Difficult days after surgery. Prevention of complications after surgery and rehabilitation - intensive care, nursing care and supervision. Why do legs hurt after surgery: reasons

The prospect of surgical intervention frightens many: operations are associated with a risk to life, and even worse - to feel helpless, lose control of your own body, trusting doctors for the duration of anesthesia. Meanwhile, the work of the surgeon is only the beginning of the path, because the result of the treatment half depends on the organization of the recovery period. Doctors note that the key to success is in the right attitude of the patient himself, who is ready to work on himself in close cooperation with specialists.

Features of postoperative rehabilitation

Rehabilitation therapy has many goals. These include:

  • prevention of possible complications of the operation;
  • relief of pain or restrictions in mobility;
  • acceleration of recovery and psychological recovery after the disease;
  • the return of the patient to an active healthy life.

At first glance, nothing complicated - it may seem that the human body itself is able to recover from a serious illness or traumatic surgical intervention. Many patients naively believe that the most important thing in the postoperative period is healthy sleep and proper nutrition, and the rest will “heal by itself”. But it's not. Moreover, self-treatment and carelessness in relation to rehabilitation measures sometimes nullify the efforts of physicians, even if the initial outcome of treatment was assessed as favorable.

The fact is that the recovery of patients after operations is a full-fledged system of medical measures, the development of which is carried out by a whole science, rehabilitation. The civilized world has long abandoned the idea of ​​providing patients with complete rest for a long time after surgery, because such tactics aggravate the patient's condition. In addition, with the introduction of minimally invasive operations into medical practice, the focus of rehabilitation has shifted from healing the skin in the area of ​​the scar to restoring the full functioning of the body already on the second or third day after the intervention.

It is not necessary to get hung up on thoughts about the intervention itself during the preparation for the operation, this will lead to unnecessary worries and fears. Rehabilitologists advise you to think in advance what you will do when you regain consciousness on the first day after the operation. It is useful to take a player, a book or a tablet computer with your favorite movie with you to the hospital, which will help you escape from unpleasant sensations and tune in a positive way.

The competent organization of the recovery period after surgery is especially important for elderly patients who are more difficult to tolerate surgical interventions. In their case, the feeling of helplessness and forced restriction of mobility often develops into severe depression. People aged sometimes endure pain and discomfort to the last, embarrassed to complain to the medical staff. A negative psychological attitude interferes with recovery and leads to the fact that after the operation the patient will never fully recover. Therefore, the task of relatives is to think in advance about how the rehabilitation period will go, to choose a suitable clinic and a doctor responsible for the quick recovery and well-being of an elderly person.

Recovery period after surgery

The length of recovery after surgery depends on many factors. The most significant of these is the nature of the operation. So, even a person with good health after a small intervention on the spine will need at least 3-4 months to return to a full life. And in the case of extensive abdominal surgery, the patient will have to follow a strict diet for several years to prevent the formation of adhesions. Separate conversation - operations on the joints, which often require numerous sessions of physiotherapy and therapeutic exercises, aimed at restoring lost functions and mobility of the limb. Well, after emergency interventions for a stroke or heart attack, the patient sometimes has to recover for many years in order to regain the ability to be independent and work.

The complexity of the operation is far from the only criterion for the duration of rehabilitation. Doctors pay special attention to the age and gender of the patient (women tend to recover faster than men), the presence of concomitant diseases, bad habits, and the level of physical fitness before surgery. The motivation of a person to recover is also important - therefore, psychologists work in good rehabilitation centers along with doctors.

Methods for restoring the body after surgery

Restorative therapy has an impressive number of methods in its arsenal, each with its own strengths and weaknesses. Most patients in the postoperative period are advised to use a combination of several appointments, along the way fixing what exactly brings the greatest health benefits in each case.

  • Medications . Pharmacological support is an important aspect of comfortable recovery after surgery. Patients are prescribed painkillers, as well as vitamins and adaptogens - substances that increase vitality (ginseng, eleutherococcus, pantocrine and other drugs). After some types of interventions, special drugs are prescribed: during neurological operations, patients are often shown botox therapy - injections of botulinum toxin, which relieve muscle spasms, reducing tension in various parts of the patient's body.
  • Physiotherapy implies the beneficial effect of physical factors (heat, water, electric current, etc.) on the human body. It is recognized as one of the safest methods of treatment in modern medicine, but it requires a competent approach and careful recording of the result. Experienced specialists in laser therapy, electromyostimulation and diadynamic therapy are in high demand today, because they help speed up wound healing, relieve inflammation and reduce pain after any type of surgery.
  • Reflexology . This method of rehabilitation involves the impact on biologically active points on the human body with the help of special needles or "cigars" (moxa). It is classified as alternative medicine, but the effectiveness of reflexology has been repeatedly confirmed in the practice of many rehabilitation centers.
  • exercise therapy (physiotherapy exercises) useful both for people who have undergone surgery on the bones and joints, and for patients recovering from cardiac surgery or stroke. The built-in system of regular exercises helps not only at the physical level, but also psychologically: the joy of movement returns to the person, mood improves, appetite increases.
  • Mechanotherapy , despite the similarity with exercise therapy, refers to an independent method of rehabilitation of patients after surgery. It involves the use of simulators and special orthoses that facilitate the movement of debilitated patients and people with disabilities. In medicine, this method is gaining more and more popularity due to the introduction of new, improved devices and devices into practice.
  • Bobath therapy - a technique aimed at eliminating spasticity (stiffness) in the muscles. It is often prescribed to children with cerebral palsy, as well as to adults who have suffered an acute cerebrovascular accident. The basis of Bobath therapy is the activation of movements by stimulating the patient's natural reflexes. In this case, the instructor with his fingers acts on certain points on the body of his ward, which tones up the work of the nervous system during classes.
  • Massage prescribed after many surgeries. It is extremely useful for older people suffering from diseases of the respiratory system, who spend a lot of time in a horizontal position. Massage sessions improve blood circulation, increase immunity and can be a transitional stage that prepares the patient for active rehabilitation methods.
  • diet therapy not only allows you to make the right diet in the postoperative period, but also plays a role in the formation of healthy habits in the patient. This method of rehabilitation is especially important in the recovery of patients after bariatric operations (surgical treatment of obesity), people suffering from metabolic disorders, and debilitated patients. Modern rehabilitation centers always make sure that the menu for each patient is compiled taking into account his individual characteristics.
  • Psychotherapy . As you know, the development of many diseases is influenced by the thoughts and mood of the patient. And even high-quality medical care will not be able to prevent the recurrence of the disease if a person has a psychological predisposition to feeling unwell. The task of the psychologist is to help the patient realize what his illness was connected with, and tune in to recovery. Unlike relatives, a psychotherapist will be able to make an objective assessment of the situation and apply modern methods of treatment, if necessary, prescribe antidepressants and monitor the person's condition after the end of rehabilitation.
  • Ergotherapy . The most painful consequence of serious diseases is the loss of the ability to self-care. Ergotherapy is a complex of rehabilitation measures aimed at adapting the patient to normal life. Specialists working in this field know how to restore self-care skills to patients. After all, it is important for each of us to feel independence from others, while close people do not always know how to properly prepare a person after an operation for independent actions, often overprotect him, which prevents proper rehabilitation.

Rehabilitation is a complex process, but you should not consider it an impossible task in advance. Experts recognize that the main attention should be paid to the first month of the postoperative period - the timely start of actions to restore the patient will help him develop the habit of working on himself, and visible progress will be the best incentive for a speedy recovery!

Question:

The male. 34 years. 73 kg. Without bad habbits. I am writing chaotically, sorry, I myself have been in a state of some kind of psychosis for the last week. Many questions. Sorry, nerves require action, I really want to help my husband with something else without offending the doctors! They say the hospital is very good, the doctors too. Specialized resuscitation. But I'm still afraid of lack of information and lack of care. There are many sick people. Nurses don't break.

Removed a large almost 4 by 4 by 4 cm neuroma this Tuesday (23.08). Now still in intensive care on a ventilator. He cannot breathe on his own. Swallow too. There is a lack of coordination of the eyes, a part of the face does not work - from the side of the removal of the tumor. The arms and legs work. Responds to contact, hears, fulfills requests. Yesterday was more active than 2 days ago. He communicates with me (they let me in 2 times - he holds my hand, answers questions, tries to put words together with his lips).

After a long operation, according to the resuscitation doctor, the husband breathed on his own for a couple of hours, then his breathing stopped. Intubated. I had a tracheostomy on Wednesday. At first they tried supportive ventilation, but the indicators began to fall, now he is on full ventilation.

On Fri. They did an MRI, according to the results they said that there is a strong swelling of the brain stem - as I understand it, the operation zone. In this regard (according to the nurse, after my clarifying question, the preparations were adjusted.)

Tell!

1. How long can swelling last after surgery? Should I ask what specific drugs are given for this and offer, if necessary, to buy something better, more expensive? I already asked the doctor - he still answers like this - "your husband gets everything he needs. You don't need to buy anything."

2. The nurse said yesterday that there is a negative trend in cerebral edema, that is, it is growing, right? I was scared, but now I'm thinking, can a nurse evaluate such things and in comparison with what is the negative dynamics - is an MRI done right after the operation? What is it compared to?

3. If he breathed on his own after the operation, does this mean that the respiratory functions are not impaired and that the inability to breathe on his own is simply due to edema?

4. Is it possible to turn the husband over? Lie on his side? Sit? Now he is tied, he said, they don’t turn him on his side, the nurse said that this can’t be done, and the doctor on Thu. said that the position of the patient's body necessarily changes. Whom to trust and how to check?

5. My husband's legs are still in bandages - is this normal? I noticed swelling in one of my feet. The nurse said everything was ok. Should I contact someone about this?

6. Exercise therapy. According to the doctor, my husband and I are engaged in exercise therapy. The husband said yesterday that they did not deal with him. The nurse said that they only work on weekdays, not on weekends. Is there any way to find out which specific classes are being held? What exercises are shown? Is it possible to massage? Or just bend your arms and legs?

7. Is it worth arranging for a caregiver/individual post? So that she would carry out all hygiene measures more carefully, do massages, rubdowns, etc. I am very afraid of bedsores.

8. Anti-decubitus mattress. I wanted to order a static mattress. The doctor in intensive care said that it was not necessary, all the mattresses were already good. I looked - I can’t evaluate the quality, but obviously they are not orthopedic. Is it worth asking this question? The husband complains that he is tired of lying on his back, his muscles are numb.

Expert answer:

Good evening!

1. Obey your doctor; trust him what he needs to say;
2. But honey. you should not listen to your sister, discuss all questions with your doctor;
3. Associated with edema;
4. Turning from side to side is required every 2 hours, this is necessary for the prevention of bedsores in the first place; the doctor is right;
5. Foot binding in bedridden patients is necessary for the prevention of deep vein thrombosis and pulmonary embolism; if there is edema, it makes sense to do DS of the leg veins;
6. Passive and, if possible, active exercise therapy is necessary, and vibration massage of the chest is also necessary; find out everything from your doctor;
7. I think that an individual post is necessary - more guarantees that everything will be done as it should;
8. No need for a mattress; turns are needed! on the back they usually hold little; in addition, correct laying of the limbs is necessary for the prevention of joint contractures;

Any person is afraid not so much of the operation itself as of anesthesia.

With all its types, an artificially induced reversible state of inhibition of the central nervous system, the central nervous system, sets in, sleep sets in, anesthesia, muscle relaxation, some reflexes are inhibited.

People often ask: “Doctor, will I wake up? And how will I feel?

How much time it takes and how they move away from general anesthesia, what sensations they experience - everything is very individual. This directly depends on the initial state of the patient: his age, weight, sex, concomitant diseases. Particular attention should be paid to which organ is being operated on:

  • Cavitary in the abdomen: on the stomach, intestines, appendicitis, etc.;
  • Thoracic - that is, thoracic surgery, on the lungs, esophagus, trachea;
  • Operations on the heart;
  • Neurosurgical;
  • burn injury;
  • Polytrauma with damage to internal organs and the musculoskeletal system.

It also directly affects:

  • The duration of the operation and its complexity;
  • Anesthesiologist qualification;
  • What drugs are used.

How many people recover from general anesthesia after elective abdominal surgery? If it lasts no more than one or one and a half hours, (as a rule) a preliminary diagnosis was established before the operation and was confirmed during it, then the patient usually wakes up, or rather the anesthesiologist wakes him up already on the operating table. If everything is normal, reflexes have recovered, breathing is adequate, sufficient, the patient has regained consciousness, consciously answers questions, is oriented in place and time, then the patient is transferred to a regular ward under the supervision of a nurse and an attending physician.

Recovery of the body after anesthesia

After waking up on the operating table, the patient is drowsy, somewhat lethargic, although in contact with the doctor. When he is transferred to the ward, the patient continues the so-called post-anesthetic sleep. How long does it last? Everyone’s sleep duration is different: usually 1-2 hours, but sometimes it takes 6 hours before full awakening.

How many people come off general anesthesia? Completely this usually occurs after 6-12 hours. As a rule, these are patients without concomitant pathology, normal physique. Overweight patients, in other words, with obesity, as well as with an alcohol history, drug users, emotionally unbalanced, with impaired liver and kidney function, recover a little longer - within two days. But, again, everything is individual, and each specific case may be different, since we are all different.

Funny and sad fact: Getting out of general anesthesia after surgery can be compared to the state of alcohol intoxication familiar to many! They drank the same way, with one “fool - a fool”, and the other quickly sobers up and “like a cucumber”.

How do you get off anesthesia?

In the early period of awakening, the patient feels:

  • Pain in the area of ​​the postoperative wound. Usually it is felt 5-6 hours after the end of the operation. This is good and normal, it means alive.
  • Sore throat. This is not fatal and is also completely normal. Everything goes away without treatment in 1-2 days! Infrequently, but there is irritation of the endotracheal tube, due to or inconsistency in the size of the endotracheal tube (for women it is No. 7-8, for men No. 8-9-10). For children under 5 years old, there are special tubes without an inflatable cuff. Although children are different, so everything is individual.
  • Dizziness.
  • Weakness.
  • Chills. This is a violation of thermoregulation, drugs for anesthesia cause a decrease in body temperature, but today this is rare.
  • Rarely nausea, even more rarely, even extremely rarely, vomiting. Nausea and vomiting often occur after operations on the abdominal cavity, on the stomach, intestines. All these features of awakening are easily handled by anesthesiologists-resuscitators in the intensive care unit.

Special categories of citizens: people suffering from alcoholism, using drugs, in the postoperative period quite often have agitation, aggressiveness, inadequate reaction to the environment. But these reactions are not directly related to anesthesia, it is rather a withdrawal syndrome! Stopped quite easily with sedatives and infusion therapy, as well as symptomatic treatment.

After operation

When to get up after surgery? General rule - as soon as possible! Don't get stuck! But of course, with the permission of the doctor. Long lying is fraught with the development of hypostatic pneumonia, acute thrombosis of the veins of the lower extremities, bedsores on the back, sacrum, and heels.

A case is described: a young patient, 23 years old, practically healthy, after a usual uncomplicated appendectomy, was lying on a bed and did not want to get up (he, you see, it hurts). On the third day, he got up. Bottom line: pulmonary embolism - instant death.

When can I return to normal work after anesthesia? A person after general anesthesia in two days can perform normal work, work with complex mechanisms that require concentration, drive a car! But the patient is discharged by the operating surgeons after 7-8 days, when the stitches are removed and the wound heals. You can drink after anesthesia when reflexes are restored, there is no nausea and vomiting.

You can eat the next day, the diet is sparing: you can not spicy, salty, fried, canned food, sausages, alcohol. The Pevzner diet is usually followed.

How do children recover after anesthesia?

When doctors work with young children, their own characteristics also arise:

  • Anatomical, physiological and psychological (fear of the upcoming operation).
  • Difficulty in contact with children under 3-4 years old.
  • Increased shyness in girls 8-10 years old.
  • Underdevelopment of the respiratory system.
  • Hypersensitivity to blood loss and overhydration.
  • Imperfection of thermoregulation. Heat production lags behind heat transfer - the ratio of muscle mass to body surface is less.

Young children (up to 3 years old) after intramuscular anesthesia with ketamine, which lasts 30-40 minutes, wake up calmly after 1-4 hours.

Case from practice. I observed a 5-6 year old boy after intramuscular anesthesia with ketamine: when he recovered from anesthesia, he was essentially just drunk - he sat, tried to walk, talked a lot, had fun, laughed, sang songs and so on. Everything was easily stopped by intramuscular administration of Seduxen. After 15 minutes, he was completely pretty!

Did you quickly recover from anesthesia? Discuss, tell in the comments.

I created this project to tell you about anesthesia and anesthesia in simple language. If you received an answer to your question and the site was useful to you, I will be glad to support it, it will help to further develop the project and compensate for the costs of its maintenance.

Related questions

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    Alexandra 11.05.2018 11:46

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    Dmitry 03/29/2018 00:00

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    Marina 26.03.2018 22:25

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    Elena 24.02.2018 09:27

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    Yana 16.02.2018 14:23

    Good afternoon, my son is 8 years old, had surgery a month ago (phimosis, testicular torsion) before the operation, the anesthesiologist announced that, in addition to the fact that the child has a weak heartbeat, there are no contraindications to the operation, during the operation, the doctor from the operating room called me and said what else was found a small dropsy that needs to be removed, the child was brought an hour after they were taken to the operation, although all the children were brought in 20 minutes, I came out of anesthesia for about an hour, suffocated, woke up and passed out, my whole body twitched, my husband and I could hardly hold him together, a month passed after surgery, the boy often feels dizzy, weak, they made a cardiogram of 56 beats, his heart beats, IS THIS A NORMAL REACTION TO ANESTHESIA, AND WHAT CAN BE Dizziness, DOUBLE IN THE EYES? (thank you)

    Hope 08.02.2018 18:40

    Hello, please tell me in what cases the patient is woken up after surgery with an endotracheal tube? I had 4 general anesthesia (two laparoscopy operations) and only at the last one I woke up with a tube and it seemed to me that I could not breathe. I could not move for a while, my hand was not tied. Then I managed to point my hand at the mask with the tube, and it was taken out. I had a feeling when I woke up that I was suffocating.

    Hope 23.01.2018 15:39

    Hello! Tell me please. I underwent laparoscopy under general anesthesia for an ectopic pregnancy (removal of the tube), the duration of the operation was 50 minutes, I slept for 1.5 hours. For some reason, after the operation, my heels hurt. And now they are numb. I remember that after another operation on the bladder under general anesthesia 10 years ago, one heel became numb, the sensitivity recovered after 6 months. Please tell me what is causing the numbness? I am afraid of complications at the subsequent operations. With respect, Nadezhda.

    Alina 12/25/2017 18:59

    Hello! Mom had an operation to remove the gallbladder on 12/21/17. Before the operation, he had low hemoglobin and low platelets, but they decided to do the operation. 5 days have passed, the operation went well, but the general condition is terrible. For the first 2 days she lost consciousness, pulse increased, tinnitus, dizziness, breathing became more difficult, when the symptoms recurred more often and more often she was transferred to the intensive care unit, where she breathed with the help of an apparatus. There, they examined the vessels, the heart, they did an MRI, urine and blood tests - in general they examined, then she asked for it to be transferred to the ward and everything started there from the beginning, only there was no loss of consciousness, but the symptoms: pulse, high blood pressure, dizziness, already difficult breathing remained. We are in a panic, whether it could be complications from anesthesia.

    Marina 11/19/2017 23:13

    Hello! Today I had a curettage, under general anesthesia, there was a frozen pregnancy, I woke up from anesthesia at 14.25 and in the evening at about 21.30 my hands began to go numb from the elbow to the hand, and I felt a little tension in the calf muscles. Body temperature 37.4. Could this be the effect of the drug? Answer please!

    Vasilisa 11/18/2017 19:32

    Hello! I'm 40 years old. A month and a half ago, I suffered a curettage of a missed pregnancy. And a week ago, another curettage of endometrial hyperplasia. Both times there was ketamine anesthesia, but in premedication the first time was sibazon, the second time was promedol. So the first time waking up was soft. A week of headaches and insomnia was easily removed with a simple valerian. The second time was a nightmare. In waking up, delirium, panic attacks, breathing problems, this is probably how drug addicts feel an overdose ... The staff simply ignored it, lay all day. Now falling asleep is accompanied by fears, panic attacks. Could the difference in premedication affect the consequences so much? I have a history of "emotionality")) Upon discharge, the doctor said that ketamine simply does not suit me. Is that possible?

    Anna 10/30/2017 12:04 pm

    Good afternoon. Faced the following situation after 2 general anesthesia. The first operation was for appendicitis, after 9 months operation (ectopic pregnancy). Now I don't fully recognize myself. First, anxiety appeared, it arises from scratch. I became aggressive, every word and situation is given to me with difficulty, constant experiences. Every time it gets worse. I went to a neurologist and he didn't help. I don't know if this is normal. In addition, the head is constantly spinning. What would you recommend to do in this situation, where and to whom to contact.

    Marina 13.10.2017 19:13

    Good evening, 4 days ago there was an outpatient operation to remove fibroadenoma, the anesthesia was definitely not local, first they injected the drug into a vein, then I saw a mask in front of my eyes, then I woke up an hour later. The question is this: the first day my throat hurt terribly (it was a tingle, a cough), half an hour after the operation, a runny nose began (vasoconstrictors help for a maximum of an hour), my eyes watered, I can’t look at the light, I sneeze, all this continues for the 4th day. She arrived at the operation completely healthy. Could you tell me if it could be an allergy to anesthesia?

    Olga 09.10.2017 21:32

    Is it possible to determine the drug of anesthesia by metabolites in urine and blood 5 days after surgery? Are there similar analyzes, for example, in vitro? Propofol and fentanyl were presumably administered. Terrible action, no pain was felt, but like in hell, squeezing, whirling, fear of not getting out of the state, instead of sleep.

    Inga 02.10.2017 17:51

    Good afternoon. On September 2, there was an operation to remove a placental polyp. Anesthesia was general. After anesthesia, my head quickly came to my senses. On the second day, there was bitterness in my mouth, then everything went away. .until now, the symptoms keep on hurting my legs, but not always, but also clouding in the eyes and my head sometimes hurts, can this all be like the consequences of anesthesia?

    Oksana 29.09.2017 16:52

    Hello! I am 22 years old, a week ago I had a birth through a CS, epidural anesthesia was used, after the introduction of anesthesia, the right side of the leg was felt, they did general anesthesia, on the third day I began to notice that I did not feel the heel and big toe of the right foot, what could it be? on its own or should I see a doctor? the births were the second in a row, the first were also through the COP and there were also 2 anesthesias (epidural and general), only for the first time they managed to take out the child, and then the sensitivity returned, that's why they did general anesthesia!

    Tatiana 08/26/2017 21:05

    Good evening! The child is 3.9 years old. I am very afraid of mask anesthesia. The operation was said to take 30-40 minutes. We have a mastocytoma on the arm. Is anesthesia contraindicated in this case? Tell us how this type of anesthesia is more often tolerated by children?

    Mikhail 08/07/2017 15:07

    Hello, I had a planned cholecystectomy 2 months ago - removal of the gallbladder under general anesthesia after the operation, my right shoulder was very sore after two months, the pain dulled but the problem did not go away, the neurologist said that these were the consequences of anesthesia, but this does not make it easier for me that I should not do the hand above my head there is a strong pain in the forearm hanging on the arm it is impossible what should I do ........

    Valentina 20.06.2017 07:07

    Good afternoon. I don’t tolerate anesthesia very well, I don’t drink alcohol, I don’t smoke, drugs, all the more so, but when I had an operation (vacuum operation, to remove a frozen fetus), the nurse said that as soon as they injected me with anesthesia, it was as if a demon had moved into me. When I was transferred to the ward, I don’t remember, but the roommates told me that I sobbed very much, screamed, asked to return the baby to me. Could this condition be related to the loss of a child? The previous time there was the same situation, also a frozen pregnancy and the same reaction to anesthesia.

    Tamil 22.05.2017 12:44

    Good day! 2 weeks ago I had an operation to remove an ectopic abdominal pregnancy. I'm 25. The operation lasted 1 hour 15 minutes. Lost 1.2 liters of blood. Plasma transfusion was performed on the same day. Feeling good. And now dizziness, weakness, drowsiness. Hemoglobin 105, blood pressure normal. Give a probable reason.

    Anastasia 12.05.2017 23:11

    Hello, I had an ovarian laparoscopy in February under general anesthesia. 22 years old. I woke up not on the operating table, but in intensive care already, p (I remember only when they woke me up, which made me very sick). I woke up, it was terribly shaking, it was cold, I was very sick, I could hardly hold on, my eyes were watery, cut .. and so on for 4-5 hours. The condition was terrible. But the worst began on the trail. the day after the operation, I could not sleep, panic attacks began. As soon as I fall asleep, I immediately throw it out of sleep, my heart beats, there was a fear that I would not fall asleep. Two weeks after the operation, I suffered from sleep. I started taking sleeping pills. Tell me, is this my individual reaction to anesthesia, or is it just that I was unlucky with the anesthetist? And sleep problems can be caused by anesthesia? Another operation is planned, but I won’t survive the anesthesia again like this .. thank you.

    Sergey 04/29/2017 22:59

    Hello! I had a neurosurgical operation on the thoracic region. After the operation, on the 2nd or 3rd day, I got up and started walking. I had no pain except the wound! I was happy! It only hurt for a day or two. Then everything below the chest ached and continues to hurt to this day. Could you tell me if general anesthesia could anesthetize for 3-4 days? Thanks in advance!

    Svetlana 21.04.2017 10:32

    Hello! A little over a week ago, an operation was performed under general anesthesia (septoplasty and bilateral conchotomy). Until now, the temperature is 37.3, sore throat, headache and severe weakness. Whether there can be it a consequence or investigation of an anesthesia?

    Alexander 04/09/2017 11:55

    Hello! I do diagnostics in the direction of a gastroenterologist. Colonic videoendoscopy. It is performed under anesthesia. How soon can I get behind the wheel? I live alone in the suburbs. To the hospital and back on my own driving. I am 61 years old.

    Stepan 03/12/2017 10:40

    Hello! Please tell me, there was spinal anesthesia, after the operation I lay for a day as it should be, I got up the next day and by the evening I started to have a headache and nausea, so it’s been 4 days, the nausea has gone, but the headache remains, although less, tell me this condition will pass?

    Anesthesiologist Danilov S.E. 09.03.2017 16:25

    Nina, after a conventional appendectomy, if there were no complications during the operation by the surgeon, the vast majority of patients live and lead a normal life the very next day, i.e. walk, eat what you can, and after removing the stitches for 5-6 days - home. It's hard to say anything to your question without seeing you. You need to know how old you are, if there are concomitant diseases. Seek advice from a therapist.

    Zarbazan 06.03.2017 12:01

    hello, my mother, 77 years old, was operated on to remove an intestinal tumor, after the operation she came to her senses, but on the third day consciousness began to get confused, doctors say "intoxication, weakness of the body, normalizes over time", for the third day so tell me how long the recovery period can last, you can how to help her? the best cure for treating doctors is communication with relatives ???

    Andrey 27.02.2017 17:08

    Hello, exactly a month ago I had a laparoscopic surgery under general anesthesia for 12p.k. Treitz's ligament was simply shortened, he was in the hospital for 14 days, the temperature was 35.2 -35.9 and nothing really bothered me about the temperature, I did not pay attention, I thought the thermometers did not work<потом когда приехал домой через пару дней пошел прогуляться и началась слабость и боль в голове и сейчас это все беспокоит)при ходьбе слабость боль в голове легкое головокружение и температура до сих пор от35.2 до 35.9 держится,что это может быть(имею болячку сосудистаю энцелафопатию) это может она обострилась или что то иное и почему температура понижена?

    Anesthesiologist Danilov S.E. 27.02.2017 13:15

    Anesthesiologist Danilov S.E. 27.02.2017 13:13

    Oksana, after a long operation (2.5 hours), a slow awakening is possible. I don’t know what and what kind of drugs for anesthesia were used, but such a delayed awakening happens, it is individual and in general it is normal.

    Nikolay 20.02.2017 16:55

    Hello! On February 17, she had an operation, two stents were inserted into the ureter. Anesthesia was done spinal, plus they put drops for light sleep. Immediately after anesthesia, I lay under droppers, and when I began to feel my legs, nothing hurt. The next morning I woke up, too, nothing hurt and I was put on another drip. In the afternoon, I was already discharged from the hospital, and when I was driving, my back began to hurt. Then it was evening, and my head started to hurt. And the next morning I woke up with severe pain in my back and head. Especially if I get up the strong dizziness begins. And my head still hurts. Can you tell me if this is the effect of anesthesia? How long can these symptoms last?

    Alina 19.02.2017 16:48

    Hello. After anesthesia (appendicitis was cut out), the lower lip was partially numb. It's been over a week and the numbness hasn't gone away. Is it worth it to panic?

    Natalya 15.02.2017 06:57

    Hello. My husband underwent surgery under general anesthesia, in the department of maxillofacial surgery, the mucus accumulated in the sinus was removed. After the operation, the second week went, and he says that he has lost all sensitivity. He neither feels taste, nor cold, nor pain, he does not feel the internal organs. It's like the body isn't his. Could this be the effects of anesthesia, if so, how long can it take?

    Masha 14.02.2017 14:02

    Hello! My 5-year-old child had his teeth treated under propofol sedation. 5 teeth have been unable to stand on his feet for the fifth day already and haven’t eaten for four days, he complains very much that his legs hurt muscles, is this all from anesthesia? and how long will she move away from him?

    kristina 09.02.2017 16:30

    My daughter underwent heart surgery at 3.5 months, I don’t know how many hours it lasted. After the operation, she spent 3 days in intensive care, the outcome of the operation was poor. She was operated on again on her heart, and I also do not know how many hours. After that, she lay in the intensive care unit for a very long time for 2 weeks. Then, within 2 weeks, there was again an intervention; blood got into the pleural cavity. After some time, she stopped assimilating 10 mils in intensive care. She couldn't stomach the mixture. When she felt better, she was transferred to the ward when they brought her her face was like a ball, she was twitching all over, blinking inadequately. Half a year later, we were operated on again only through probing and, again, anesthesia. And half a year later, we went back for a heart operation. The operations were all open-hearted. And again, anesthesia. Right now she is 6 years old, she does not speak. Is this the effect of the drug? Up to 3 months she developed well.

    Anesthesiologist Danilov S.E. 03.02.2017 17:09

    There is always a minimal risk, but this is a simple procedure under surface anesthesia, there is no reason to worry!

    Svetlana 31.01.2017 21:38

    Hello! Daughters (15 years old) did a detailed endoscopy of the intestine. After the examination, when coming out of anesthesia, she tried to get up for a long time (for an hour), she was shivering, her limbs turned blue, her eyeballs seemed to squeeze out, her head ached, and sounds echoed in her ears, for her they seemed sharp, unbearable. Of course, I prevented her from getting up, held her by the shoulders, laid her down. As a result, her back muscles and pectoral muscles ached later. She has an operation ahead of her. How to correctly explain to the anesthesiologist what consequences we want to avoid when coming out of anesthesia? After all, some require to state their wishes in medical terminology.

    Olga 01/23/2017 21:15

    Hello! Mom (76 years old) had an emergency operation on the intestines (there was a perforation of the small intestine). Now for the 6th day she has been unconscious, the doctors say that it is stupor, she does not come to her senses, at first she was on a ventilator, then a tracheostomy was put in, the pressure is kept by herself. How long can she remain unconscious and what are the chances of recovery?

    Victoria 01/22/2017 14:14

    Hello! I am thinking about an operation to eliminate diastasis. The surgeon suggested tracheal anesthesia (I explain more simply, I don’t know the terms). I have heard cases of how they do it under local anesthesia. My diastasis starts almost from the chest and ends at the navel, there are no hernias ... Tell me, is it possible to use local anesthesia? Or will it work for me for such a length of diastasis? The diastasis itself, as the surgeon said, is in one finger. Thank you

    Natalia 21.01.2017 15:15

    Hello! In February 2016, she underwent surgery to remove the veins on her right leg under spinal anesthesia. In the postoperative period, severe weakness was found in the right leg, pain in the sacrum on the right side, pain in the hip joint, right buttock and numbness (goosebumps) in the lower leg. During these months, she drank anti-inflammatory, neuromidin, pricked milgamma and many more. other. X-ray and MRI of the hip showed the norm. Somewhere in 4-5 months there was an improvement. There was strength in the leg, I almost do not feel numbness in the lower leg, in the sacrum the pain became not acute. But pain and numbness, burning in the right thigh and buttocks still bother me greatly. Particularly aggravated after exercise (for example, brisk walking or long walking). I have protrusions L4/L5 and L5/S1 up to 0.3 cm. Before the operation, she sometimes felt heaviness in her back after a heavy load, but she never had pain in her leg. Went to many doctors. The neurosurgeon and traumatologist said that these could be the consequences of anesthesia. But what to do next? Who to contact for treatment?

    Anastasia 20.01.2017 19:05

    Good evening! I am 22 years old. And I will have a knife biopsy under general short-term anesthesia (in gynecology). I was diagnosed on the ECG: Severe sinus arrhythmia, heart rate 58-104 in 1. Tell me, is this a contraindication for general anesthesia?

    Olga 06.01.2017 01:57

    Hello! A planned operation on the left lung (removal of the neoplasm) is coming up. As prescribed by a psychotherapist, I take Truxal 1/4 tab (tab 25 mg.) Tell me, is it possible to do general anesthesia while taking this drug?

    Alexander B. 29.12.2016 21:48

    TO NICHOLAS: "Alexander B, I read your comments and laugh. I am always amused by people like you who "understand" the topic and prove something..." - It's good if you laugh: laughter prolongs life :) Therefore, you should do not blame me, but thank me for making you laugh! You owe me "grandmothers" for this, in short! ..:("Here the doctor took on the ungrateful burden of answering questions on the network, and here is his" gratitude "from people like you. An ordinary layman in an impudent form proves the "regression" of medicine What are you talking about, sir??" - ABOUT WHAT, I already wrote in my "messages" to the anesthesiologist Danilov, if you read them! He, however, preferred only to dismiss them and specifically answered only a private question about GABA and GOBA ", - and I already thanked him for this explanation! But the essence of the problem, which I generally asked about, Sergey Evgenievich basically refused to admit, which pretty much amazed me, to put it mildly! .. "You look ridiculous - the other doctor seems to me just I’m sorry, I just couldn’t help but speak out ... "- Well, it's not my fault that we have such doctors in the Russian Federation!: ("For example, I was very lucky with the anesthesiologist after the operation - I woke up as operating room, for which I am grateful to the anesthesiologist and surgeon. to thousands of other patients, adults and children, who daily suffer in our country from the consequences of truly monstrous anesthesia given by other anesthesiologists! other poor fellows, during their operation, they would fly for an hour through endless pipes, contemplate the walls "a la Matrix Revolution" in 3D, feel themselves in them as a brainless molecule, or a computer microchip, or a pencil case that speaks foreign languages ​​(from ketamine it can also such a thing!), and then all day long they would have caught wild glitches in the process of an ugly long "waste", painfully remembering your name, not recognizing the people closest to you at point-blank range and learning to speak Russian again, they would have been shocked and twitched, breaking under a bed, but they would spit everything around them in the world, tormented at the same time by unbearable thirst ... - in short, all the possible "charms" of modern anesthesia can not be counted, - then it’s unlikely, our laughing one, would have remained so merry fellow and would understand well what I was asking about here !!!:(((But if you want to talk seriously about this topic, we better not clutter up this forum with our disputes. - Let me give you my e-mail here and we will discuss everything privately! ?

    Nikolai 12/29/2016 09:23

    Alexander B, I read your comments and laugh. I am always amused by such personalities as you, who "understand" the topic and prove something ... Difficult work for doctors and low-paid. Here the doctor took upon himself the thankless burden of answering questions on the net, and here is his "gratitude" from people like you. An ordinary inhabitant in an impudent form proves the "regression" of medicine. What are you talking about, sir? You look ridiculous - it seems to me that another doctor will simply send you, excuse me, I just could not help but speak out. For example, I was very lucky with the anesthesiologist after the operation - I woke up as needed in the operating room, for which I am grateful to the anesthesiologist and surgeon. Thanks to Sergey Evgenievich for your help to people. Good luck in your difficult medical work.

    Tatyana 29.12.2016 05:55

    Good afternoon. The child was treated with the lower extreme tooth. After anesthesia, the mouth does not open, the cheek is swollen. The doctor advised to develop. It's been 7 days, no change. Can you advise something to do? Or see a doctor.

    Alexander B. 27.12.2016 21:39

    Yes, thank you: the futility of talking specifically with you also became clear to me: (I won’t pester you anymore. After all, you popularly explained that I am just another idiot and a rude ignoramus who has read "passions" on the Internet and slandering "from someone else's voice" to the sunny Russian reality - what kind of useful dialogue can there be? .. I’ll look for some other specialists, maybe they will explain something worthwhile to me!? I apologize if I forced you to swallow a sedative - I really didn’t want to cause so much anxiety such a well-deserved specialist! .. :)

    Alexander B. 27.12.2016 02:34

    I apologize for the harsh emotions, but fighting with your questions as if against a wall is not a pleasant occupation! NOT APPLICABLE, read at least one textbook on anesthesiology or contact any anesthetist ... "But if you are right, and GABA could not be used as a tranquilizer with ketamine, then idiots are those elderly doctors from the Morozov hospital in Moscow who this is how they deciphered to me a few years ago an entry from the operational journal of 1989! I immediately wrote down after them: "gammaaminobutyric acid"; I myself am not boom-boom in these acids and chemistry, and I could not involuntarily confuse such outlandish names! :( "If you have any other questions - please ask, but, if possible, briefly and clearly." - In any case, - I was injected with GHB or GABA together with ketamine and droperidol, - the essence of the problem is that from such an I and other children had absolutely NO delirium and other terrible side effects that often happen from modern anesthesia, so I ask the question: WHY ?! What prevents doing such anesthesia now and not "nightmare" patients?:((("We created this project to answer questions about anesthesia and anesthesia, but not to discuss with patients ..." - Well, this is from the series: "State Duma - not a place for discussions!", right? But you have it written here: "WE DISCUSS"! veterinarians their patients!?:(((

    Victor 12/23/2016 13:10

    Good day! I am offered an operation to remove a tumor in the lower lobe of the left lung. Malignancy has not yet been proven, cytology is negative. I understand that everyone has a risk before any operation. But I would like to clarify with you whether I should agree to the operation? I'm afraid to go under the knife and stay there. I have hypertension 3 st risk 4. IHD. Stable angina pectoris 2 FC / Postponed myocardial infarction in 1998. Complications: H1 FC 2. Aortic atherosclerosis

    Alexander B. 21.12.2016 02:47

    The anesthesiologist Danilov writes: "Your question is from the series that "before the water was wetter and the grass is greener" ..." - Well, then answer the SPECIFIC question about GABA and GOBA drugs, please: which of them, after all, In your opinion, in 1989 I was injected then intravenously during eye surgery along with ketamine!? Since you have 35 years of experience, you should be aware of the anesthesiology practice of that time ... I think that the doctors from that hospital did not lie to me, and GABA was still used - after all, it is a tranquilizer in fact, and a natural one; just right to stop the negative properties of ketamine! .. And GHB, this gamma-hydroxybutyric acid is generally a drug, which is widely spread in nightclubs, with intoxicating and stimulating properties: mixing it with ketamine is like pouring gasoline on a fire, only it should get worse be, I think!: (All the side effects of GHB such as euphoria, disinhibition, nausea, dizziness, drowsiness, psychomotor agitation, amnesia, etc., I and other neighbors in the ward, as I already said, were completely absent ... But I'm judging like an amateur, so I'm asking your authoritative opinion! :) "Alexander, you've read too much on the net ..." - Well, let's say I've read too much: but then advise, as a specialist, WHAT you need to read on this topic? Your article above, for example, turned out to be very complacent: just one Turkish delight! if he sang and laughed after anesthesia, maybe he himself was so cheerful in life!? For some reason, you calmed him down with seduxen, deprived the child of a happy childhood! .. :))) Well, of course, if you care so much about your patients; but what about the patients of other anesthesiologists - many other boys and girls who, after anesthesia, are not at all laughing!? Who do not laugh or sing when they die, but sob in horror, fight in hysterics, raving cruelly, hallucinate, do not recognize their parents and sometimes do not even remember their own name!?: (And besides, neither doctors nor nurses come to their aid and they don’t care about their condition in any way, considering all this to be “normal”! ..:(((“It’s not for me to explain to you that what people write on the Internet is not always true ... " many people write so many negative reviews about the horrors of modern anesthesia!?Is this really just another conspiracy of CIA spies in order to discredit the bright image of our Russian medicine among the masses! ?:((("... On a medical topic, in general, it is worth reading less on the Internet, any doctor will tell you that." - What, you should not even read the reviews and notes of your colleagues in the profession, such as the "Russian Anesthesiology Forum"!? All of them are also spies, pests and in a conspiracy against our healthcare!? .. What a horror! :))) Well then, there really is nothing to be surprised at the quality of their anesthesia! , which you describe ... "- Sorry, but did I cite some STATISTICS here!? I did not collect any statistics; but since we are talking about it, then offhand 80-90% of the reviews on ANY site about anesthesia are purely negative ones, with a story about long and painful "retirements"! Well, there are just slanderers and spies everywhere, don't you think?

    Alexander B. 12/18/2016 01:05

    Mercy to the anesthesiologist Danilov, that with his usual delicacy he so aptly caught me in ignorance and showed me my true place ... :) And although the respected author is not inclined to discuss with me, he nevertheless asked me a couple of personal questions, which I like a polite person should answer: “First, please tell me if you have a medical education and where did you get such data about “waste” and other things ...” - No education, but there is common sense to compare my PERSONAL experience with the stories of acquaintances and what people write on the forums on the Web! "Secondly, not GABA, but GHB ..." - Well, I'm shrugging it off: the truth is that there is both this and that, moreover, with similar properties, and both substances can be used in anesthesia! Here I quote from Wikipedia: "Gamma-hydroxybutyric acid (GHB, 4-hydroxybutanoic acid) is a natural hydroxy acid that plays an important role in the human central nervous system, and is also found in wine, citrus fruits, etc. Gamma-hydroxybutyric acid can be used as an anesthetic and a sedative, but in many countries it is outlawed..." But about GABA: "Gamma-aminobutyric acid γ-Aminobutyric acid (GABA, GABA) is an amino acid, the most important inhibitory neurotransmitter of the central nervous system of humans and other mammals... "That in my case, it was gamma-aminobutyric acid (GABA), and not gamma-hydroxybutyric acid (GHB), that was used in my case together with ketamine, I did not invent it myself: this is how the surgeons of the hospital where they performed the operation deciphered the entry in the operating log many years later! - If they confused one with the other, then it is on their conscience: ("GHB and Droperidol are widely used all over the world, and not because they are cheap, but because they are effective ..." - Well, so what prevents you from doing with them anesthesia in Russia?: ("And another question - how do you know about" rubbish ketamine "? .." - You just kill me with such questions of yours: how do you know that everyone is naked under clothes, etc.? !:(Not only the majority of patients, but also many of your colleagues anesthesiologists speak about ketamine; well, as I already wrote, I myself experienced its effect! .. "In order to draw such conclusions, it is worth at least going to study for 6 years in the medical academy, then go through 2 years of specialization as an anesthetist, then at least work for 3 years, while constantly being “in the know”, i.e. study new items and communicate with more experienced colleagues, improve your qualifications at least every 5 years ... " - As in Voinovich's "Hat" I will answer: to find out that the food is rotten, it is enough to smell it 1 time, in extreme cases - to bite, and not at all you need to eat it whole in order to get poisoned to your colleagues in intensive care! :) "And in your question there are more emotions, reviews of friends, people from the Internet, not supported by specific facts ..." -Well, the impressions of specific people are not facts? "Now there are a lot of qualified specialists, modern drugs and equipment, believe me ..." - Well, the question still remains: why are the current anesthesia in Russia so "senseless and merciless" in relation to patients ??? After all, I addressed you seriously, and not for the sake of scoffing! If it is inconvenient for a respected specialist with 35 years of experience to discuss this topic here publicly on the forum, maybe he will agree to do it privately, by e-mail? :)

    Yulich 12/17/2016 16:48

    Hello, tell me please, my grandmother had an operation, they inserted a joint, there was a fracture of the femoral neck, two days have passed today, now she knows something is happening in her head that she says at first everything is fine then she starts saying something wrong, the state is very excited, she wants to get up, she saw something being pricked in intensive care with sodium. What is it can be and whether the head will return to normal?

    Elena 12/17/2016 10:52

    Hello, . Mom is 69 years old, angina pectoris and hypertension. There was an emergency operation for a ventral hernia of the abdomen. Cavity, under general anesthesia. Now is the 4th day. Drinks constantly betalok 100, trimetazidine. The pulse is high up to 100 beats. The pressure is jumping. Doctors don't see a reason even for ECG. There are no indications, but they have reports. You, as an anesthesiologist, can answer - are there any reasons for concern? What should be done? Thank you

    Alexander B. 12/16/2016 00:03

    And now I want to ask the anesthesiologist Danilov a question for "backfilling": (Why in recent years I have been reading and hearing a lot of people's stories about absolutely terrible, long withdrawals with a bunch of "side effects" even after short and simple operations, when patients behave like complete idiots , psychos, drug addicts or drunks in a fit of delirium tremens!? And most of this is not even surprised, as a matter of course; and anesthesiologists answer us, they say, "this is normal", - WHAT'S NORMAL HERE!? After all, before everything was not so !.. So the author of the article writes here: "I observed a 5-6-year-old boy after intramuscular anesthesia with ketamine: when he recovered from anesthesia, he was, in fact, just drunk ..." - But I also observed in one of the Moscow hospitals back in 1989, at least a dozen different school-age boys who were recovering from intravenous ketamine anesthesia after eye surgery and was one of them myself: however, none of us was drunk, either in essence or in form!: (We were injected with ketamine not outright, but combining with dropery dolom and gamma-aminobutyric acid (GABA), which neutralized the buggy of this drug, now scolded by everyone. So, OUTSIDE, the withdrawal from this anesthesia was generally harmless - at first after the operation, everyone just lay unconscious for 1-2 hours, then they began to moan softly and move a little in bed, but this lasted only a few minutes, not hours or days! And then they already came to a clear consciousness, without any side effects ... True, when introducing anesthesia and coming to my senses, there were rather unpleasant sensations that frightened me out of habit, but all this is heaven and earth compared to what many now tell!!! At least, I personally did not experience any nightmares, glitches, flights through pipes, labyrinths and tunnels, feelings of "loss of personality" and other terrible psychedelics. And not only me, but NO ONE was delirious, not buggy, not yelling, not sobbing, not swearing, not shaking, not hiccuping, not talking in vain, not calling mom and dad, not throwing up, not twitching, nowhere he didn’t rush, didn’t kick, didn’t piss and didn’t shit on himself (however, that nurse took care of this in advance, who gave everyone a huge enema before the operation :)) ... Even THIRST, as I remember, and then especially no one after there was no such drug! And in the future, I didn’t experience any “side effects” such as memory lapses, drowsiness, headaches or panic fears either in the hospital or later - I continued to study normally ... And I know very well that ketamine is still rubbish, and GABA with droperidol are simple, cheap drugs. However, in the disintegrating USSR, they somehow knew how to combine quite good, patient-sparing anesthesia from them, and in today's Russia, anesthesia for both children and adults is just a solid "Nightmare on Elm Street"!: (((To what do we owe such a cool " progress of medicine" in our country: drugs have become worse or doctors?

    Julia 15.12.2016 21:54

    Hello, my 5-year-old son had an operation today to remove phimosis under general anesthesia at nine in the morning, then after the operation he was taken to the intensive care unit, two hours later, i.e. at 11 o’clock, he was brought to the ward, after 20 minutes he vomited and 11 hours have passed and he still vomits every time he drinks water, they gave him an antiemetic injection and still vomits, is this normal or not?

    Vyacheslav 15.12.2016 12:29

    Good day! Soon I will have a small operation on the back of my head (removal of atheroma) and it will be performed under local anesthesia. The next question is, does local anesthesia somehow affect the nervous system? All the same, the drug will be injected into the head. The question is of interest because I will get to the house by car, I would not want to become the culprit of an accident due to an inhibited reaction, or something like that. With anesthesia of the gums, there is a certain general lethargy.

    Gulnara Kozhanova 13.12.2016 08:44

    Hello, after giving birth, my discharge did not stop, they did an ultrasound, the diagnosis was a plantntal polyp, they wrote it down for curettage, but I have intolerance to lidocaine, what can I replace it with if I am breastfeeding? My gynecologist says that I should ask them, and they say, let your gynecologist advise you, because I will have to buy this medicine myself or they will do it without anesthesia, but I don’t want to, I’m afraid. Recommend me a pain reliever. I’m intolerant to lidocaine and papoverine, I’m 35 years old, I didn’t notice intolerance to any other medications

    Alla 07.12.2016 21:12

    Hello! My son, aged 2 years 8 months, had an operation to remove an additional appendage of the auricle. Within a month after the operation, the child has a feeling of nasal congestion, but there is no discharge from the nose, whistling is emitted during breathing. After the operation, he was very sick, runny nose, cough. Can nasal congestion be related to anesthesia or is it an untreated runny nose? Thank you very much in advance!

    Victor 06.12.2016 21:03

    Hello, my wife had an operation (hemorrhoids) using spinal anesthesia, after which she had headaches, drowsiness, etc. for several days. The surgeon warned about all these symptoms. But after 6 days, there was an attack of convulsions, and it began with the right hand and moved to the whole body, lasted several minutes, with a partial loss of consciousness. Previously, there were never such attacks, but only in early childhood (up to 1 year). Could this be a side effect of anesthesia? Thank you

    Hello. My sister was operated on 3 days ago. 43 years. She had 3 more surgeries before. Itsenko-Cushing's syndrome and rupture of the spleen. And this time, intestinal obstruction. She doesn't seem to be recovering from anesthesia. Severe headaches, vomiting, temperature 38. Prior to that, she constantly takes hormones. When will the effects of anesthesia wear off? Why does it have a temperature and is it somehow related to hormones. Thank you.

    Love Smitia 10.11.2016 12:43

    Good day! A complex 4-hour gynecological operation, laparoscopy with a mesh implant, was performed, the statement says - "endotracheal anesthesia, I woke up in intensive care only at 20:00 with a wild pain in my eyes - as if they poured sand with needles there! unfortunately, I don’t know which ones I injected the anesthesiologist of the medicine, in the morning she herself was surprised that such a reaction to her eyes because they were closed .. it’s good that everything else is fine, and she didn’t even feel any changes in her throat ..... she corrected her vision for 2 days! maybe such an allergy to anesthesia? Lyubov Vladimirovna, 58 years old

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    Hello. I had a general anesthesia of the 1st degree to remove polyps in the uterus, after the operation, an hour later they let me go home because I was not local, I had to drive 4 hours to get home. 4-5 hours after the operation, my gaze was directed only upwards, later the back began to wedge to the right side. After the operation, I did not rest, I was very drowsy, at the station I tried to take a nap, my head was turned to the right. It could be drug intoxication. Now I am in the hospital, they brought me in an ambulance, I slept and all the symptoms disappeared. I had an X-ray of the cervical region (no results yet), ECG, cop. Tamography (everything is in order).

    vyacheslav 20.10.2016 10:30

    I am afraid that during the operation I will have chills, which I sometimes have, and without surgery. Then I cover myself with three blankets and he passes. how to do it on the operating table under local anesthesia?

    Maxim 10/18/2016 09:04

    After surgery on a perforated duodenal ulcer, the desire to drink was completely repulsed. I think it was from anesthesia. I didn’t drink for 6 years. Now I’m drinking again.

    Daria 12.10.2016 23:32

    Hello. Earlier I asked a question about the use of general anesthesia, I have type 1 diabetes with concomitant diseases on insulin injections. Now I go around the doctors, I take tests for hospitalization regarding the operation of endometrial hyperplasia. My blood count showed a very low hemoglobin level. The gynecologist said to take medications that increase hemoglobin ferlatum 1 bottle 2 times a day or sorbifer. The operation to remove endometrial hyperplasia is supposed to be at the beginning of November. But I have doubts about low hemoglobin, which can possibly be raised in 2 weeks with medicines, but should there be a longer period of keeping hemoglobin at a normal level for an operation than 2 weeks? I don’t know whether to postpone the operation for another month because of low hemoglobin, or not to postpone it, for several months now I have had constant tolerable abdominal pain due to gynecology with periodic discharge. Of the diseases associated with diabetes, I have hypochromic anemia, hypotension, chronic pyelonephritis, thyroiditis, hypothyroidism.

    Victoria 10.10.2016 16:33

    Hello, on Friday, the uterus was cleaned due to anembryony, I don’t know what kind of anesthesia was administered, but when it was injected in the throat, everything started to burn. She came out of anesthesia for a long time and hard, hallucinations, dizziness, dizziness, vomited (although she didn’t eat anything in the morning). And since Sunday, problems began, the pace is 37, it’s bad in the head, when the eyes move side to side, nausea comes, with sudden movements it gets dark in the eyes, weakness, drowsiness, a little headache and sometimes pain in the eyes (rarely). Before operation (from Thursday) have started to prick an antibiotic lincomycin. Now I am still in the hospital, the doctor does not really say anything, he does not know the reasons for my condition. Can you tell me if my condition could be due to anesthesia?

    Three days ago, a laparoscopy was performed to remove an ectopic pregnancy (tubal). They did combined anesthesia: spinal and general anesthesia. On the third day there are pains in the lower back after walking. When you lie down on your back, the pain goes away. What does it say. Thank you!!!

    Irina 03.05.2016 23:01

    After the appendicitis operation, the doctor and the anesthesiologist told me to consult with an ENT doctor, because. I couldn’t intubate. I don’t really understand what this means. I realized that they couldn’t insert the tube into the larynx. But how did I breathe on my own? And what could be the reasons? Thanks!

After major operations, a serious condition usually develops as a response to severe, prolonged trauma. This reaction is considered as natural and adequate. However, in the presence of excessive irritations and the addition of additional pathogenetic factors, unforeseen conditions that aggravate the postoperative period (for example, bleeding, infection, suture failure, vascular thrombosis, etc.) may occur. Prevention of complications in the postoperative period is associated with rational preoperative preparation of the patient (see. Preoperative period), the correct choice of anesthesia and its full implementation, strict adherence to the rules of asepsis and antisepsis, careful handling of tissues by the surgeon during the operation, the choice of the desired method of operation, good technique implementation and timely implementation of medical measures to eliminate various deviations in the normal course of the postoperative period.

Some time after a major operation, under the influence of pain impulses emanating from an extensive surgical wound, shock and collapse may develop, which is facilitated by blood loss. After a period of anxiety, blanching of the skin, cyanosis of the lips, blood pressure drops, the pulse becomes small and frequent (140-160 beats per minute). In the prevention of postoperative shock, the removal of painful irritations is important. After extensive traumatic interventions, which inevitably cause prolonged and intense pain, they resort to the systematic administration of drugs not only at night, but several (2-3, even 5) times a day during the first two, and sometimes three days. In the future, the pain decreases, which allows you to limit the use of drugs (only at night, 1-2 days). If repeated use is necessary, it is better to use promedol rather than morphine. Some authors recommend to use superficial anesthesia with nitrous oxide to relieve pain in the postoperative period. At the same time, measures are needed to replenish blood loss and the appointment of antihistamines (diphenhydramine).

With the development of postoperative shock, the patient is warmed in bed, the foot end of the bed is raised and complex anti-shock therapy is carried out (see Shock). Upon removal of shock phenomena, further measures are carried out according to individual indications.

Bleeding in the postoperative period may occur due to slippage of ligatures from the gastric arteries, the stump of the auricle of the heart, the stumps of the vessels of the root of the lung, the arteries of the limb stump, from the intercostal, internal thoracic, inferior epigastric and other arteries. Bleeding can also start from small vessels that did not bleed during the operation due to a drop in blood pressure and therefore remained untied. In later periods, massive bleeding can occur due to vessel erosion during the development of a purulent process (the so-called late secondary bleeding). Characteristic signs of acute bleeding are: severe pallor, frequent small pulse, low blood pressure, patient anxiety, weakness, profuse sweat, bloody vomiting, wetting of the bandage with blood; with intra-abdominal bleeding percussion in sloping areas of the abdomen with percussion, dullness is determined.

Treatment is aimed at stopping bleeding with simultaneous intravenous or intra-arterial blood transfusion. The source of bleeding is determined after opening the wound. Bleeding vessels are ligated during relaparotomy, rethoracotomy, etc. In hematemesis after gastric resection, conservative measures are initially carried out: careful gastric lavage, local cold, gastric hypothermia. If they are unsuccessful, a second operation with revision and elimination of the source of bleeding is indicated.

Postoperative pneumonia occur more often after operations on the organs of the abdominal and thoracic cavity. This is due to the common innervation of these organs (vagus nerve) and the limitation of respiratory excursions that occurs after such operations, difficulty in coughing up sputum and poor ventilation of the lungs. Stagnation in the pulmonary circulation, due to the lack of respiratory excursions and, in addition, the weakening of cardiac activity and the immobile position of the patient on the back, are also important.

Respiratory disorders with the subsequent development of pneumonia can also occur after a major operation in the cranial cavity. The source of pneumonia may be a postoperative pulmonary infarction. These pneumonias usually develop at the end of the first or beginning of the second week after surgery, characterized by severe chest pain and hemoptysis.

In the prevention of postoperative pneumonia, an important place is occupied by the introduction of painkillers; pain relief promotes deeper and more rhythmic breathing, facilitates coughing. However, morphine and other opiates should not be prescribed in large doses (especially with pneumonia that has already begun), so as not to cause oppression of the respiratory center. Cardiac agents are very important - injections of camphor, cordiamine, etc., as well as proper preparation of the respiratory tract and lungs of the patient in the preoperative period. After the operation, the upper half of the body is raised in bed, the patient is turned more often, they are allowed to sit down, get up earlier, and therapeutic exercises are prescribed. Bandages applied to the chest and abdomen should not restrict breathing. As therapeutic measures for pneumonia, oxygen therapy, banks, heart, expectorants, sulfanilamide and penicillin therapy are used.

At pulmonary edema there is a sharp shortness of breath with bubbling breathing, sometimes with hemoptysis. The patient is cyanotic, in the lungs there are many different moist rales. Treatment depends on the cause of the swelling. Apply cardiac, painkillers, bloodletting, oxygen therapy; fluid is aspirated from the tracheobronchial tree by intubation. If necessary, systematic, repeated aspiration, a tracheotomy is performed and the contents of the respiratory tract are periodically aspirated through a catheter inserted into the tracheotomy opening. The tracheotomy tube must always be passable; if necessary, it is changed or well cleaned. Liquefaction of the secretion of the respiratory tract is carried out using aerosols or washing. At the same time, oxygen therapy and other therapeutic measures are carried out. Patients are placed in separate rooms served by specially trained personnel. With a sharp violation of breathing, they resort to controlled artificial respiration with the help of a breathing apparatus.

Complications from the cardiovascular system. In the postoperative period, some patients develop relative heart failure, blood pressure drops to 100/60 mm Hg. Art., shortness of breath, cyanosis appear. On the ECG - an increase in heart rate, an increase in the systolic rate. The decline in cardiac activity in a previously altered cardiovascular system is associated with a load caused by surgical trauma, anoxia, narcotic substances, neuroreflex impulses from the intervention area. Therapy consists in the use of cardiac drugs (camphor, caffeine, cordiamine), painkillers (omnopon, promedol), intravenous administration of 20-40 ml of a 40% glucose solution with 1 ml of ephedrine or corglicon.

In the first three days after the operation, especially after severe traumatic operations on the organs of the chest and abdominal cavity, acute cardiovascular failure may occur. An effective measure in the fight against it is intra-arterial blood transfusion in fractional portions of 50-70-100 ml with norepinephrine (1 ml per 250 ml of blood). Favorable results are also given by the introduction into the vein of a 5% solution of glucose with norepinephrine. Along with this, cardiac agents are administered, the patient is warmed, and oxygen therapy is used.

Terrible complication of the postoperative period are thrombosis and embolism of the pulmonary artery (see Pulmonary trunk). The occurrence of thrombosis is associated with disorders of the blood coagulation system, and primary thrombi usually form in the deep veins of the leg. Prolonged stasis, weakening of cardiac activity, age-related changes, and inflammatory processes predispose to the formation of blood clots. Prevention of thromboembolic complications consists in allowing the patient to move early after surgery and monitoring the state of the blood coagulation system, especially in elderly patients. With increased blood clotting (according to coagulogram data), anticoagulants are prescribed under the control of a systematic determination of the prothrombin index.

After abdominal surgery, it may occur dehiscence of the abdominal wound, accompanied by eventration (falling out) of the viscera. This complication is observed between the 6th and 12th day after the operation, mainly in malnourished patients with flatulence or severe cough that developed in the postoperative period. With eventration, an immediate operation is necessary - the reduction of the prolapsed organs and the suturing of the wound with thick silk. Interrupted sutures are carried out through all layers of the abdominal wall (except for the peritoneum) at a distance of at least 1.5-2 cm from the edges of the wound.

Complications from the gastrointestinal tract. With hiccups, the stomach is emptied with a thin tube, a 0.25% solution of novocaine is given to drink, and atropine is injected under the skin. Persistent, painful hiccups can force the use of a bilateral novocaine blockade of the phrenic nerve in the neck, which usually gives a good effect. However, persistent hiccups may be the only sign of localized peritonitis with subdiaphragmatic effusion. With regurgitation and vomiting, the cause that causes these phenomena is first identified. In the presence of peritonitis, it is necessary first of all to take measures to combat its source. Vomiting can be supported by stagnation of the contents in the stomach and the presence of flatulence in the patient due to dynamic obstruction (postoperative paresis) of the intestine. Flatulence usually occurs by the end of the second day after surgery on the abdominal organs: patients complain of abdominal pain, a feeling of fullness, difficulty in deep breathing. During the study, abdominal distention, high standing of the diaphragm are noted. To remove gases from the intestines, suppositories with belladonna are prescribed, a gas outlet tube is inserted into the rectum for a while to a depth of 15-20 cm, in the absence of effect, a hypertonic or siphon enema. The most effective means of dealing with postoperative dynamic obstruction of the gastrointestinal tract is long-term suction of the contents of the stomach (see Suction for a long time).

A rare but severe complication in the postoperative period is an acute expansion of the stomach, which also requires constant drainage with a thin probe and at the same time general strengthening measures (see Stomach). Another serious disease, sometimes occurring in the postoperative period and proceeding with the clinical picture of paralytic obstruction, is acute staphylococcal enteritis. Weakened, dehydrated patients in the coming days after surgery may develop parotitis (see). If parotitis becomes purulent, an incision is made in the gland, taking into account the location of the branches of the facial nerve.

In patients with pathological changes in the liver in the postoperative period, liver failure may develop, which is expressed in a decrease in the antitoxic function of the liver and the accumulation of nitrogenous slags in the blood. One of the initial signs of latent liver failure is an increase in the level of bilirubin in the blood. With obvious insufficiency, icterus of the sclera, adynamia, and enlargement of the liver occur. A relative violation of the antitoxic function of the liver is observed in the coming days in most patients who have undergone severe interventions. With signs of liver failure, a carbohydrate diet is prescribed with the exclusion of fat, 20 ml of a 40% glucose solution is administered intravenously daily with simultaneous subcutaneous injections of 10-20 units of insulin. Mineral waters are prescribed inside (, No. 17). They give atropine, calcium, bromine, cardiac drugs.

Violations are varied metabolic processes in the postoperative period. With persistent vomiting and diarrhea, intestinal fistulas, dehydration occurs due to the loss of large amounts of fluid, intestinal contents, bile, etc. Together with the liquid contents, electrolytes are also lost. Violation of the normal water-salt metabolism, especially after major operations, leads to heart and liver failure, a decrease in the filtration function of the renal glomeruli and a decrease in diuresis. When acute renal failure occurs, urine output decreases and stops, blood pressure drops to 40-50 mm Hg. Art.

In case of violations of water-salt metabolism, drip administration of liquids, electrolytes (Na and K), oxygen therapy is used; to improve kidney function, a pararenal blockade is performed. An indicator of improvement in kidney function is a daily urine output of up to 1500 ml with a specific gravity of about 1015.

With exhaustion, suppuration, intoxication after operations on the gastrointestinal tract, a violation of the protein balance may occur - hypoproteinemia. In combination with clinical data, the determination of proteins (total protein, albumins, globulins) is of great practical importance, being also one of the functional methods for assessing the state of the liver, where albumins and some globulins are synthesized. To normalize disturbed protein metabolism (to increase the amount of albumin by reducing globulins), parenteral administration of protein hydrolysates, serum, dry plasma is used, blood is transfused, and liver function is stimulated with medications.

Postoperative acidosis It is characterized mainly by a decrease in the alkaline reserve of the blood and, to a lesser extent, by an increase in ammonia in the urine, the accumulation of acetone bodies in the urine, and an increase in the concentration of hydrogen ions in the blood and urine. The severity of postoperative acidosis depends on the violation of carbohydrate metabolism after surgery - hyperglycemia. The complication often develops in women. The main cause of postoperative hyperglycemia is considered to be the weakening of the oxidative abilities of tissues, liver dysfunction plays a lesser role. Moderate postoperative acidosis does not give visible clinical manifestations. With severe acidosis, weakness, headache, loss of appetite, nausea, vomiting, and water-salt imbalance are noted. In the most severe cases, drowsiness, respiratory disorders ("big breath" Kussmaul), coma with a fatal outcome appear. Cases of this kind are very rare. With uncompensated postoperative moderate and severe acidosis, insulin therapy with glucose is successfully used.

After extensive interventions, especially after complex operations on the organs of the chest and abdominal cavity, a condition often develops. hypoxia(oxygen starvation of tissues). Clinically, hypoxia is characterized by cyanosis of the mucous membranes, fingertips, impaired cardiac activity, and deterioration in general well-being. To combat hypoxia, oxygen therapy is used in combination with glucose-insulin therapy.

A severe postoperative complication is hyperthermic syndrome, which develops in the next few hours after the operation as a result of disproportion in heat generation and heat transfer. Patients develop cyanosis, shortness of breath, convulsions, blood pressure drops, the temperature rises to 40 ° and even 41-42 °. The etiology of this condition is associated with the upcoming cerebral edema. As therapeutic measures, intravenous administration of significant amounts of hypertonic glucose solution, moderate hypothermia are used.

Surgery in its history has performed many miracles that have been captured in the history of modern medicine. From a large number of operations, we chose ten that seemed to us the most interesting and exciting.

1. Face transplant surgery

Pascal Koller is a man who suffered all his life from an incurable disease - neurofibromatosis. This disease is characterized by the fact that benign nerve tumors appear in different parts of the body. This patient had such a tumor on his face, which made his appearance simply terrifying, but besides this, he could not normally eat and go out to people. That is, Pascal became a recluse and suffered alone because of his illness.

In 2007, the patient was operated on by Professor Laurent Lantieri and his colleagues. A face was transplanted from a dead donor, and his life began to improve. Pascal learned to make friends and even began to take an active part in public life. It is believed that Joseph Merrick, who is better known to us as the "elephant man", who lived a century ago, also suffered from this particular disease.

2. Operation of an unborn baby

At the seventh month of pregnancy, American Keri McCartney, her doctors made a diagnosis of the fetus and found that the child has a tumor that is growing and can be life-threatening. Only an operation could save his life, and the doctors decided to take a desperate step. They made the mother anesthetized and removed the uterus from her body, which they opened and removed the child from it by 80%. Only the shoulders and head were left inside. The tumor was removed as quickly as possible, and the fetus was returned to the uterus. The operation was successful and after 10 weeks, the child was born again, completely healthy.

3. Surgery to remove the right half of the brain

Jessie Hull, a six-year-old girl from Texas, suffered from encephalitis. This is brain damage caused by an infection or allergy that leads to inflammation. The only possible salvation, no longer for health, but for the life of the girl, was an operation, but it was necessary to remove the entire right half of the brain, since the lesion was too big.

The doctors decided to do the operation, as the other half of the brain should take over some of the functions of the removed half. The left side of the girl remained paralyzed, since the same right part of the brain that was removed is responsible for its functioning, but her personality, as well as her memory, remained intact.

4. The longest operation

In 1951, a 58-year-old woman was operated on at a Chicago hospital who had just a giant ovarian cyst. The operation lasted 96 hours, since it was necessary to remove the cyst as carefully as possible so as not to provoke a pressure surge. Before the operation, the patient weighed 277 kilograms, and four days later, when everything was finished, her weight was 138 kilograms. This operation was also unique in that at that time the medical equipment was not as diverse and reliable as it is today, but the patient remained alive after such a difficult operation and did not remember the cyst anymore.

5. Operation in the womb

Kylie Bowlen's baby underwent surgery at 22 weeks in utero. The fact is that the child, even during the mother's pregnancy, had an anomaly - the child's ankles were tied with amniotic threads. This blocked the access of blood to the knees, as a result of which the child could lose his legs. Such cases, although rare, do happen, but doctors try to wait until the 28th week of pregnancy. In this case, it was impossible to wait, since the right leg was already infected, it was operated on only after childbirth, but the left one was saved during the very operation.

6. Operation on oneself

This happened in 1921 when surgeon Evan Klein removed his own appendix using only local anesthesia. Of course, this was not an emergency, but an experiment, and several doctors were on duty nearby. Then the operation was successful. After 11 years, the doctor decided to repeat his practice and removed his inguinal hernia. During the operation, he even managed to joke.

7Severed Hand Transplant Surgery

A terrible tragedy occurred in a small Chinese town - Ming Li, a schoolgirl, was hit by a tractor on her way to school. As a result, the arm was severed from the body and too damaged to be sewn back into place right away.

Chinese doctors decided to do the impossible. They grafted a hand to the girl's leg. The arm was recovering for three months, being adherent to the leg. After that, the hand was returned to its original place, the operation was difficult, but today the girl can even move the palm of her once severed hand.

8. Liver transplant surgery

Demi Lee-Brennan is a real miracle, as she is considered the first person in the world who, after a liver transplant, had her blood type changed. The virus completely destroyed her liver, and the doctors transplanted a donor one to her.

This is not the first operation performed by doctors, so there was little noteworthy here, but the result stunned everyone. Demi was Rh negative from birth, and after the operation it became positive, exactly the same as the liver donor.

9. Uterine transplant surgery

Sarah Ottoson had a very rare genetic anomaly - she did not have a uterus. In order for her daughter to experience the joy of motherhood, Sarah's mother agreed to a female organ transplant operation, which was performed in Sweden. Everything went well, and in the spring of 2012 Otto's first daughter was born. The child is normal, and the mother is ready to give birth again.

10. Iris transplant surgery

In Brian White, after a long vision treatment and the use of various drugs, the iris of the eye turned from brown to blue-gray. I had to do a transplant, but since not every clinic works in this direction, they were looking for a doctor for a long time. After the operation, Brian's eye color took a long time to acquire its natural brown color.

After the rehabilitation period passed, Brian's eyes regained their color. This operation is very complicated and is still prohibited in many countries, therefore, in order to change the color of the eyes, one desire will not be enough.

Sincerely,