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Some Basic Principles On Endoscopic Anesthesia

By Ann Cole


The alimentary canal lining can be affected by disease that requires special investigation for diagnosis to be made. This investigation is usually in the formal of endoscopy in which case a tube containing camera system is taken down the gut. Endoscopic anesthesia is crucial to ensure the patient is not traumatized by the procedure which can be very uncomfortable.

In preparation for the anaesthetic procedure, the doctor will ask you a couple of questions to ascertain your health status. Any chronic illnesses including high blood pressure and diabetes should be revealed. The patient also needs to inform the doctor about whether they take alcohol, cigarettes or any other drugs. Physical examination and certain blood investigations should also be undertaken to provide a baseline for the procedure.

When putting the client under anaesthesia, close monitoring should be done to ensure that the patient does not develop complications that can otherwise be corrected. Basically, blood pressure, rate of breathing and pulse rate need to be carefully assessed and followed up. This is made possible through special machines that are connected to the body of the client. Electrocardiography is an additional requirement in monitors to continuously assess cardiac function.

Oxygen saturation levels are also monitored using a pulse oximeter usually clipped at the tip of one of the fingers. Ideally, saturation levels should be above ninety six per cent. Oxygen should be given via a face mask to ensure levels remain above the target. Vital signs should also be adjusted accordingly when they become abnormal.

A good anaesthetic drug should also ensure muscle relaxation. Relaxation of muscles ensures that the operation is done without experiencing difficulties related to muscle spasm. Since there is no single drug with all these properties, anaesthetic drugs are usually used in combination. Examples include benzodiazepines, muscle relaxants, analgesics among others.

Reversal is performed once the endoscopy is done. Reversal simply means restoring the original awareness of the patient before anaesthesia. This is usually simpler and smoothly eases the patient back to stability unlike induction which can be quite difficult. Some of the reversal agents include flumazenil for benzodiazepines and naloxone for opioids. These reversal agents are otherwise known as antagonists.

Once the procedure is complete, the client is taken to a post anaesthesia care unit, PACU. This is simply a recovery room for patients to be able to fully wake up from anaesthesia and be aware of the surrounding. It serves to closely monitor the individual in case of any complications that may come up immediately after the procedure. As such, vital signs are once again monitored and oxygen is supplemented.

In summary, endoscopic anaesthesia is key when performing procedures in the alimentary canal, especially the uppermost and lowermost region of the canal. Based on widespread the illness is, a patient can either be under general anaesthesia or local anaesthesia. Apart from being an investigative procedure, endoscopy has the added advantage of being therapeutic for given conditions.




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