An anesthesiologists, also known as anesthetists, are responsible for administering one of three different types of anesthesia to patients undergoing specific procedures that require numbing. It is critical to note that an anesthesiologist doesn't merely assess the safety of anesthesia before, during, and after surgery, but also assesses the combined risk of anesthesia and the planned operation.
An anesthesiologist in an operating room administers the anesthetic and is responsible for the ongoing, and overall well being of the patient throughout the operation. For example, after putting a patient to sleep, the anesthetist correctly positions the patient for the operation. Proper positioning provides the best visualization of, and access to, the surgical site while minimizing any physiological challenges to the patient. Positioning must also protect the patient's skin and joints. During training, an anesthesiologist learns standard positioning practices that effectively reduce the chances of patient complications related to positioning.
An anesthesiologist must also monitor the patient throughout a surgical procedure. Monitoring tasks require the continual evaluation of the patient's oxygenation, ventilation, circulation, and temperature throughout the procedure. If any of these falls outside acceptable ranges, an anesthesiologist must notify members of the surgical team immediately so appropriate intervention can be taken.
An anesthetic plan, also known as a perioperative plan, encompasses the following three phases:
Patient needs, the experience of the anesthesiologist and the constraints of the proposed surgical procedure are addressed in a perioperative plan. In particular, a trauma anesthetic needs to be dynamic and responsive to rapid changes in patient condition.
During a preoperative assessment, the overall fitness of the patient for the intended anesthetic and upcoming surgery is determined. Occasionally the urgency of the operation reduces the how long an anesthesiologist can spend with a patient. However, when surgery is scheduled, and the anesthetist can spend an appropriate amount of time with the patient, specific guidelines are followed that determine the patient's readiness for the procedure. This includes uncovering any medical conditions which might impact the management of the selected anesthetic.
With an initial assessment in hand, the anesthesiologist will review the plan for a patient's upcoming surgery. The plan may include one, or more of the following items .
If you're wondering why a patient must fast before surgery, it's because the anesthetic causes a patient's muscles to relax, including the valves between the esophagus and the stomach , allowing stomach content to flow via the esophagus into the airways lungs. Stomach content is very acidic and contains enzymes that will digest the delicate lung tissue which then becomes a life threatening-situation.
Likewise, certain medications and nutritional supplements need to be avoided prior to surgery since they can affect bleeding and swelling during surgery. Some may also create blood clots, cause bruising or even prevent healing after surgery. So it's important that the anesthesiologist receive a complete list of anything the patient is taking in order to minimize risk.
The responsibilities of an anesthesiologist during the intraoperative phase are extensive. It is during this time that a patient under general anesthesia is unable to communicate, so the role of an anesthetist is vital if the safety, well-being, and health of the patient are to be safeguarded.
Although the following list is not all-inclusive, it does represent the duties of anesthesiologists during almost all surgeries.
Ideally, the anesthesiologist visits the patient between 12-24 hours after surgery. By then the effect of the anesthesia has passed or nearly passed. If the postoperative visit was discussed with the patient during the preoperative assessment, the patient would be expecting this visit.
During postoperative care, the anesthesiologist watches for any signs of developing postoperative complications, as well as recovery from the anesthetic.
When conversing with a patient, an anesthesiologist may cover some of the following points:
Sometimes these conversations include questions about the overall satisfaction of the patient. Although these can be managed through impersonal questionnaires, a patient may be more candid if he or she speaks face-to-face with the anesthetist.
Like many other allied health professions, it is possible to specialize in certain surgical areas as an anesthesiologist. Anesthetic sub-specialties include:
Intensive care medicine and pain management are two other sub-specialty areas, both of which involve a significant amount of work outside the operating room environment.
You may wonder if going into anesthesiology is the right career move for you. The following benefits are often part of job satisfaction.
Ability to focus on one patient at a time – Although you may have a number of surgeries scheduled, when the surgery is over, your interaction with the patient is completed, allowing more focus on the patients you have since the relationships aren't ongoing.
All jobs have a downside and anesthesiology is no different. Although the advantages may outweigh the disadvantages, you have to assess what's most important to you for contentment with any career.
Potential routine – Pre- and postoperative tasks keep anesthetists busy. But during surgeries, especially lengthy ones, there are extended periods of perceived inactivity.
Short-term patient relationships – Anesthesia does not allow for the establishment of long-term doctor-patient relationships. If ongoing patient relationships are important to you, consider a career in one of the other branches of medicine or pursue an anesthetic career in an intensive care unit or a pain clinic.
Even with its drawbacks, most anesthetists will agree it is a rewarding career that pays well and ensures you remain in demand no matter where you choose to live.
Source & Credit:https://www.theapprenticedoctor.com/what-does-an-anesthetist-do/
An nurse anesthetist is a nurse with extra training (typically two years) in the field of anesthesiology, and has the ability to administer anesthesia. In most surgery centres and hospital settings, they work under the supervision of a board certified anesthesiologist. An anesthesiologist is a physician who has gone through medical school, internship, and then an accredited residency training program in a US hospital.
See if anesthesiology can be the right career fit for you. The following are some of the pros and cons in the field of anesthesiology:
Source & Reference :https://www.sokanu.com/careers/anesthesiologist/