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Anesthesia Health Feed

Hifu Technique - Know Utility Of It!

Dr.Amarendra Pandey 88% (29ratings)
MBBS, Diploma in Venerology & Dermatology (DVD), MD
Dermatologist, Jabalpur
Hifu Technique - Know Utility Of It!

It is a common wish of every individual to have flawless skin. Everyone wants skin sans spots, wrinkles or marks and this increasing demand has created a market for anti-aging, anti-wrinkle and other such creams that promise their customers flawless skin. But, these creams do not offer permanent solutions which is why people often opt for treatments such as chemical peels and radiofrequency. These treatments too are not the best.

HIFU or High-Intensity Focused Ultrasound is a new technological method of noninvasive tissue heating and ablation that is being used to treat a wide range of disorders. This method of treatment is mostly used to treat wrinkles, for brow lifting, facial rejuvenation and body contouring.

Hifu is a trusted method for body contouring. Body HIFU is a MMFU, Micro & Macro Focused Ultrasound, technology used for body contouring. By this method, the fat cells of the body are targeted. High intensity and high-frequency energy is focused on the targeted area which causes the temperature to rise above to 56°C in the subcutaneous fat layer beneath the targeted skin area. The cells which get damaged are in a few weeks’ time rejected by the body's immune system.

The high-intensity ultrasound is focused at a depth of 1.3 centimeters on the adipose tissue of the body. Penetrating through the tissues and reaching the fat layer, the high heat destroys the fat cells rapidly. The other surrounding cells remain unaffected and only the targeted cells are treated. The body's natural healing system harmlessly rejects the destroyed fat cells this continues for up to three months. Common treatment areas for body contouring include the abdomen, chest, arms, flanks, hips, thighs, buttocks and lower legs.

Unlike other surgical procedures, this process does not involve any kind of surgical risk. Hifu is a completely non-surgical procedure which does not have any side effects. Even a single session begins to show positive results. A session can reduce an average about one inch of the waistline or help to reduce one dress size or one pant size. The process of treatment is clinically proven and is FDA approved. This method is tested and has proven over the years to be safe. Moreover, being a non-invasive treatment, it saves one from the pain of undergoing any incisions or anesthesia. Being non-invasive, it reduces the risk of infections. The method is comfortable and painless and is also cost-effective. Over the years, the effect of the treatment has been proved to last for about two years.

However, before undergoing any kind of treatment, a doctor must be consulted to review the person's medical history before the surgery. A person's medical condition may hinder the procedure or limit the effects of it so it is best to have complete knowledge and information about the treatment that one is planning to undergo.

1379 people found this helpful

Bariatric Surgery - What Are The Risks Attached With It?

MS - General Surgery, Fellowship In Laparoscopic & Bariatric Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Nashik
Bariatric Surgery - What Are The Risks Attached With It?

Bariatric surgery refers to a host of surgical procedures that help a person suffering from obesity to lose weight. Various methods are used to achieve the desired results, often times using the help of a gastric band to decrease the size of the stomach or surgically removing a small portion of the stomach. Notwithstanding the result, bariatric surgery like any other surgery involves certain risks. Some of them are-

1. Uncontrolled bleeding

One of the most common risks that any surgery entails is that of excessive or uncontrolled bleeding. If this condition persists, they often times lead to death.

2. Infection

Though infections seemingly appear easily preventable and easy to deal with, they often snowball into fatalistic danger to the point of no recovery.

3. Side-effects of anesthesia

Administering general anesthesia before performing any surgery is a common practice. However, sometimes it may yield certain unforeseen consequences.

4. Clotting of blood

Quite similar to excessive bleeding, even clotting of blood presents an equally if not more hazardous situation. Though sometimes timely intervention of medications resolves the situation, often it aggravates into a grievous cause of concern.

5. Hypoglycemia

Hypoglycemia refers to the condition when there is a deficiency or the lack of glucose in the blood. Though this is a side-effect of bariatric surgery, it does not appear immediately but rather surfaces many years after the operation was performed.

6. Emotional disorder

Along with physical ailments, post-bariatric surgery may also affect you emotionally. Post-bariatric surgery may sometimes lead to emotional and behavioural disorders in you and sudden, incomprehensible mood swings.

7. Death

Though rare, one cannot negate the possibility of death as a plausible risk of bariatric surgery.

3051 people found this helpful

What Is Adverse Respiratory Events In Anesthesia?

Dr.Shrikant Kurhade 90% (22ratings)
M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
Laparoscopic Surgeon, Pune
What Is Adverse Respiratory Events In Anesthesia?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you,
  2. Block pain,
  3. Make you sleepy or forgetful,
  4. Make you unconscious for your surgery.

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:
Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  • Airway Obstruction
  • Inadequate inspired oxygen delivery
  • Aspiration
  • Endobronchial Intubation
  • Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  • Pulse Oximetry
  • Capnometry
  • Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome.

4240 people found this helpful

Paraesthesia - Causes And Treatments Of The Problem!

Dr.Sayed Asif Saba 90% (277ratings)
MDS - Prosthodontics
Dentist, Ranchi
Paraesthesia - Causes And Treatments Of The Problem!

Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends.

This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.

The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias.

In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.

When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:

  1. Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
  2. Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
  3. Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.
3652 people found this helpful

Is bsc anaesthesia course scope? And it will come under doctor. Because I'm going to this course so kindly clarify my question.

Dr.Parimal Patel 87% (50ratings)
IDCCM, Diploma in Anesthesia
Anesthesiologist, Delhi
Is bsc anaesthesia course scope?
And it will come under doctor. Because I'm going to this course so kindly clarify my...
Well you will officially be under technician head nowadays we have anesthesia technicians and anaesthesiologist you can definitely learn at your interest from doctors.
1 person found this helpful
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Paraesthesia - How To Treat It?

Dr.Neelam Yadav 89% (673ratings)
BDS
Dentist, Narnaul
Paraesthesia - How To Treat It?

Often parasthesia is caused due to the needle injury. When the dentist inserts the needle foe a block a patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as parasthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, parasthesia is more of a dental malpractice.

The feeling of the electric shock is felt when the needle comes in close contact with the nearby nerve. This is enough to develop a paresthesia. Severing of the nerves in a local anesthesia with a small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs then it usually gets resolved within some days or weeks or months. but if it lasts for more than 6-9 months then it is considered to be permanent.

When the paresthesia is due to a surgical trauma then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paresthisia is due to the anesthesia given locally by the dentist then he/she does the following:


1. Patient Management: Reassurance of the patient is must as they get jittery about the situation. Reassurance of the patient: The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paresthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.


2. Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how a paresthesia can take place. It is important to let the patient know that the condition subsides but it might take some time. The extent and the degree of the paresthesia should be assessed and the findings should be noted in the examination records.


3. Follow-up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paresthesia and then again in 1-2 months intervals. The visits could be more and can last until the paresthesia completely resolves. Improving signs and symptoms usually promise that the paresthesia is getting better. If paresthesia is still persistent then help from an oral and maxillofacial surgeon should be taken for a surgical approach.
 

3939 people found this helpful

What is the effects of local anesthesia to patients of lsv dysfunction during minor surgery?

Dr.Swathi Rakshita 87% (13ratings)
Anesthesiologist, Nellore
Local anesthesia has very minimal effects on patients with severe lvdysfunction. If like cataract surgery perse risk will be very low. Inspite of that surgery itself carries a bit higher risk in case of severe lvdysfunction.
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एनेस्थीसिया क्या है? - Anesthesia Kya Hai?

Dr.Sanjeev Kumar Singh 90% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
एनेस्थीसिया क्या है? - Anesthesia Kya Hai?

एनेस्थीसिया शब्द ग्रीक भाषा के दो शब्द “an” अर्थात “बिना” और “aethesis” अर्थात “संवेदना” से बना है. इस प्रकार शब्द से ही इसका अर्थ स्पष्ट है “संवेदना के बिना”. एनेस्थीसिया या निश्चेतना चिकित्सा विज्ञान का वह महत्वपूर्ण शाखा है जिसमें किसी भी प्रकार के सर्जरी या ऑपरेशन में मरीज को दर्द के अनुभव के बिना ऑपरेशन सफलता पूर्वक किया जाता है. इस प्रक्रिया में मरीज होश में रहकर ऑपरेशन देख भी सकता है पर उसे दर्द या कष्ट का अनुभव नहीं होता है. इसके बिना जटिल ऑपरेशन संभव नहीं होते हैं. एनेस्थीसिया के प्रक्रिया को करने वाले चिकित्सक को एनेस्थीसियोलॉजिस्ट या एनेस्थेटिस्ट तथा इसमें प्रयोग किए जाने वाले दवाओं को एनेस्थेटिक दवा कहते हैं. आइए इस लेख के माध्यम से हम एनेस्थीसिया के प्रकार और कुछ अन्य तथ्यों पर नजर डालें.

एनेस्थीसिया के प्रकार

1. लोकल एनेस्थीसिया: लोकल एनेस्थीसिया में सर्जरी करने वाले हिस्से के पास के उत्तकों को इंजेक्शन के माध्यम से सुन्न किया जाता है. जिसमें मरीज उस हिस्से में हो रहे ऑपरेशन को देख तो सकते हैं पर वहाँ के उत्तक सुन्न होने के वजह से उसे दर्द का अनुभव नहीं हो पाता है और इस प्रकार ऑपरेशन सफलता पूर्वक कर लिया जाता है. समान्यतः कटे स्थानों पर टांका लगाना व अन्य छोटे-मोटे ऑपरेशन इसके अंतर्गत आते हैं.

2. लोकल एनेस्थीसिया: लोकल एनेस्थीसिया में शरीर के किसी प्रमुख नसों के बंडलों के चारों तरफ के एक हिस्से को सुन्न किया जाता है. क्षेत्रीय एनेस्थीसिया के मदद से हाथ, पैर, पेट इत्यादि क्षेत्र के ऑपरेशन को किया जाता है. जिसमें मरीज होश में तो रहता है पर उसे दर्द का अनुभव नहीं होता है. इसमें एनेस्थेटिक दवाओं का असर 12-18 घंटे तक रहता है जिस कारण ऑपरेशन के बाद भी उस स्थान पर दर्द का अनुभव नहीं होता है. पर दवाओं का असर समाप्त होने पर दर्द वापस आ सकता है तब ऐसी स्थिति में दर्द दूर करने के लिए अन्य वैकल्पिक उपाय या दवा का प्रयोग किया जाता है. जब तक दवाओं का प्रभाव रहता है तब तक उस स्थान पर सुन्नता या झनझनाहट भी महसूस हो सकता है या उस अंग को हिलाना या उठाना भी असंभव हो सकता है या ऐसे करने में दिक्कत हो सकता है.

3. सामान्य या सर्वदैहिक एनेस्थीसिया: इस प्रकार के एनेस्थीसिया में मरीज को बेहोश कर दिया जाता है. आमतौर पर इसके लिए मरीज के मांसपेशी में इंजेक्शन के माध्यम से एनेस्थेटिक दवा दिया जाता है. जिससे मरीज बेहोश हो जाता है. फिर सावधानी पूर्वक शल्य प्रक्रिया पूरी की जाती है. मरीज को किसी भी प्रकार का दर्द का अनुभव नहीं होता है तथा होश आने पर मरीज को शल्य प्रक्रिया का कोई बात याद भी नहीं रहता है. इस एनेस्थीसिया में मरीज को बेहोश होते ही मुँह पर मास्क लगाकर ऑक्सीजन दिया जाता है. साथ ही बेहोशी बनाए रखने के लिए मुँह में एंडोट्रेकियल ट्यूब डालकर ऑक्सीजन के साथ कुछ अन्य गैसें भी दी जाती हैं. ऑपरेशन यानि शल्य प्रक्रिया समाप्त होने के बाद मरीज को कुछ दवाएँ देकर होश में लाया जाता है.

ऑपरेशन से पहले मरीज के प्री-एनेस्थेटिक जाँच
किसी भी प्रकार के सर्जरी या ऑपरेशन में एनेस्थेटिक दवा का प्रयोग करने से पहले मरीज के प्री-एनेस्थेटिक जाँच कर यह जान लिया जाता है कि मरीज का शरीर या अंग विशेष एनेस्थीसिया के प्रभाव व ऑपरेशन के सहन कर पाएगा या नहीं. यदि मरीज इसके लिए फिट नहीं पाया जाता है तो एनेस्थीसियोलॉजिस्ट पहले मरीज को फिट होने के लिए इसका उपचार कराने का निर्देश देते हैं ताकि बेहोश होने पर फिर बिना किसी दिक्कत के उसे दुबारा होश में लाया जा सके. एनेस्थीसिया के प्रभाव व ऑपरेशन के सहन के लिए फिट होने पर ही मरीज का ऑपरेशन किया जाता है. इसके बावजूद पूरे शल्य प्रक्रिया के दौरान मरीज के बेहोशी बनाए रखने के लिए एनेस्थीसियोलॉजिस्ट हमेशा मरीज पर नजर रखे रहते हैं व बेहोशी के अवस्था को नियंत्रित किए रहते हैं. एनेस्थीसियोलॉजिस्ट पर ही सारा शल्य क्रिया निर्भर रहता है जिस कारण ये ही सम्पूर्ण शल्य क्रिया के सूत्रधार होते हैं.

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What is the name of the procedure of inserting a catheter in the spinal cord to give epidural analgesia before the operation?

Anesthesiologist, Ulhasnagar
What is the name of the procedure of inserting a catheter in the spinal cord to give epidural analgesia before the op...
There are two different type of anaesthesia 1. Subarachnoid block or spinal anaesthesia or spinal block. 2. Epidural blockor epidural anaesthesia. Needle or catheter is never inserted into spinal cord. Our brain and spinal cord is having 3 different coverings with spaces in between. Needle and catheter is inserted into this spaces to inject a drug and to produce desired anaesthesia.
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Hello Sir, I just want to know does lox2% jelly completely blocks all pain signals from the brain or to some extent.

Dr.Sajeev Kumar 90% (39290ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
LOX -2% Gel is a local anesthetic. It works on the skin by blocking pain signals from the nerves to brain. This numbs the area and decreases pain sensation but does not completely block the signals to brain
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