The anesthetist? A “tailor” who sews the treatment for each person

L’anestesista? Un “sarto” che cuce il trattamento per ogni persona

Thanks to the most modern treatments, today it is possible to model anesthesia according to the specific conditions and needs of a patient

Don't think that when it comes to falling asleep and relieving the pain of a person undergoing surgery under general anesthesia, everyone is the same. Anesthesia must be tailor-made, with procedures adapted to both the needs of the intervention and the individual. Giacomo Grasselli, professor of Anesthesia and Intensive Care at the University of Milan explains this.

The "Tailoring Anesthesia"

The approach involves the modeling of anesthesia and the control of vital functions, as if it were a suit designed by a tailor to meet certain specific needs and requirements of that patient at that time. The patient can in fact be cardiopathic, pneumopathic, diabetic, hypertensive and therefore also anesthesia must be made "to measure".

Thanks to the most modern treatments, it is therefore now possible to manage with greater peace of mind, and with fewer problems for the patient, the entire path of the patient even before entering the operating room. In pre-anesthesia, for example, the patient is calmed and sometimes an analgesic is also administered. "It is just an example of how today it is possible to adapt anesthesia to the type of surgery and especially to the person, considering that there are particularly fragile subjects or in any case with specific needs for which specific approaches must be studied – explains Grasselli. For example, in the event of a fracture of the femur, it is also possible to think of a "loco-regional" anesthesia (which in practice acts only on the district in which the surgeon operates, without taking away the conscience of the patient) if an elderly person could suffer more than general anesthesia. And obviously both the drugs we use and the monitoring techniques must be chosen on a case-by-case basis ".

According to experts, frailties are concentrated above all in extreme ages, therefore in children and the elderly. More than fragile children are delicate, react to drugs differently and, for example, have a less "effective" thermoregulation system. "For this reason, the alliance between the anesthetist and family members, be they parents or children, in the case of the elderly patient is fundamental – resumes Grasselli. And special attention must also be paid to those suffering from cardiovascular diseases and the very obese: the important thing is to reduce the risks in the post-operative course ".

Last chapter. "For anesthesia in childbirth, great attention is needed, because we take care of the mother and unborn child: we need to minimize risks and guarantee the baby a problem-free birth".

Category: Health
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