Anesthesia Science: Painless Abortion Molested? Anesthesia caused the trouble! Experts remind: some general anesthesia drugs can trigger euphoria and even induce patients’ sexual hallucinations; in order to avoid misunderstandings, it is recommended that the anesthesia process should be present to avoid disputes. Propofol injection, the implementation of general anesthesia to do painless gastroscopy, the female patient woke up to sue the doctor molested her! This groundless complaint has been present in the presence of a number of male doctors and female nurses ludicrous, and finally, fortunately, there is no interest in third-party testimony to calm the dispute. But the patient still did not understand: during the gastroscopy, how could she feel that someone was touching her breasts to generate a sense of pleasure? This is actually the propofol trouble! Experts pointed out that since the anesthesia has been triggered by sexual hallucinations have been reported. Especially after the use of propofol this kind of general anesthetic, the patient consciousness recovery is very fast, and many people wake up from anesthesia have a special sense of pleasure, some patients will have sexual hallucinations, a small number of patients after waking up will still appear inexplicable amorous behavior, there are some extreme patients will doubt whether the doctor harassed while asleep and cause disputes. Therefore, it is recommended that the anesthesiologist in the process of sedation and sedation after a period of time, it is best to have the opposite sex of the medical staff or the patient’s family members in the side, so as to avoid unnecessary misunderstandings. Case: after doing painless gastroscopy patient reprimanded the doctor molestation A female patient asked to do gastroscopy due to gastric discomfort, because of the fear of pain, anesthesiologists are required to give her to do general anesthesia, which is also known as painless gastroscopy. At that time, there were anesthesiologists, gastroscopists and a female nurse in the gastroscopy room. The anesthesiologist injected the female patient with an appropriate amount of propofol, and the female patient quickly fell asleep. Over the next ten minutes, the doctor completed the gastroscopy without incident, and the female patient quickly came to her senses. Just as the medical staff was about to send her to the recovery room for observation, she suddenly and agitatedly grabbed the hand of a male doctor and screamed, “You dare to molest me?! It was you who fondled my breasts! I’m going to the hospital to complain about you!” The two male doctors and a female nurse found it laughable. Because all three of them had been present during the examination of the female patient, how could such a thing happen? Later, the nurse explained again and again, coincidentally at that time and just happened to have passed by the door of the other female patients to testify, the patient only gradually quiet down, but still half-believe, emphasizing that if no one touched her breasts, she woke up how to have a different sense of pleasure? Experts: this is related to the pharmacological properties of anesthetics 1, some of the anesthesia injection will appear after sexual hallucinations “In fact, this is all propofol trouble! This kind of ‘strange things’ have been reported at home and abroad. I think that if the public has some understanding of the related reactions caused by certain general anesthetics, it should be able to avoid similar things from happening, as well as avoid unnecessary mental harm to patients and doctors.” Professor Ma Wuhua, director of the Department of Anesthesiology at the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, pointed out that sexual hallucinations have been reported ever since anesthesia was introduced. As early as 1849, Gream, a foreign expert, reported several instances of women speaking obscene words under chloroform anesthesia. As a result, the use of such anesthetics in obstetric surgery was banned. The expert believes that the emergence of such misunderstandings is related to the pharmacokinetic and pharmacodynamic properties of anesthetic drugs. He cited an example, generally after the use of propofol this kind of general anesthetic, the patient consciousness recovery is very fast, and many people wake up from anesthesia have a special sense of euphoria, the operation will do some good dreams, some patients will appear sexual hallucinations, such as being stroked, kissing, and even hallucinations and people have sex. Many patients woke up and said to the doctor implicitly that they were “so comfortable, had a beautiful dream”; a few patients will appear inexplicable amorous behavior; but also some extreme patients will doubt whether the doctor harassed them while they were asleep, and even cause disputes. 2, after anesthesia surgical stimulation is more likely to cause sexual hallucinations “clinical findings, sexual hallucinations occur in patients taking sedative drugs or large doses of psychotropic drugs.” Ma Wuhua pointed out that similar drugs can cause euphoria and imipramine, laughing gas, etc., only the probability of these drugs is far less than the probability of propofol as high. But there are still only sporadic statistics for individual drugs. For example: when given sodium phenobarbital, the incidence of hallucinations in 1% to 3%. The probability of hallucinations induced by other drugs has not been scientifically studied and counted, however, similar reports are still common at home and abroad, for example: in 1988 Dundee and his colleagues reported five cases of sexual desire after propofol was given; Bricher reported that nearly 5% of gynecological patients developed amorous behavior after propofol and alfentanil anesthesia was given. “In most cases, the drug itself may be only one of the causes; rather, some surgical stimuli are more likely to cause sexual hallucinations after anesthesia is administered.” Ma Wuhua explained that, for example, when the doctor operates on the patient’s mouth or face, the movement of heart electrodes, elbows and instruments rubbing the chest, these chest stimuli are prone to cause breast fondling misunderstanding. Reminder: anesthesia process should be more than one person present to avoid disputes “Both at home and abroad, clinical anesthesiologists, dentists, endoscopists and other other doctors who sedate the patient in the process of administering anesthesia, if a patient has a hallucination that embarrasses her, it is very easy to be accused.” Therefore, Mawuwa cautioned that clinicians using these drugs need to be aware that hallucinations do occur in order to prevent themselves from being charged with misconduct. Additionally, he emphasized that these hallucinations do not only occur during the operation of the surgery, but can also occur during the recovery phase after the surgery. “Even though similar ‘strange occurrences’ are eventually recognized as hallucinations, there is unnecessary harm to both the patient and the doctor.” Therefore, Mawuwa suggests that operators should not be alone with patients of the opposite sex during and for a period of time after sedation, and that it is best to have multiple medical staff of different genders present. In particular, when using general anesthesia drugs such as propofol, imipramine, laughing gas and other similar drugs that can cause euphoria, it is best to have medical personnel of the opposite sex or the patient’s family members nearby without violating medical routines, so that when a complaint occurs, there is a third party present to testify.