One sword is painful, does a child with a foreskin under the anesthesia hurt?
Author:Anesthesia Medical Group Time:2022.09.12
Recently, the nurse in the operating room, Xiao Liu, wanted to have a foreskin surgery for her sister's children. So, I found my colleagues for anesthesia.
At first glance, Dr. Zhang looked at the child of his colleague and agreed.
Because I was too worried, Xiao Liu asked Dr. Zhang a lot of questions. Among them, it includes the problem of pain and no pain.
The ears of the operating room all year round, she roughly learned about the use of the anesthesiology department. If general anesthesia is used, sedatives, analgesic drugs, and muscle pine are generally used.
But she heard that Dr. Zhang said that he only used a "milk" medicine, and he was a little worried. She was thinking: Can I do it without painkillers?
When I saw my colleagues' concerns, Dr. Zhang didn't think much. Because he is very clear that the medical staff's concerns are more. This may be related to knowing too much.
Take pain in pain. When the medical staff lying on the operating bed was performed, psychological concerns and physical pain were obvious than the average person.
Back to the topic of "milk": The "milk" mentioned here is not true milk, but a varicose anesthetic. The appearance of this medicine is very similar to milk. Because of its good control, it is loved by anesthesia anesthesia doctors, so it is kindly referred to as "milk".
The main role of this medicine is sedation and has a certain analgesic effect. But for strong pain, it is still necessary to assist dedicated analgesic drugs.
In the face of Xiao Liu's questions, Dr. Zhang comforted: Don't worry, how many years are you doing, and can you make your child suffer? Intersection
At this time, maybe many people have doubts: Is the foreskin, can only use sedation?
In fact, there is no problem in theory. As long as the degree of sedation is sufficient, this surgery can be performed.
Speaking of this, we must talk about the essence of pain: the scientific definition of pain is a unpleasant experience of people's adverse stimuli.
Everyone thinks about it: In the strong sedation, the brain can no longer tell what is "unpleasant experience". How do you feel pain?
However, it was found in actual work that large doses of sedation are disadvantaged. For example, respiratory suppression or wake -up delay can be caused. In severe cases, it may also cause permanent damage to the brain.
Because of this, muscle relaxants came out. It can be said that a major historical contribution of muscle relaxation is to let the patient be relieved from excessive sedation.
Due to the short foreskin surgery time, it is not advisable to use muscle pine, but Dr. Zhang has already developed a plan: After the injection of intravenous anesthetics, let the doctor make up a stitches.
The significance of this needle hemp medicine is very great:
On the one hand, the role of pain can be completely blocked. After using sedatives, although the brain is not perceived, the damage is objective.
Excessive damage stimulation may lead to adverse reflexes in the body. This adverse reflection may cause a lot of negative effects. For example, the digestive tract is delayed or the immunity has decreased;
On the other hand, you can reduce the injection of anesthesia before the operation. Reducing the total amount of intravenous anesthetics means that the amount of drugs entering the brain is decreased.
Although the current large sample research shows that the anesthetic has no obvious brain damage to people over 3 years old, it should still be avoided. Because with the progress of research, maybe different conclusions are given.
In addition, the wake of children is definitely a problem, and it is also a very contradictory problem:
If it is an adult's surgery, it is relatively quiet and answering when the surgery is over. It is generally considered the best effect;
However, if the child wakes up, it is a big problem.
Someone asked: Do you have to cry?
Indeed it is. The child woke up and cried, indicating that the child was safe, and the cycle was fine. The safety of anesthesia is the airway, followed by cycle. As long as these two systems are normal, there is no problem.
After listening to Dr. Zhang's professional explanation, Xiao Liu's heart was finally put down. Sayingly, I work in a operating room every day. I did not expect that there were so many anesthesia!
[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~
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