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Anesthesiology

The Department of Anesthesiology & Critical Care at the Asian Institute of Nephrology and Urology (AINU) has a highly integrated and collaborative team of expert anesthesiologists who are devoted to providing the best possible care and services to their patients. AINU, situated in Hyderabad, India, is a well-renowned hospital for Nephrology and Urology with a world-class infrastructure, advanced technology and distinguished team of expert doctors, nurses, paramedical and support staff.

Anesthesia means the loss of sensation in a part or the entire body. It can be achieved in the patients who are undergoing a surgery, as a result of administration of medications called anesthetics by a team of specialist doctors known as the anesthesiologists. The experienced team of nurses will assist anesthesiologist in the intensive care unit during your procedure but the judgments and decisions are taken by the anesthesiologist himself/herself only.
Why is it done?
An invasive surgical procedure like kidney surgery is intensely painful. Thus, the patients are numbed by administering anesthetics prior to performing such surgeries to prevent discomfort and pain. This enables a surgeon to accomplish a wide range of medical procedures.

There are mainly three types of anesthesia procedures. The choice of anesthesia procedure depends on various factors including the type of surgical procedure you are undergoing; time of surgery your current and past health status, medications, past experiences, allergies or doctor’s preference.

Local Anesthesia
Local anesthesia is a procedure in which your anesthesiologist applies or injects the anesthetic at the site of surgical area to numb the area locally.

Regional Anesthesia
In regional anesthesia, a larger region of the body is numbed by injecting the anesthetic.

There are two common variants of the procedure:

1. Epidural and Spinal Anesthesia:

In this type of regional anesthesia, the anesthetic is injected in the area near the spinal cord so that the entire connected region could be numbed. For instance, the procedure could be used when numbing of the lower part of the body is required.

2. Peripheral Nerve Block:

In this type of anesthesia procedure, the drug is injected around a group of nerves thereby numbing a particular region of the body. For example, when numbing the shoulder, arm and hand is required.

General Anesthesia:

General anesthesia is the most common type of anesthesia procedure which is opted when a patient is required to be unconscious or completely asleep throughout the surgical process. The procedure can also opt when other variants do not work. In this method, the drug can be administered either intravenously or by inhalation of the drug in the gaseous form. This affects the brain and the patient becomes completely unconscious.

  1. Meet your anesthesiologist well before your surgery – As soon as you realize that you have to undergo any surgical procedure, make sure that you meet your doctor and anesthesiologist well before your surgery date. Tell your anesthesiologist about your medical history and about any allergies you have. Answer his/her questions sincerely. You can also ask any questions if you have any queries. Listen carefully to his/her advice and the follow instructions properly.

  2. Eat a healthy diet

  3. Maintain a healthy weight

  4. Quit smoking

  5. Know the risks

The role of an anesthesiologist in a surgical procedure is critical. They not only need to administer an anesthetic drug but they have to continuously monitor the patient health during and even after the completion of the surgery. The entire process of anesthesia can be divided into three stages:

  1. Pre-surgery Anesthesia support

Prior any surgical procedure the patient needs to be anesthetized. Our expert anesthesiology team will plan and manage the entire process carefully with intense care. To make the plan they will enquire you about your medical history, allergies or preferences. Based on your health requirements, surgical requirements and your preferences, they will plan the best anesthesia procedure for you. They will discuss the entire procedure and possible complications with you in detail. You can ask if you have any query or doubt related to your procedure. The anesthesiology team will then carefully administer you with the anesthetic drug and will continuously monitor your health status to make sure that you are in a satisfactorily regulated unconscious state before the surgical procedure starts.

  1. Intra-surgery Anaesthesia support

The anesthesiologist team will monitor your health status continuously during the entire surgical procedure to prevent any complications. The things about which they will be concerned about includes –

  1. Monitoring your major body functions including your heart rate, breathing, blood pressure, temperature and oxygenation. These parameters can get affected during the surgery.

  2. Addressing and managing any problem that may arise during surgery

  3. Managing any pain and discomfort during the entire procedure

Along with the surgeon, the anesthesiologist will take the important decisions during your surgery which are critical for your life. You can be given muscle relaxants during the procedure if needed.

  1. Post- Surgery Anaesthesia support

As soon as your surgery is complete, the anesthesia medicines will be stopped. In a case of local Anaesthesia, you may feel pain when you get out of the effect of the anesthetic medication. If you were administered with general anesthesia, you will wake up slowly in the operating room itself or in the recovery room. You may feel groggy and can experience some side effects of anesthesia, post-surgery. Some of the common side-effects of general anesthesia are:

  1. Sleepiness

  2. Shivering

  3. Nausea

  4. Vomiting

  5. Mild hoarseness or a sore throat

  6. Dry mouth

  7. Discomfort

  8. Mild to intense pain

The anesthesiology and critical care team will monitor your health while reversing the effects of anesthetic medication while you get back your consciousness. They will ensure that you feel minimal discomfort, pain and other side-effects. If needed, they can give you medications to help you deal with pain and other side-effects. In very rare complicated cases there could be permanent nerve damage or in the worst scenario, the patient may even die. Thus, it is highly important that you are in the expert hands to prevent such serious complications. At AINU, the team of experienced anesthesiologists provides intensive care and unmatched services to their patients to obtain best results.

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