 5,000, which means that one death in 5,000 due to anesthesia errors is normal. This is equivalent to the standard in the United States more than 20 years ago. In the United States and other developed countries in the West, the anesthesia-related mortality rate has long been reduced from 1/5000 in the 1980s to the current 1/200,000. Fatigue anesthesia is just like fatigue driving, harming yourself and killing others. What kind of working condition are the front-line anesthesiologists in mainland China in the end?