In general anesthesia, the patient goes through three stages: introduction to anesthesia, maintenance and awakening. The first and last stages are the most dangerous for the patient and difficult for the anesthetist. Basically, all critical events occur in these stages, II Petrovsky, Professor of the Russian Academy of Sciences Boris Axelrod.
“We often say this in lectures for assistants: Takeoff and landing are important. In other words, all the tasks that surgeons put before us in “horizontal flight” are solved. And we need to “fly” for hours like pilots. Any anesthesiologist will tell you that this “flat flight” can normally pass a hundred times, and a non-standard situation will arise in the hundred-first. And you will have to make a lightning-fast decision, you will not have time to call anyone, ”said Axelrod.
The duration of anesthesia is not currently a risk factor, according to the expert.
“There are no longer any restrictions. In our department, the operation can take 12 hours or 14 hours… The risks for the patient are not in maintaining the anesthesia for such a long time, but in the operation itself. But, of course, all this requires sufficient monitoring, trained specialists, etc.
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