Rotation time of anesthesiology residents

The rotation time of anesthesiology residents is introduced as follows:

The rotation time of anesthesiology residents varies from hospital to hospital and region. Generally speaking, the rotation time of anesthesiology residents is 3-6 months. During this period, residents will practice in different anesthesia wards and operating rooms to learn various anesthesia techniques and management methods. After completing the rotation, residents will have the ability to perform anesthesia independently.

The scope of work of an anesthesiologist

It is the basic task of anesthesia clinic to ensure patients to receive surgical treatment smoothly under painless and safe conditions, but this is only a part of modern anesthesia discipline. Anesthesia also includes preparation and treatment before and after anesthesia, monitoring and treatment of critically ill patients, first aid resuscitation and pain treatment. The scope of work extends from the operating room to wards, clinics, emergency rooms and other places, from clinical medical treatment to teaching and scientific research. With the expansion of the scope of work, the task is getting heavier and heavier.

1, clinical anesthesia work

To do a good job in clinical anesthesia, we must master the basic theory of anesthesia, skillfully apply various anesthesia techniques, and be familiar with the characteristics of various diseases and operations. In each anesthesia situation, the following specific work must be carried out.

First, the preparation before anesthesia

Mainly to understand the condition, make a correct estimate, determine the anesthesia scheme according to the condition, and choose the most suitable anesthesia method and drug. Fully estimate the possible problems in anesthesia operation, make adequate preparations and preventive measures, so as to nip in the bud, and formulate treatment plans for possible problems.

B, work during anesthesia

Anesthesia should be done well in accordance with the anesthesia operation procedures in order to obtain the best anesthesia effect, so that patients can complete the operation without pain, quietness, memory and adverse reactions. At the same time, create good conditions for the operation and try to meet some special requirements of the operation (such as muscle relaxation, hypothermia, hypotension, etc.). ).

Do a good job in monitoring the anesthesia process, including continuous monitoring of circulation, respiration, water and electrolyte, body temperature and other functions, and write anesthesia records. According to the change of anesthesia process, effective treatment is carried out, such as maintaining the stability of hemodynamics and respiratory management.

C, work after anesthesia

After anesthesia, send the patient back to the ward (or anesthesia recovery room) and make a good shift change. According to different conditions and surgical conditions, do a good job in various treatments after anesthesia, including continuous monitoring of patients, prevention of complications, timely handling of accidents, assisting clinical departments to deal with complications, and making patients recover as soon as possible. Follow-up and summary records should be made after anesthesia.

2, anesthesia recovery room and intensive care room.

With the increase of complex anesthesia and surgery in critically ill patients, the end of surgery does not mean the disappearance of anesthesia and the complete recovery of main physiological functions. In addition, the circulatory, respiratory and metabolic disorders that have occurred during surgical anesthesia have not been completely corrected, and there is still the danger of various complications after anesthesia. Due to the development of anesthesia and the progress of monitoring technology, patients after anesthesia still need careful treatment and nursing by professionally trained medical staff to promote their early recovery.

For patients under general anesthesia, their consciousness should be completely restored, the local sensory and motor functions of patients under various nerve block anesthesia should be completely restored to normal, and important physiological functions such as circulation, respiration, liver and kidney should be restored to normal and in a stable state. Patients with anesthesia complications should be actively treated.

Therefore, the anesthesia recovery room and intensive care room are playing an increasingly important role in the recovery of anesthesia patients, the monitoring of critically ill patients and the prevention and treatment of anesthesia complications, and are important components of modern anesthesiology. Its establishment and perfection is one of the important signs to measure the advanced degree of modern hospitals.

3. Emergency resuscitation

Anesthesiologists make full use of their professional knowledge and technology, including the theoretical knowledge of applied physiology, pathophysiology and clinical pharmacology, tracheal intubation and artificial ventilation methods, and various measures to maintain circulatory function and restore heart activity.

Cryotherapy to protect the function of central nervous system, as well as the experience of monitoring important physiological functions such as heart, lung, liver and kidney and drug treatment, play an important role in emergency resuscitation. Therefore, first aid and resuscitation have become an important part of modern anesthesiology and one of the important tasks of anesthesiology.

4. Pain treatment

For acute and chronic pain caused by various diseases and trauma, it can achieve good results to set up a pain treatment clinic or ward by using analgesic drugs and nerve block technology mastered by anesthesiologists. At the same time, it can also diagnose and treat some vascular diseases and nerve paralysis or spastic diseases characterized by peripheral vascular disorders. It has also achieved good results in the treatment of postoperative analgesia, painless delivery and late cancer pain, and has been gradually applied to anesthesia clinical work.