The reason why Jayjun has an anesthesiologist! Of course, it is good to have one. Because there may be emergencies, I think an anesthesiologist is very important. For the safety of patients, it is very important to have someone who can take certain measures together when a problem arises. From the plastic surgeon's point of view, this is also reassuring.

Hello. This is the first time you are seeing him. He is Dr. Shin Kyoon, an anesthesiologist in our hospital. Thomas PD: Why is there an anesthesiologist in the plastic surgery hospital? Because I thought it would be much safer, I hired an anesthesiologist. “Of course, it is good to have one!”

All surgical procedures and all anesthesia are high-risk medical procedures. In fact, there are plastic surgery hospitals without anesthesiologists that perform eye surgery or small-scale fat transplantation. In this case, the plastic surgeon performs intravenous anesthesia alone. Then, monitoring of the patient will inevitably be ignored. And in the event of a drug accident, the response may be delayed. Because these problems may occur, it can be said that plastic surgery hospitals with anesthesiologists are safer than hospitals without anesthesiologists.

The most commonly used anesthesia in plastic surgery is local anesthesia, intravenous anesthesia, and general anesthesia. Can you simply tell us the difference between them? Local anesthesia will not affect the patient's consciousness. Surgery is performed only when the nerves near the surgical site are blocked. The commonality between general anesthesia and intravenous anesthesia is that they both reduce the patient's consciousness and response. In the case of general anesthesia, anesthetic gas is used, and a muscle-paralyzing agent that paralyzes the musculoskeletal system is used, so patients cannot breathe and need to rely on mechanical breathing. On the other hand, intravenous anesthesia rarely uses anesthetic gas. Patients can breathe spontaneously. They breathe at their own pace.

Then someone might think, “Can't we all have general anesthesia? There are anesthesiologists anyway.” Why don't all patients undergo surgery under general anesthesia? All are performed under general anesthesia... It's possible. However, general anesthesia has the possibility of complications, and the recovery time will be longer. Because of these problems, I think that general anesthesia is not suitable for all patients. I think it’s correct to distinguish between general anesthesia and intravenous anesthesia.

If it is contour surgery, it uses a knife or medical saw to move within the patient's facial bones. Intravenous anesthesia cannot control all the movements of the patient. If the patient moves during plastic surgery, it will interfere with the surgery and make the results less effective. In that case, I think general anesthesia is necessary. In our hospital, once the operation requires osteotomy, general anesthesia is performed. But if osteotomy is not required, we will perform intravenous anesthesia.

In the case of rhinoplasty, but when cutting the cheekbones, under intravenous anesthesia, if the patient feels pain and moves, it may cause cerebral hemorrhage. If the patient moves, there may be a big problem. So in our case, we undergo general anesthesia as much as possible.

So is the length of the operation the criterion for deciding whether to use general anesthesia or intravenous anesthesia? From the anesthesiologist's point of view. No! Many people have some misunderstandings about surgical anesthesia. For example, this is the most common question. “When will I wake up after the anesthesia?” There are anesthetics with a two-hour effect or anesthetics with a three-hour effect. “After using the anesthetic once, you will wake up in 2 hours.” This is a misunderstanding many people have. Really? Yes, it is. That's the reason! Continue to inject short-acting medicine until the operation is over, and you will wake up when the medicine is stopped. This is one of the misunderstandings.

When we are undergoing surgery, especially under general anesthesia, the anesthesiologist will conduct a medical examination before the operation, right? What is the reason for the medical examination? I think part of the reason is because of the anesthesia, but most of the reason is because of the surgery. For some patients, based on past medical history and preoperative examination results, the method of anesthesia may be changed or the use of anesthetics may be reduced. In rare cases, surgery may be delayed or further examinations may be performed. For example, there was an undiagnosed diabetic patient. The blood sugar was 400. He must first go to the internal medicine department to control his blood sugar before undergoing surgery. There has been such a situation. There was also the following situation. The patient came and wanted to do Venus Laser, but he was on the heart transplant waiting list. Ah, yes. After the diagnosis, he was indeed waiting for a heart transplant. In this case, our hospital cannot perform surgery. I suggested that he only consider plastic surgery after he has received a heart transplant and recovered his health.

Because of some hidden underlying diseases or possible emergencies, I think an anesthesiologist is very important. When we find something strange, thinking, “Is there something wrong?”, at that time, for the safety of patients, it is very important to have someone who can take certain measures together on the problem. From the plastic surgeon's point of view, this is also reassuring. Based on these aspects, we will arrange an anesthesiologist to be present as much as possible. We will strive to become a hospital with anesthesiologists. Jayjun takes patient safety very seriously, so we will do our best.

First of all, the person in charge will check the patient's medical history before the operation. After that, the operating surgeon will check again. Under general anesthesia, if the patient is old or has a medical history, there will be a re-examination before surgery. Again, lastly, before the operation, I will check the patient's condition on the day and the previous medical history. Please subscribe and set up notifications. See you next time, please.

전신마취는 마취시간이 길다? 성형수술 마취가 중요한 이유! The real reason why anesthetist is so important in plastic surgery!