Anesthetic

In the middle ages, any type of surgery was very painful and tiring. Then with the discovery of anesthetics, the pain of the patient has been greatly reduced. Anesthetics play a very important role in most surgical procedures. Upon the dosage, the anesthetics tend to numb a part of the body or the whole body itself. The anesthetics usually act on the nerves and affect the central nervous system and the spinal cord. Anesthetics can be administered in several ways. It mainly includes general anesthesia, local or regional anesthesia, and Monitored Anesthesia Care (MAC).In this article, we’ll read about the various types of anesthetics.

General Anesthesia

The process of administration of anesthetics is basically the anesthesia meaning. General anesthesia is a process in which the body is put into a medically induced state of coma. After the administration of general anesthesia, the patient will not feel or remember anything about the surgery and potentially gets channeled into a state of “deep sleep”. The purpose of general anesthesia includes unconsciousness, analgesia, amnesia, immobility, and paralysis. General anesthetics like halothane tend to affect the central nervous system. The cerebral cortex, thalamus, reticular activating system, and spinal cord are the most affected by general anesthesia. The administration of general anesthetics can be divided into four stages based on dosage and purpose.

The administration of general anesthetics can be divided into four stages based on dosage and purpose. The stages are -

• Stage 1- This stage is also known as the “induction stage”.This is the period between administration of anesthetics and falling into a state of unconsciousness. 

• Stage 2 - This stage is known as the “excited” stage. It is determined as the time between falling into unconsciousness and the experience of the delirious activity. The heart rate and the respiratory rate of the patient may show some irregularities. 

• Stage 3 - The third stage is known as the “ surgical” stage. The stage involves the loss of laryngeal and light reflexes. Shallow abdominal respiration occurs along with intercostal paralysis. 

• Stage 4 - This is the stage of “ overdose “. The patient may suffer from severe cardiovascular and respiratory problems. This can be lethal.

Local Anesthesia 

Local anesthesia is a procedure to induce the absence of pain in a specific part of the body. It aims at local analgesia. Even though local anesthesia is only meant to induce local analgesia but the other local senses may be affected as well. Local anesthesia is used for a smaller part of the body such as a tooth. Regional anesthesia on the other hand affects a larger part such as a leg or an arm. Whereas conduction anesthesia consists of various local and regional anesthetic techniques. Sometimes local anesthetics are injected into a nerve trunk thus blocking the nerve. Hence it is also known as nerve block anesthesia. 

Regional anesthesia is of various types depending upon their place of administration. Namely-

• Axillary nerve block

• Femoral nerve block.

• Ankle block. 

• Bier block. 

• Interscalene nerve block.

MAC Anesthesia 

Monitored Anesthesia Care or MAC anesthesia is a type of anesthesia in which the patient is aware but in a highly relaxed state. The dosage is decided by the anesthetist depending on the patient’s health. Propofol, midazolam, and fentanyl are some of the medications used for monitored anesthesia care. MAC anesthesia is mainly used for smaller surgeries like endoscopy, bronchoscopy, dental procedures, and eye surgeries. Apart from minor surgeries, MAC is used for diagnostic and therapeutic purposes. Presently MAC constitutes about 10%-30% of choice for all surgical procedures.

Did You Know? 

• Humphrey Davy discovered the anesthetic properties of nitrous oxide back in 1799 but the implications of his findings in surgery were ignored.

• William Morton operated on a neck tumor by using ether as a general anesthetic in October 1846 to prove to the world that general anesthesia was a practical proposition.

• Modern inhalation anesthetics like halothane and trichloroethylene are administered by mixing them with nitrogen oxide and oxygen.