Surgery

READERS ASK, EXPERTS ANSWER Anesthesia – should I be afraid?

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Written by:Mario Ivčević, MD. (Polyclinic Priska Med)

Through everyday conversations with patients, it is not hard to notice that they still perceive general anesthesia as quite mystical and with distrust. They usually comment that the risk duringanesthesia is sometimes greater than the risk of the procedure itself.

At the same time, general anesthesia is often placed on the same level as short-term analgesosedation, which induces sleep and pain relief, while the patient is still breathing independently and not with the help of an anesthesia machine. The patient at no time 'breathes through the machine' and wakes up quickly after the procedure. Analgosedation is a method used in colonoscopy, gastroscopy, and similar shorter-lasting examinations.

Preparation for the procedure

In generalanesthesia, anesthesiologists think about preventing complications from the very beginning. Before each procedure, an anesthesiology examination is conducted with medical documentation. If necessary, the medications that the patient is taking are adjusted, and all risks involved are taken into account. Additionally, the anesthesiologist will discuss with the patient their previous anesthetics, as well as any potential drug allergies. No anesthesiologist will enter a procedure unprepared – they want, and must, know everything about the patient.

Complications and side effects

Before conducting the actualanesthesia, the doctor goes through all steps of anesthesia with the patient once again. It is important for the patient not to eat anything before the procedure as instructed by the doctor, because otherwise, there is a possibility of vomiting during the operation.

When placing the tube through which the patient will breathe, dental damage is possible – the risk for this is minimal, that is, according to the latest scientific papers, around 0.092%, with a higher risk for patients with poor dental health. Of course, during the anesthesiological examination, the doctor will also familiarize themselves with the state of the patient's teeth.

As with any other medication, there is an extremely rare possibility of an allergic reaction to anesthetics. Fortunately, each anesthetic also has a medication that stops this reaction, which all clinics should have readily available for the anesthesiologist to immediately halt the reaction.

After the patient wakes up from anesthesia, they may feel hoarseness, a tickling sensation in the throat, nausea, and a urge to vomit, and all of these symptoms pass quickly and without difficulty.

Do doctors perform worse if the patient is under anesthesia?

One of the more common questions regarding procedures that can be performed under anesthesia, but do not have to be, is: 'Will my doctor do a worse job if they don't know when I'm in pain?'

The protocol for interventions conducted is the same with or without anesthesia, with the possibility of stopping the procedure if the patient cannot endure the pain. The quality of the intervention itself will not be any worse if the patient is under anesthesia.

Do I need anesthesia for my procedure?

In the end, the decision is up to the patient themselves. Using anesthesia can avoid pain and discomfort that occurs during some interventions, and the associated risks are minimal. If you decide to use anesthesia, it is essential that the anesthesiologist familiarizes you with the entire process and answers all the questions you have. The foundation of every good medical outcome rests on the trust relationship between medical staff and the patient.

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Source: Dalmatinski portal
https://dalmatinskiportal.hr/zdravlje/citatelji-pitaju–strucnjaci-odgovaraju-trebam-li-se-bojati-anestezije-/172733