Importance of Regional Anaesthesia in COVID Times
Dr. Sunil Malik
Apr 08, 2021
Anaesthesiology is a speciality of medicine that focuses on the safe use of sedatives or anaesthesia to induce a total or partial lack of responsiveness or unconsciousness in the patient while performing surgery. When a patient is unconscious, the surgeon can perform the procedure smoothly and the patient is kept stress-free, pain-free throughout the surgical procedure. Anaesthesiologists are doctors who specialize in administering anaesthesia safely to undergo surgery. The success of surgery largely depends upon the quality of anaesthesia provided and the experience of an anesthesiologist.
The most important requirement for safe anaesthesia delivery is the availability of qualified anaesthesia providers. Evidence suggests India has very less about 1.27 qualified anaesthesiologists available per 100,000 population much below the required accepted standard of 20 per 100,000 population. The Department of Anaesthesiology at Manipal Hospital has globally experienced and skilled Anesthesiologist in Delhi who are committed to patient safety and wellbeing.
Our anesthesiologists work closely with a multidisciplinary team of doctors, surgeons and nursing staff to provide optimum quality care for patients in the pre-operative period, operation theatres as well as postoperative period.
We use advanced and sophisticated technology to monitor the vitals during surgery and are well-prepared to handle sudden medical problems that arise during and immediately after the surgery. Hence, Manipal hospital is recognized as one of the Best Anesthesiology Hospitals in Delhi for offering a full range of world-class anesthetic care.
At Manipal hospitals, we use state-of-the-art facilities and advanced, patient-centric procedures to deliver anaesthetic care.
This type of anesthesia is administered by spray, injection or as an ointment. The surgical area alone is made numb. It is mainly used for outpatient procedures such as hand or foot surgery.
This is a form of anesthesia used to numb a particular portion of the body, for instance, epidural or spinal anesthesia or nerve block anesthesia.
This form of anesthesia allows a specific procedure or surgery to be performed on the patient while they are unconscious. Vital signs and organ functions will be closely monitored during this period of time. Pain medication will be administered to reduce the body’s stress responses to surgery. This helps speed up recovery after surgery. Patients will…
Anaesthesia is an integral part of surgeries and with the increasing importance and demand of surgical care in medicine, the need for safe and accessible anaesthesia services has also increased significantly in recent times. Evidence suggests that surgery is required for treating about 6% of the global disease burden such as cancer, injury, cardiovascular disease, infection, birthing, etc. Another report published by the World Health Organization suggests about 230 million surgeries to be carried out globally every year under anaesthesia. However, 5 billion people globally lack access to safe and affordable surgical and anaesthesia care, especially in low and middle-income countries.
The delivery of quality and safe anaesthesia care depends on several critical elements namely,
1) Adequate infrastructure
2) The availability of appropriate equipment and medications for example pulse oximeter and opioids and
3) Skilled anaesthesia providers.
The anaesthesia-related deaths have decreased sharply from 6.4/10000 in the 1940s to 0.4/100000 at present in industrialised countries owing to various safety standards being implemented and improved anaesthesiologist training available.
Types of Anaesthesia:
Regional Anaesthesia (RA): Under regional anaesthesia, a large portion of your body where the surgery is being performed is numbed by giving an anaesthetic injection near to the nerves and you will be awake during the procedure. There are different types of regional anaesthetics including:
Spinal Anaesthetic: If the surgical procedure is performed in the lower part of the body, e.g., orthopaedic procedures, a spinal anaesthetic is administered into the fluid surrounding the spinal cord.
Epidural Anaesthetic: If anaesthetics are injected around the sheath covering the spinal cord, it is called epidural anaesthesia and is commonly used for caesarean section, chest, or abdominal surgery, etc. Anaesthetic is continually infused via a thin catheter that is placed into space surrounding the spinal cord so that the concerned large area of the body is numbed.
Local Anaesthesia: A small area of the body is numb by spray, drops or injection but you will be conscious.
Monitored Anaesthesia Care (MAC): This is a specific anaesthesia service that is performed under local anaesthesia along with analgesia and sedation so that spontaneous breathing and airway reflexes are preserved. Sometimes surgeries are performed using local anaesthesia alone. In case the patient gets anxious during the procedure, anesthesiologists may administer sedation, pain relief, anaesthesia etc. if needed and monitored by an anaesthetist for your safety.
If you are looking for the Best Anaesthesist in Delhi, get in touch with Manipal hospitals to get best-in-class medical care.
Anaesthetic services are provided to a wide variety of surgeries including:
Orthopaedics (includes treating injuries and diseases of the musculoskeletal system including joints, bones, ligaments, tendons, muscles, and nerves).
Obstetrics and gynaecology (include treatment of conditions of the female reproductive organs).
Otolaryngology (involves treating conditions of the ears, nose, and throat).
Ophthalmology (includes medical and surgical treatment of the eye).
Maxillofacial surgery (includes the surgical treatment of the face, facial trauma surgery, neck, the oral cavity, head, jaw, etc).
Urology (includes surgery of male and female urinary tract, kidneys and genital organs).
Cardiac surgery (includes surgeries of the heart).
Oncology (includes surgeries related to cancer).
There are three types of anesthesia; local, regional, and general. Local anesthesia is specific; a small area of the body is numbed while one is conscious or awake. Regional anesthesia is administered to numb a specific region of nerves on the body. The patient may be awake/ conscious or receive a sedative for a light sleep during the operation. The patient may remember parts of the procedure but should be free of pain. General anesthesia is a state of regulated unconsciousness that results in a loss of body sensation through anesthetic drugs, such as gases or vapors inhaled through a mask or breathing tube or drugs given through an IV. It is rare for patients to have any memory during general anesthesia.
Before the surgery, your anesthesiologist will review your health history, the medications you are taking if you are allergic to any medications, and your past anaesthesia experience during a pre-anaesthetic check-up (PAC). You may be asked to stop taking blood-thinning medications about a week before the procedure as it may cause complications during surgery. You are required to avoid drinking or eating food about 6 hours before the surgery to avoid vomiting during this period. Before the surgery, your anesthesiologist will deliver anaesthesia through an intravenous line in your arm or via inhaled gasses. Once you are asleep, a tube may be inserted through your mouth into your windpipe to ensure that you get enough oxygen and to have proper control of your breathing during the procedure. Your vitals such as breathing, heart rate, body temperature, blood pressure, etc are continuously monitored during and immediately after the surgery to ensure your well-being. After the completion of the surgery, your anaesthesiologist reverses the medications to wake you up. You will wake up slowly either in the operating room or recovery room.
Herbal supplements may cause changes in heart rhythm, blood pressure and increase the chances of bleeding sometimes. Herbs including ginseng, ginkgo Biloba, garlic, ginger, etc may prevent blood clot formation and cause excessive blood loss. Therefore, you should stop taking these supplements at least 2-3 weeks before surgery.
Anaesthesia is the use of medicines called anesthetics to put the patient in a state of sleep or numb a part of their body during minor or major surgeries. It can be administered via injection, inhalation, spray, topical lotion, eye drops, or skin patches. To know more, visit the best anesthesiology hospital in Dwarka, Delhi.
An anesthesiologist is a doctor who is trained to administer and manage anesthesia during surgery. An anesthesiologist also manages vitals such as breathing, heart rate, body temperature, blood pressure, etc during the surgery and is responsible for problems during and immediately after the surgery. Get a consultation at the anesthesiology hospital in Delhi.
An anaesthesiologist top anesthesiology hospital in Dwarka, Delhi plays a very important role during and immediately after the surgery including:
Administering anesthesia before and during the surgery.
Monitoring and observing any slightest changes in the body functions during the surgery.
Ensuring patient’s well-being and pain control during and after the surgery.
Management of the vitals such as breathing, heart rate, body temperature, blood pressure, etc during the surgery.
Responsible for the replacement of fluid and blood if needed.
If you are thinking about surgical options for any of your problems, contact us today for better surgical solutions and management. We offer the least invasive and one of the most affordable treatment options in the country. Book an appointment with one of our specialists today and live a pain-free and healthy life.