Regional Anesthesia

    Anesthesiology is the branch of medicine concerned with anesthesia and anesthetics. The anesthesiologist is the doctor who specializes in administering and determining what type of anesthetic needs to be used for a patient prior to surgery. This profession surfaced in the mid 1930s. Doctors then realized that using this type of sedation reduced the pain of having surgery by far. Before it surfaced people used pain relievers that could be more harmful than helpful. Alcohol and Opiates were often used for pain but alcohol is dangerous especially with blood loss and opiates are extremely addictive and people often overdose. Yet now there are so many approved forms of anesthetics that

Anesthesiologists give patients anesthetics in a variety of ways, such as “orally, intravenously, by gas or direct injection to render patients insensible to pain Anesthesiologists typically maintain the same daily schedule a surgeon follows, participating in both scheduled and unscheduled operations. Anesthesiologists are responsible for determining the proper anesthetic and dosage level for each patient. They monitor the patients progress prior to, during, and after surgery.”(“Anesthesiologist” 31)

Before a procedure begins, the nurse anesthetist will discuss with a patient any medications the patient is taking as well as any allergies or illnesses the patient may have. This must be done so anesthesia can be safely administered. Nurse anesthetists then give a patient general anesthesia to put the patient to sleep so they feel no pain during surgery or they may administer a regional

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

There are two different types of anesthesia; which are local and general. Preoperative services, administration, post-op and monitoring is included in the anesthesia package. Codes for anesthesia codes are simpler that codes for surgery. Qualifying circumstances recognizes four conditions. (99100) which indicates younger than a one year old or older than a 70-year-old, (99116) entire body hyperthermia, (99135) hypotension under control, (99140) situations that are emergency. Anesthesia payment formula is base + time +modifying units x conversion.

She is with the patient throughout the full process. Before the operation, she will prepare the patient to receive the anesthesia and will perform a full patient assessment. This determines any patient allergies to certain chemicals or drugs; what medicine the patient can receive; how their bodies will react; and where the injection should be administered. Sometimes, the drug will be given in the form of an onsite injection, similar to an epidural. When the operation begins, Kelly will then assist the physician with monitoring and administering the anesthesia to ensure proper sedation. If the patient is not fully put to sleep, and a portion of his or her body is numbed instead, she monitors the input on the site of injection and ensures the patient cannot feel anything throughout their body. When the procedure is concluded, Mrs. Leonard’s duties will continue. She is in charge of overseeing that the patient recovers from the anesthesia smoothly and cares for the patient’s post-operative needs until they are

• Do not eat or drink anything after midnight on the night before the procedure or as directed by your health care provider.

These procedures are not reported alone but as add-on codes used to identify extraordinary conditions of patients and their unusual risk factors. There are four kinds of certain codes used for particular circumstances which are: 1) Anesthesia for the age younger than one year and over the age of seventy (99100), 2) Anesthesia complicated by the utilization of total body hypothermia (99116), 3) Anesthesia complicated by the utilization of controlled hypotension (99135) and 4)Anesthesia complicated by emergency circumstances

The role of the anesthesiologist is to relieve pain for the patient during and after surgery. The Bureau of Labor Statistics defines the role of an anesthesiologist as: “…they administer the drugs that eliminate the sensation of pain…During surgery, they are responsible for adjusting the amount of anesthetic as needed and monitoring the patient’s heart rate, body temperature, blood pressure, and breathing.”1 Anesthesiologists, because they are in the midstream of perioperative care and thus can contribute to better patient outcomes and patient safety.2 On top of that, anesthesiologists are also responsible for the patients’ preoperative assessment and postoperative assessment.3

Anesthesia was developed in order to block or prevent pain during medical procedures. Anesthesia has been the backbone of the medical world for around 100 years now. Early anesthetics were primitive and many patients simply did not trust anesthetics. Anesthesia is still a risky process even in todays advanced medical world. Anesthesia is not used to treat or diagnose any specific disease; the sole purpose is to aid both the patient and surgeon through procedures. However, anesthesia is used in different ways based on the magnitude of the procedure. There are three levels of anesthesia which include; local, regional, and general anesthesia. An anesthesiologist determines which type of anesthesia will be needed.

An IV tube will be placed. It will be used to give your child fluids and medicine during the procedure.

An Anesthesiologist’s duty in the medical facility is to administrate an anesthetic to the patient, making him or her feel safe and comfortable during a surgical procedure. The anesthesiologist is always next to the patient watching their vitals and keeping them safe all the way to post-surgery. The anesthesiologist first meets with the patient before the procedure starts to go over basic procedure and discuss how the anesthesiologist will administer the calming agent. The anesthesiologist is also in charge of accessing the patients’ vitals (blood pressure, beats per minute, heart rhythm, temperature, conscious level, oxygen level, etc.). Being an anesthesiologist will also make one in charge of positioning the patient, recognize any form of potential threat to the patient, and to administer the required

This feature also enables the use of this technique into the postoperative period for analgesia, using lower concentrations of local anaesthetic drugs or in combination with different agents.

The administration of anesthesia is an advanced practice in the nursing field, and anesthetists are key to the medical services workforce. The Certified Registered Nurse Anesthetist (CRNA) controls anesthesia for a wide range of surgical cases, from the least difficult to the most mind boggling. CRNAs deliver anesthesia in a joint effort with anesthesiologists, surgeons and other qualified experts and practice in each setting in which anesthesia is provided, including hospital operating rooms, labor and delivery units, critical and intensive care floors, outpatient centers, offices of dentists, ophthalmologists, plastic surgeons and podiatrists, pain management clinics and in management. Nurse Anesthetists have also played a critical part in the Armed Forces, where they have administered anesthesia during the war and peacetime mainly as the only providers.

The effect of Regional anesthesia is more favorable than general anesthesia. (9) Regional anesthesia will improve outcomes by avoiding intubation and mechanical ventilation, significantly reducing blood loss. (10)