Targeted protocols and clinical-organizational attentions adopted by specialists in anesthesiology and resuscitation, to make the course of the patient undergoing surgical procedures safer
The Assyrians, in order not to make those who had to suffer an amputation suffer, "strangled" those destined for an operation by compressing the carotid, so as to temporarily "cut off" the blood supply to the brain. Shortly after, the Egyptians instead thought of less bloody methods to make those who were destined for an operation feel less pain, using ice as an anesthetic. Today, for those who need general anesthesia, the treatments are very different and much more effective. Even in times of Covid-19.
“Ad hoc” paths for the operating room
The key word in healthcare facilities is more than ever "safety". And the need to undergo surgery under general anesthesia cannot be excluded from the guarantee that the hospital is able to minimize the risk of infection with the Sars-CoV-2 virus. Vito Torrano, Head of Operating Block 1 – ASST Grande Ospedale Metropolitano Niguarda in Milan remembers this. "We have developed targeted protocols and paths precisely to increase safety for patients and operators – explains the expert.
Everything starts from the days preceding admission, in what is called "pre-admission", with the anesthesiologist choosing the best technique and the patient entering the hospital as little as possible. Then, before the surgery, a swab is requested to assess the patient's possible positivity to the Sars-CoV-2 virus. If the swab is negative, it goes on to the operating room, otherwise the surgeon informs the anesthetist about the necessity or not of the non-postponement of the operation ".
SIAARTI, a scientific society that brings together specialists in anesthesiology and resuscitation, has however developed a series of clinical-organizational attentions adopted to make the course of the patient subjected to surgical procedures as safe and rapid as possible, improving the possibility of recovery and possibility of healing in less time – as explained by President Flavia Petrini ”. The leitmotif of perioperative care is the interaction between team operators, of which anesthetists-resuscitators and surgeons are the medical actors, but which also include properly trained nurses and who must make the recovery of the patient as simple and free of complications as possible. organism after the surgical trauma, adopting pharmacological techniques and strategies to "customize" to the case and to the expected risks, on which the prognosis of the intervention depends.