가슴성형할때 수면마취 절대하지마라?! 가슴성형할 때 전신마취와vs 수면마취 💤 ❓❗

Hello, I'm Dr. Hwang Dong Yeon from NANA Hospital (Breast surgery specialist) I'm Dr. Park Yeon Soo. (Anesthesiologist at NANA Hospital) Nice to meet you! Q. Why are you two here today? I do a lot of breast surgeries at NANA Plastic Surgery Hospital. I wanted to ask some things I've been curious about

and find out why certain things are not possible during surgery, (Satisfying his curiositiy) since I have to try and fulfil my patients' wishes as far as I can, so I've called Dr. Park Yeon Soo, who is in charge of safety at our hospital. Q. What did you want to ask? When I consult with the patient and explain them

about the technique or the implant being used, and I say "We'll be using general anaesthesia", many patients react shocked. Q. Is it impossible to use IV sedation during breast surgery? I've heard there are hospitals who do breast surgery under IV sedation, but I strongly advise to use general anaesthesia. General anaesthesia includes loss of consciousness, painlessness,

and muscle relaxation. Also from the patient's point of view it shouldn't hurt and the patient shouldn't wake up during the surgery and the muscles have to be completely relaxed for the implant to be placed correctly. That's why I recommend general anaesthesia which provides all three of those things. IV Sedation Characteristics

IV Sedation does not do those three things. You lose consciousness but could wake up during the surgery If you want a safe and painless surgery leading to a pretty result, I recommend to do general anaesthesia. Many people worry about it being dangerous or becoming stupid. But that's only a stereotype. The person was stupid to begin with.

(laughs) It doesn't matter. There are no studies showing that a person becomes more stupid after going under general anaesthesia several times. No need to worry about it. You also got general anaesthesia, right Dr. Park? No, I've never gotten general anaesthesia. Why would I get that for a caesarean section?

You've never gotten general anaesthesia? No~ Then why did you become more stupid? I've always been stupid. It's cause I'm getting old, not because of anaesthesia.

Some time ago, I gave her a treatment, but when I asked if there were any problems with her injections, she replied with: when did I get injections? It's normal at our age to not really remember what we did yesterday. Q. IV sedation is safe & general anaesthesia is dangerous? We're scared of general anaesthesia, I understand that.

But when you're going under general anaesthesia, we provide good equipment, tools to free the airways, and an anesthesiologist is always by your side, so there it's not dangerous at all. Unless the patient already has a serious illness, which could complicate the procedure, as it is not the case with the

young and healthy people who come to our hospital, he or she just leaves our hospital prettier than before. On the contrary, if during IV sedation the airways are not kept free and no anesthesiologist is present during the surgery, as it is done in some other hospitals, it can actually be more dangerous than general anaethesia.

Q. Is there no anesthesiologist present during IV sedation? In Korea, there is no law stating that an anesthesiologist has to be present when any form of anaesthesia is used. The doctor has to focus on the surgery itself that's why it is much safer if an anesthesiologist is present during the surgery.

Because the anesthesiologist is completely focused on the patient's condition. Q. There are rumours that some people don't wake up after general anaesthesia, is that true? There are people who don't wake up (Doubting look) If the patient is gravely ill, or was in an accident so they are losing a lot of blood, there is a possibility that they won't wake up

and have to be moved to the intensive care unit but a situation like that won't happen at our hospital. Because you are there? Yes. Before the surgery, we perform several tests and, if needed, also a face-to-face interview to plan correctly,

and if further information are needed, we will perform additional tests at a big hospital to ensure a safe surgery. So there is no need to worry about something like that. Are there any specific factors deciding whether a patient may or may not receive a certain surgery?

In our hospital, we examine heart, lung and liver and, depending on the result, proceed further. Some typical examples are, a weak heart, which lead to blocking of the coronary arteries and therefore angina, an increased risk of a heart attack, or severe or uncontrollable arrhythmia. In those cases we recommend the patient

to visit a big hospital. Difference in tests for IV sedation vs for general anaesthesia For IV sedation, we ask for the patient's medical history and if it feels like a heart test needs to be done, they might be sent to me. But it's not obligatory. Normally we just ask the patient about their condition

and do a blood test, that's all we require. For general anaesthesia, we require the patient to do heart, lung and blood tests, as well as additional tests when needed. Doesn't this fact alone make general anaesthesia sound a lot safer? That's true. It feels much more safe

when you are there during the surgery. I feel like there's a difference in the amount of blood loss when you are there versus when you are not. Could it be that you are using some kind of magical medication to make the patient not use blood? I think my being there is already a magical medication.

(Speechless) Because IV sedation only causes loss of consciousness, the patient might move when something hurts, or become tense and cry out when experiencing discomfort. In case of general anaesthesia, the patient is not conscious, does not experience any pain, and the muscles are completely relaxed,

so the patient's blood pressure can be controlled and he or she does not respond to any stimulus or moves during the surgery. As a result, the chance of blood loss is obviously lower. Q. So, the hospital uses general anaesthesia for convenience? You know, when patients come I decide to do the surgery.

I like to do surgeries but I learned that anesthesiologists don't always like anaesthesia. When a hospital decides to do general anaesthesia, they have do do all the tests. They have to have testing equipment, and prepare the surgery room and the a lot more machines. Rather than being convenient for the hospital,

it's convenient for the patient and ensures pretty and satifactory surgery results. Our hospital carries quite expensive anaesthesia machines compared to other hospitals. So I won't hear any complaints. Usually during general anaesthesia,

tracheal intubation is performed, but since Dr. Park came we stopped doing that. She asked me to buy something else. Before she came I had never seen anything like this. These are all tools used to aid breathing during general anaesthesia. Most places uses these ones.

It's called an endotracheal tube and is inserted all the way past the vocal chords until you reach the bronchial tubes. So after waking up, many patients complain about their throats hurting a lot. They say that it hurts more than the surgery itself, or that their voice changed, or that they felt uncomfortable for 3-4 days. These ones here don't pass the vocal chords.

They cover the tracheal tube above the vocal chords, so the patient's airways are secured without without damaging the trachea or the vocal chords. After waking up there will be no pain and no change of their voice. This one is called LMA, and this one I GEL. Instead of this one (LMA) I prefer this one (I GEL). That's why I usually use this one.

Breast or lifting surgeries, that have to be performed under general anaesthesia despite being simple, can use this kind of tube. I've seen this one from time to time when I worked at the university hospital. This one we bought because Dr. Park asked us to. It looks a little different.

Q. What's the difference? It's just a matter of personal preference. The idea is the same. It covers the tracheal tube and has a hole in the back here to let air pass through so that the patient can breathe. LMA inflates like a balloon to fix it in place, while I GEL slightly melts on the inside here

and sticks to the surface around the trachea. In my opinion I GEL is stiffer so it's easier to put it and it holds better so the breathing seems to function But there's also a lot of people who prefer LMA. Q. Does propofol accumulate in your blood? High doses of propofol can indeed lead to accumulation in your blood,

but propofol dissappears quite quickly and the patient wakes up fast, so in order to have it accumulate in the patient's blood he or she would have to be in surgery for 72 hours. Then they would wake up really slowly. But in our hospital there is no need for anyone to be in surgery for 72 hours. This situation usually only happens in intensive care.

Q. The difference between IV sedation and general anaethesia? IV sedation makes you fall deep asleep, but you are still able to feel pain and discomfort while you are sleeping. General anesthesia is not painful, no memory, no consciousness. General anesthesia is not painful, no memory, no consciousness. and can be operated comfortably while being fully relaxed.

IV sedation is a type of general anaethesia. The reason I say this is because even when you go on IV sedation, there are times when a patient might move during the surgery and when that happens, we would change it to general anaesthesia. This is because when the breathing passage is not secured properly and we are experiencing a dangerous situation,

we can change it to general anaesthesia while securing the breathing passage properly. In this sense, IV sedation is a kind of general anesthesia. The most important thing you need to consider while having plastic surgery is safety. I can conclude that you must follow the instructions of anesthesiologist in order to be safe during surgery.

At NANA PLASTIC SURGERY, we have an anesthesiologist on duty to perform enough tests and safely perform anaesthesia, so you can come without any worries. (Laryngeal mask airway can be used even in a conscious state) There are a lot of videos of people putting LMA on their mouth (Getting a bad feeling)

but it's hard to do this in a conscious state without feeling any discomfort and hurting your throat since it does not pass through the vocal cords, It's comfortable to carry this LMA when it's first brought out. "Since it doesn't go past the vocal cords, (Getting a bad feeling) I can put it in while I'm conscious."

hopefully Dr. Hwang can show that this is possible. (I knew it...) I will show you how safe and comfortable this is. This is my first time ever having this in my mouth. It's okay, right? Yeah

than what I imagined. If you enjoyed this video please subscribe and hit the like buttom. (Please don't forget to subsribe and like us!) You will be able to meet our anesthesiologist doctor when you come to NANA PLASTIC SURGERY. Bye~