Getting closer to the anesthesiologists you don’t know Under the “spell” of increasingly advanced medical technology, it seems that modern people’s tolerance for pain is not what it used to be. Painless labor and delivery, painless abortion, painless gastroscopy …… When a treatment or even a surgery that was originally directly equated with pain was labeled painless, anesthesiologists silently came into the public’s line of sight [Good surgery, a large portion of the credit should go to the anesthesiologist] “A successful surgery, a large portion of the credit should go to the anesthesiologist”. A large part of the credit for a successful surgery should go to the anesthesiologist”, for such a comment, the ordinary people seem to be difficult to understand. The vast majority of patients and their families only know that they should have a good relationship with the surgeon in charge of the operation before the operation, and if necessary, they should also ask for a gift for peace of mind, and those anesthesiologists who stayed on the sidelines of the operation process should really be ignored. In fact, the anesthesiology department is the same level of clinical disciplines within the hospital and surgery, internal medicine, anesthesiologists are also clinicians, also included in the layers of the assessment system of the doctor’s title, and they must also have the qualification of doctors and anesthesiologists on the certificate, is not the usual understanding of the “technical workers”. At present, many medical colleges and universities have opened anesthesia programs, but more clinical anesthesiologists are still graduates from general clinical medicine. According to relevant professionals, with the medical undergraduate years longer, the anesthesia profession may return to the category of clinical. Specifically to the training of hospital anesthesiologists, Hangzhou anesthesia graduates of students training an average of three years to complete the general surgery anesthesia operation and management of anesthesiologists, this rate of success is faster than the general practitioner. Misunderstanding of this group of people has existed for many years, and in Wang Ping’s words, even within the hospital, many people do not recognize the value of anesthesiologists even today. Of course, this has nothing to do with the historical development of anesthesiology. In most hospitals in China, anesthesiology has been separated from the major surgery department to become an independent department for about 20 years, and it was only treated as an auxiliary department in the earliest days, and at that time, many of those who were engaged in specific anesthesiology work were doctors and nurses, whose lack of academic qualifications and professional skills had a direct impact on their status in the hospital. However, with the substantial improvement of surgical technology and equipment power in recent years, all kinds of complex surgeries have been launched comprehensively, and at this time, as the only independent clinical department in the hospital that has a direct relationship with all the knife departments, the anesthesiology department’s position has become important, and the use of equipment and medication can be done to meet the international standards. However, in terms of recognition, compared with the extraordinary status of anesthesiologists in the international arena, there is a big gap between Chinese anesthesiologists in terms of both industry recognition and income treatment. Internationally, anesthesiologists even have the right to veto surgery, and he is the leading surgeon. [Pre-operative and post-operative professional visits, patients actually do not understand] Wei Mugen, engaged in anesthesia work for 33 years. For his responsibility, he used a sentence to summarize – surgery, the knife doctor is to cure the disease, anesthesiologists are life-saving. The same words have been mentioned many times by Wang Ping: in any surgical procedure, the anesthesiologist is the direct object of life support for the patient, and he has to supervise a series of vital signs such as the patient’s heartbeat, blood pressure, respiration, temperature, and the balance of the internal environment. There is no significant difference between the surgeon who operates on patients of different ages, 30, 50, or 80, as long as they are suffering from the same disease; however, the anesthesiologist’s consideration of the anesthesia plan makes all the difference in the world. About a week ago, Director Wei just met an 80-year-old woman to move esophageal cancer, she has coronary artery disease, heart function is very poor, for similar complex cases, the whole process of surgery, anesthesiologists have to bear the risk and responsibility is greater. At the same time, for surgical patients, anesthesiologists do not only exist in the surgical process, before and after the operation, they also have to conduct very detailed inquiries and visits. However, a survey in Guangdong once showed that about 99% of the patients to be operated did not understand the anesthesiologist’s preoperative visit. Because in their view, anesthesiologists are just anesthesiologists “playing anesthesia”, so that when anesthesiologists in the preoperative visit to ask about the history of some patients do not actively cooperate, and some patients even privately muttered: “anesthesiologists ask so much for what, is not just to play anesthesia? ” However, this wrong understanding will affect the patient’s own surgical treatment. Director Wei said that with the development of medicine, anesthesiologists are no longer the traditional sense of anesthesiologists, has shouldered the task of intraoperative monitoring and treatment, postoperative 24 hours or longer to continue to treat the patient. Surgeons in the operation because of the need to concentrate on the patient for resection, repair or hemostasis and other surgical operations, have no time to pay attention to the patient’s condition during the operation, the patient’s pathophysiological changes at this stage, the need for anesthesiologists to correct. This is the work of anesthesiologists and an important part of surgical treatment. As we all know, surgery is a kind of traumatic treatment means, surgical trauma can make the patient’s physiological function has been in a highly stressful state, although anesthesia can reduce the stress reaction of surgery, but it can destroy the stability of the patient’s physiological state; in addition, if the surgical patient coexists with other diseases, such as hypertension, coronary heart disease, it may be aggravated in the operation and anesthesia, anesthesiologists only have to have sufficient information about the patient’s systemic condition and physiological function of important organs before surgery. Only when the anesthesiologist has a full understanding of the patient’s general condition and physiological function of important organs before surgery can he or she choose the anesthesia method according to the patient’s condition and have a clear idea of the complications that may occur during the surgery to ensure the safety of the surgery. Moreover, surgical patients cannot avoid all kinds of ideological concerns, such as fear, nervousness and anxiety, etc. By communicating with patients through preoperative visits, patients can feel friendly and thus reduce their mental burden, which is conducive to the success of surgical anesthesia. The intensity of this work is simple, that is, compared to the surgeon, anesthesiologists have to come a little earlier, go a little later, to the patient to run around a little more diligently. [Anesthesia function is expanding] My friend Xiaoli just became a mother last week, and she is a strong advocate of painless childbirth. She is a strong advocate of painless labor and delivery. She said that the entire labor process was smooth and easy, and not as painful as people think. In this regard, Xiaoli guessed that the anesthesiologist’s skill was probably due to the fact that it was the director of the hospital’s anesthesiology department who did the work himself. At present, in addition to the well-known surgical anesthesia, anesthesiologists are actually more involved in the rescue of critically ill patients and pain management work, their role is becoming more and more diversified. They are getting out of the operating room and into the limelight. There is a huge shortage of professionals] This has a lot to do with the talent structure, now most hospital anesthesiologists account for 70% of the young doctors, and there is a particular shortage of doctors in the prime age of 40-50 years old. Like director Zheng this medical university graduates 300 people only two or three finally choose to engage in anesthesia work, which is related to anesthesiology high-risk, not easy to be famous obviously close, and this biased understanding of the current still have a large market.