Experts warn: some general anesthetic drugs can trigger euphoria or even induce sexual hallucinations in patients; to avoid misunderstandings, it is recommended that the process of administering anesthesia should be present to avoid disputes Injection of propofol, after the implementation of general anesthesia to do painless gastroscopy, the female patient woke up and sued the doctor for molesting her! This unwarranted complaint made a number of male doctors and female nurses who had been present laugh and cry, and finally, fortunately, a disinterested third party testified to put the dispute to rest. But the female patient still did not understand: how could she feel pleasure from someone touching her breasts during the gastroscopy? It was actually propofol that caused the problem! Experts point out that since the advent of anesthesia there have been reports of sexual hallucinations. Especially after the use of propofol, a general anesthetic, patients recover consciousness very quickly, and many people wake up from anesthesia have a special sense of euphoria, some patients will have sexual hallucinations, a few patients will still wake up after the inexplicable amorous behavior, but also some extreme patients will suspect whether the doctor harassed while asleep and cause disputes. Therefore, it is recommended that the person administering anesthesia should preferably have medical personnel of the opposite sex or the patient’s family nearby during and after sedation to avoid unnecessary misunderstandings. Case: After painless gastroscopy, the patient denounced the doctor for molestation A female patient requested a gastroscopy due to stomach discomfort, and because she was afraid of pain, she asked the anesthesiologist to give her general anesthesia, which is also called painless gastroscopy. At that time, there was an anesthesiologist, a gastroscopist 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. In the next ten minutes, the doctor finished the gastroscopy for the female patient, and the female patient quickly woke up. Just as the medical staff was about to send her to the recovery room for observation, she suddenly grabbed a male doctor’s hand and shouted, “How dare you molest me? You fondled my breasts! I’m going to the hospital to file a complaint against you!” The two male doctors and a female nurse found it laughable. How could such a thing happen when all three of them were present during the examination of the female patient? Later, the nurse repeatedly explained that it so happened that there was another female patient passing by the door to testify, the patient gradually quieted down, but still half-heartedly, stressing that if no one had touched her breasts, how could she wake up with a strange sense of pleasure? Experts: this is related to the pharmacological properties of anesthetics 1, some of the anesthetics injected will be sexual hallucinations “In fact, it’s all propofol trouble! This ‘strange thing’ has been reported at home and abroad. I think if the public has some understanding of the related reactions caused by certain general anesthetics, it should be possible to avoid similar things from happening, and also to avoid unnecessary mental harm to patients and doctors.” The director of the anesthesia department of an affiliated hospital pointed out that sexual hallucinations have been reported since the advent of anesthesia. As early as 1849, Gream, a foreign expert, reported several instances of women saying obscene things under chloroform anesthesia. As a result, such anesthetics were banned for use in obstetrical procedures. The expert believes that such misunderstandings arise in connection with the pharmacokinetic and pharmacodynamic properties of anesthetic drugs. He said, for example, that generally after the use of propofol, a general anesthetic drug, patients recover consciousness very quickly, and many people have a special sense of euphoria after waking up from anesthesia, the operation will do some wonderful dreams, some patients will have sexual hallucinations, such as being touched, kissed, and even hallucinations of sex with people. Many patients wake up and implicitly say to the doctor that they are “so comfortable and had a beautiful dream”; a few patients will have inexplicable amorous behavior; but some extreme patients will suspect whether they were harassed by the doctor when they were asleep, and even cause disputes. 2, after the application of anesthesia surgical stimulation is more likely to cause sexual hallucinations “clinical findings, sexual hallucinations mostly occur in patients taking sedative drugs or high doses of psychotropic drugs.” Similar drugs that can cause euphoria are imipramine, laughing gas, etc., only the probability of these drugs occurring is much less than that of propofol. However, there are still only sporadic statistics for individual drugs. For example: when given sodium phenobarbital, the incidence of hallucinations in 1% to 3%. There are no scientific studies and statistics on the probability of hallucinations caused by other drugs, but similar reports are still common at home and abroad, such as: – In 1988, Dundee and his colleagues reported five cases of sexual desire after the administration of propofol; Bricher reported that nearly 5% of gynecological patients were given propofol and alfentanil anesthesia were followed by amorous behavior. ”In most cases, the drug itself may be only one of the causes; instead, some surgical stimuli are more likely to cause sexual hallucinations after the administration of anesthesia.” 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 breast fondling misunderstandings. Reminder: anesthesia process should be more than one person present to avoid disputes “both at home and abroad, clinical anesthesiologists, dentists, endoscopists and other doctors who sedate patients in the process of administering anesthesia, if the patient has a hallucination that embarrasses her, it is easy to be accused.” Thus, reminded, clinicians who use these drugs need to be aware that hallucinations do occur to avoid being charged with misconduct themselves. In addition, he emphasized that these hallucinations do not only occur during the operation of surgery, but may also occur during the post-operative recovery phase. ”Although similar ‘oddities’ are eventually recognized as hallucinations, there is unnecessary harm to both the patient and the surgeon.” For this reason, operators should not accompany patients of the opposite sex alone during and for some time after sedation, and it is best to have multiple medical staff of different genders present. In particular, when administering propofol, imipramine, laughing gas, and other similar euphoria-inducing general anesthetic drugs, it is advisable to have medical personnel of the opposite sex or a family member of the patient present so that a third person can be present to testify when a complaint occurs, provided that medical protocol is not violated.