Patient’s friend: Wang Xuejun, Department of Anesthesiology, Qinghai Red Cross Hospital
Hello!
We are honored to serve you in the operating room of the Qinghai Red Cross Hospital. It is very unlikely that we would wish you not to be nervous, but we believe that if we work together, we can reduce and ease your nervousness.
Come on, let me first guess your psychology, a little fear, or perhaps apprehension, despite the fact that you have fasted and abstained from eating and drinking since eight o’clock last night, you may not be hungry at this moment, because the unfamiliarity with the environment, the concern about the success or failure of the operation and whether it will be painful or not, which fills you with suspicion, have long replaced the hunger, and perhaps you may even think that it is the same whether you fast or not, because you could not eat in the first place. This mentality is completely explainable, but there is a misconception here, fasting has a non-negligible role in the operation, it can reduce the occurrence of vomiting and asphyxiation after anesthesia, but also for patients with intestinal surgery to reduce surgical contamination.
“Doctor, why am I not sedated even after sedation?”
“Doctor, why do I feel thirsty and dizzy?”
The above reactions are your questions about the drugs injected before surgery, the injections injected before surgery are sufentanil and atropine, sufentanil is acting as analgesic and sedative, atropine has the effect of reducing respiratory secretion, so you will have the feeling of dizziness and dry mouth, maybe your feeling is not very obvious, that is the difference of individual differences and different degree of personal sensitivity. (a).
“Doctor, the tube in my nose is uncomfortable, why do I have to insert it if others don’t, can I not insert it?” This is your question – gastrointestinal surgery patients, this tube is called gastric tube, as the name implies is straight through the stomach, we are also commonly known as the life tube, because it can reduce intraoperative gas and gastric contents affect the operation of the surgeon, postoperative for those who can not eat due to surgery is to maintain the life of the channel, the tube can be filled with drugs, food, nutrients, so we call it the life tube. When your body soon recovers and you are able to eat by mouth, and your bowels are clear, the tube’s mission will end. We deeply appreciate the pain of our friends who have gastric tubes, and this is now a medical dilemma: the tube is very powerful, but how to reduce or even eliminate the pain of the tube, perhaps by replacing it with something else? Your pain is also our pain, so let’s study together and wait for the solution tomorrow.
Also if you feel some discomfort because of the urinary catheter, please do bear with it, because it is an important step to ensure the success of the operation, you can do some deep breathing and think of some beautiful scenarios to relieve the discomfort.
When you are lying on the operating table, we will first establish intravenous access and observe your blood pressure, respiration, and cardiac monitoring, and then start anesthesia, which generally has the following types: general anesthesia, intrathecal anesthesia, peripheral nerve block anesthesia and so on. The choice of anesthesia depends on the type of surgery, and most patients are given intralesional anesthesia. This type of anesthesia requires you to cooperate in this way: the patient lies on his side, with his head down and hands clasped around his knees, so that his back is bowed out as much as possible. When the anesthesiologist enters the needle, you will feel sore and swollen, and after the anesthetic takes effect, there is no pain but no sensation at the operation site, which is normal, so please cooperate well. General anesthesia is administered intravenously, and the patient is unconsciously put under anesthesia, so we will not introduce it here. After the anesthesia is completed, we will position you for the surgery and wait for the surgeon to operate on you.
In addition, if you have post-operative pain concerns, it does not matter, our department has a post-operative self-controlled analgesic pump to relieve your pain (this cost is not covered by medical insurance, it is part of the patient’s own expense).
Finally, I would like to say: please rest assured that all the staff of our department will do their best to serve you and accompany you until the surgery is successfully completed and you return to your ward.
Anesthesiology Operating Room