Prevention of complications after surgery and rehabilitation - intensive care, nursing care and observation. Rehabilitation period after abdominal surgery: regimen and diet

Recovery after abdominal surgery– the process is long and labor-intensive. Despite the emergence of modern, more safe methods surgical treatment, high-quality rehabilitation becomes an important condition rapid recovery of the patient. Cure does not occur immediately after surgery; much depends on how the patient behaves during the recovery period. Rehabilitation after abdominal surgery can take place both at home and in a medical sanatorium.

During the postoperative period, the patient must comply with special drinking regime. There should be no bright lighting or stale air in the room. The room must be regularly ventilated. The person’s position depends on what kind of abdominal surgery was performed.

If there was a cut chest or abdominal approach, the patient should lie on his back. The head end of the bed should be raised. After spinal surgery, lie on your stomach in a strictly horizontal position. Any movements can be started only after the permission of the attending physician. Physical activity prevents the formation of bedsores and blood clots.

In the first days after surgery it is felt strong pain in the seam area. Therefore, it is mandatory to prescribe anesthetics and apply ice. It is recommended to replace or loosen a bandage that is too tight.

Any abdominal operation contributes to dehydration of the body, therefore daily norm fluid consumption during the recovery period approaches 4 liters. The diet afterwards involves avoiding fatty, fried, spicy and salty foods. The list of products allowed for consumption will be announced by the attending physician.

The bandage is removed 10-14 days after the operation; before that it cannot be wetted. When taking a shower, you must use a waterproof cover. If the dressing becomes wet or soiled, it should be replaced. It is not recommended to do this yourself; for this purpose, you must visit the treatment room. To protect the postoperative scar, special stickers can be used; they need to be replaced at certain intervals.

Restorative procedures

Rehabilitation after abdominal surgery includes performing special exercises, any physical exercise, especially heavy lifting, should begin only after the stitch has healed. All exercises are performed under the supervision of the attending physician.

Therapeutic exercises must be combined with physiotherapeutic procedures. These include: massage, magnetic therapy, warming. Ergotherapy is a method of rehabilitation aimed at adapting the body to physical activity.

Massage is an effective restorative remedy that accelerates tissue healing processes, restores blood circulation, and has a beneficial effect on the central nervous system. When using massage oils and special ointments postoperative scar becomes less noticeable. Use mineral water helps increase the body's defenses. Baths with mineral preparations are especially effective during the period on the spine.

Abdominal surgery is associated with a violation of the integrity of muscle tissue, blood vessels and nerve endings. Electrical stimulation improves muscle tone, reduces severity pain syndrome. Any restoration measure is aimed at reducing the load on the affected area and restoring metabolism.

Nutrition after abdominal surgery

Different types of operations require the use of specific power supply schemes. In the first 3 days after surgery, it is recommended to drink only liquids (as much as possible).

It can be sweet tea, herbal decoction, jelly or juice diluted with water, meat broth. You need to drink them as often as possible in small quantities. IN severe cases a person begins to eat independently only a week after the operation, before nutrients are introduced into the body using a probe. Shown and intravenous administration glucose and vitamins.

A zero diet in the postoperative period may have several options. It all depends on the type of surgery. The first option was described above, the second allows the introduction of cereals, the third - lean boiled meat, vegetable purees, crackers, kefir. After caesarean section You can’t eat soups and purees. Preference should be given to cereals, vegetable salads, and fermented milk products.

Is it possible after surgery...

Sex is allowed no earlier than 14 days after surgery. Otherwise, the seams may come apart. The possibility of returning to work is discussed with the attending physician. It all depends on the type of operation, the presence of complications, and the quality of rehabilitation. Usually the patient is on sick leave for about 2 months.

If the work involves heavy workload, this period increases to 6 months. It may be observed for several weeks general weakness and apathy. No need to worry about this. After surgery, the abdominal cavity adapts to new conditions, restructuring occurs hormonal levels and metabolism. After some time, these symptoms disappear; sometimes the use of psychotherapeutic techniques is required.

Planning a pregnancy should be discussed with your doctor. It all depends on the nature of the surgical intervention, the general condition of the woman’s body, the type of disease, characteristics recovery period. It is necessary to consult a doctor if symptoms such as swelling, severe pain in the seam, heat body, tachycardia. Alarm signals are: increased sweating, recurrence of pain, constant nausea and diarrhea, prolonged bouts of hiccups, signs bacterial infections. Regardless of the type of operation, the patient must observe basic precautions.

After intervention in the body of a sick patient, a postoperative period is required, which is aimed at eliminating complications and providing competent care. This process is carried out in clinics and hospitals and includes several stages of recovery. At each period, attentiveness and care for the patient on the part of the nurse, and medical supervision are required to exclude complications.

What is the postoperative period

IN medical terminology The postoperative period is the time from the end of the operation until the patient’s complete recovery. It is divided into three stages:

• early period – before discharge from hospital;
• late – after two months after surgery;
• long-term period– final outcome of the disease.

How long does it last

The end of the postoperative period depends on the severity of the disease and individual characteristics the patient's body aimed at the healing process. Recovery time is divided into four phases:

• catabolic – an upward change in the excretion of nitrogenous wastes in the urine, dysproteinemia, hyperglycemia, leukocytosis, weight loss;
• period of reverse development - the influence of hypersecretion of anabolic hormones (insulin, somatotropic);
• anabolic – restoration of electrolyte, protein, carbohydrate, fat metabolism;
• period of increasing healthy body weight.

Goals and objectives

Observation after surgery is aimed at restoring normal activity of the patient. The objectives of the period are:

• prevention of complications;
• recognition of pathologies;
• patient care - administering analgesics, blockades, providing life support important functions, dressings;
• preventive measures to combat intoxication and infection.

Early postoperative period

The early postoperative period lasts from the second to the seventh day after surgery. During these days, doctors eliminate complications (pneumonia, respiratory and renal failure, jaundice, fever, thromboembolic disorders). This period affects the outcome of the operation, which depends on the state of kidney function. Early postoperative complications are almost always characterized by impaired renal function due to the redistribution of fluid in sectors of the body.

Renal blood flow decreases, which ends on days 2-3, but sometimes the pathologies are too serious - loss of fluid, vomiting, diarrhea, disruption of homeostasis, acute renal failure. Protective therapy, replenishment of blood loss, electrolytes, and stimulation of diuresis help avoid complications. Frequent causes of the development of pathologies in the early period after surgery are shock, collapse, hemolysis, muscle damage, and burns.

Complications

Complications of the early postoperative period in patients are characterized by the following possible manifestations:

• dangerous bleeding – after operations on large vessels;
• cavity bleeding - during intervention in the abdominal or thoracic cavities;
• pallor, shortness of breath, thirst, frequent weak pulse;
• wound dehiscence, lesion internal organs;
• dynamic paralytic ileus;
• persistent vomiting;
• the possibility of peritonitis;
• purulent-septic processes, fistula formation;
• pneumonia, heart failure;
• thromboembolism, thrombophlebitis.

Late postoperative period

After 10 days from the moment of surgery, the late postoperative period begins. It is divided into hospital and home leave. The first period is characterized by an improvement in the patient’s condition and the beginning of movement around the ward. It lasts 10-14 days, after which the patient is discharged from the hospital and sent for home postoperative recovery, a diet, vitamin intake and activity restrictions are prescribed.

Complications

The following late complications after surgery are identified, which occur while the patient is at home or in the hospital:

• postoperative hernias;
• adhesive intestinal obstruction;
• fistulas;
• bronchitis, intestinal paresis;
• repeated need for surgery.

Doctors cite the following factors as the causes of complications in the later stages after surgery:

• long period of stay in bed;
• initial risk factors – age, illness;
• impaired respiratory function due to prolonged anesthesia;
• violation of the rules of asepsis for the operated patient.

Nursing care in the postoperative period

Important role plays a role in patient care after surgery nursing care which continues until the patient is discharged from the department. If it is not enough or is performed poorly, this leads to unfavorable outcomes and prolongation of the recovery period. The nurse should prevent any complications, and if they occur, make efforts to eliminate them.

The duties of a nurse in postoperative patient care include the following responsibilities:

• timely administration of medications;
• patient care;
• participation in feeding;
• hygiene care for skin and oral cavity;
• monitoring for deterioration and providing first aid.

From the moment the patient enters the intensive care ward, the nurse begins to perform her duties:

• ventilate the room;
• eliminate bright light;
• position the bed for a comfortable approach to the patient;
• monitor the patient's bed rest;
• prevent cough and vomiting;
• monitor the position of the patient's head;
• feed.

How is the postoperative period going?

Depending on the patient’s condition after surgery, the following stages of postoperative processes are distinguished:

• strict bed rest period - it is forbidden to get up or even turn around in bed, any manipulation is prohibited;
• bed rest - under the supervision of a nurse or exercise therapy specialist, it is allowed to turn over in bed, sit down, lower your legs;
• ward period - it is allowed to sit on a chair and walk for a short time, but examination, feeding and urination are still carried out in the ward;
• General regime – patient self-care, walking along the corridor, offices, and walks in the hospital area are allowed.

Bed rest

After the risk of complications has passed, the patient is transferred from intensive care to the ward, where he must remain in bed. Goals bed rest are:

• limitation of physical activity, mobility;
• adaptation of the body to hypoxia syndrome;
• pain reduction;
• restoration of strength.

Bed rest is characterized by the use of functional beds, which can automatically support the patient’s position - on the back, stomach, side, half-lying, half-sitting. The nurse cares for the patient during this period - changes underwear, helps to cope with physiological needs (urination, defecation) if they are difficult, feeds and hygiene procedures.

Following a special diet

Postoperative period characterized by adherence to a special diet, which depends on the volume and nature of the surgical intervention:

1. After operations on the gastrointestinal tract, enteral nutrition is provided for the first days (through a tube), then broth, jelly, and crackers are given.
2. When operating on the esophagus and stomach, the first food should not be taken through the mouth for two days. Produce parenteral nutrition– subcutaneous and intravenous administration of glucose and blood substitutes through a catheter, and nutritional enemas are performed. From the second day broths and jelly can be given, on the 4th day crackers are added, on the 6th mushy food, from 10 common table.
3. In the absence of violations of the integrity of the digestive organs, broths, pureed soups, jelly, and baked apples are prescribed.
4. After operations on the colon, conditions are created so that the patient does not have stool for 4-5 days. Low fiber diet.
5. When operating on the oral cavity, a probe is inserted through the nose to provide liquid food.

You can start feeding patients 6-8 hours after surgery. Recommendations: follow the water-salt and protein metabolism, provide sufficient amounts of vitamins. A balanced postoperative diet for patients consists of 80-100 g of protein, 80-100 g of fat and 400-500 g of carbohydrates daily. Enteral formulas, dietary canned meat and vegetables are used for feeding.

Intensive monitoring and treatment

After the patient is transferred to the recovery room, intensive monitoring begins and, if necessary, treatment of complications is carried out. The latter are eliminated with antibiotics and special medications to maintain the operated organ. The tasks of this stage include:

• assessment of physiological parameters;
• eating as prescribed by the doctor;
• compliance with the motor regime;
• administration of drugs, infusion therapy;
• prevention pulmonary complications;
• wound care, drainage collection;
• laboratory research and blood tests.

Features of the postoperative period

Depending on which organs underwent surgical intervention, the features of patient care in the postoperative process depend:

1. Organs abdominal cavity– monitoring the development of bronchopulmonary complications, parenteral nutrition, prevention of gastrointestinal paresis.
2. Stomach, duodenum, small intestine– parenteral nutrition for the first two days, including 0.5 liters of liquid on the third day. Aspiration of gastric contents for the first 2 days, probing according to indications, removal of sutures on days 7-8, discharge on days 8-15.
3. Gallbladder - special diet, removal of drainages, it is allowed to sit for 15-20 days.
4. Colon– the most gentle diet from the second day after surgery, there are no restrictions on fluid intake, prescription Vaseline oil inside. Discharge – 12-20 days.
5. Pancreas – preventing development acute pancreatitis, monitoring amylase levels in the blood and urine.
6. The organs of the thoracic cavity are the most severe traumatic operations, threatening blood flow disruption, hypoxia, and massive transfusions. For postoperative recovery It is necessary to use blood products, active aspiration, and chest massage.
7. Heart – hourly diuresis, anticoagulant therapy, drainage of cavities.
8. Lungs, bronchi, trachea – postoperative prevention of fistulas, antibacterial therapy, local drainage.
9. Genitourinary system– postoperative drainage urinary organs and tissues, correction of blood volume, acid-base balance, sparing calorie nutrition.
10. Neurosurgical operations – restoration of brain functions and respiratory ability.
11. Orthopedic and traumatological interventions - compensation of blood loss, immobilization of the damaged part of the body, physical therapy is given.
12. Vision – 10-12 hours of bed rest, walking from the next day, regular use of antibiotics after corneal transplant.
13. In children - postoperative pain relief, elimination of blood loss, support of thermoregulation.

In elderly and senile patients

For a group of elderly patients, postoperative care in surgery differs the following features:

• elevated position of the upper body in bed;
• early turning;
• postoperative breathing exercises;
• humidified oxygen for breathing;
• slow intravenous drip saline solutions and blood;
• careful subcutaneous infusions due to poor absorption of fluid in the tissues and to prevent pressure and necrosis of skin areas;
• postoperative dressings to control wound suppuration;
• prescription of a vitamin complex;
• skin care to avoid the formation of bedsores on the skin of the body and extremities.

Video

Success and duration of rehabilitation after surgery for varicose veins lower limbs depend on the initial condition of the patient and the extent of surgical intervention. The course of therapy is prescribed in each case individually, and if the doctor’s instructions are followed, recovery occurs without complications.

Inpatient rehabilitation

To stay in good shape of cardio-vascular system after the operation, the patient’s legs are placed on a bolster 10 cm high, and already 3-4 hours after the operation the patient must perform simple exercises: circular movements of the feet, raising the legs. Lying still is harmful.

Postoperative sensations may be painful - this is due to damage to soft tissues.

The next day, the patient is allowed to sit down, a bandage is made from an elastic bandage, with which he is allowed to stand up and walk. At the same time they appoint physical therapy and massage to prevent blood clots from forming. Treat wounds and change bandages every 1-2 days.

The doctor allows you to drink and eat after 2-3 hours, when the anesthesia wears off. Avoid foods that have a laxative effect or may cause constipation, as well as salty and spicy foods.

If the wounds are dry, the individual sutures are removed after 5-8 days. They remain on the shins and groin for up to two weeks. They stay in the hospital for 5-10 days, depending on the condition.

They are discharged from the hospital no earlier than the skin sutures are removed.

Rehabilitation at home

The recovery period lasts up to 6 months. To prevent recurrence of the disease, it is important to visit a doctor and follow his recommendations.

Compression jersey

Special socks or tights are worn when the skin sutures are removed. Knitwear creates increased physiological pressure in the lower part of the lower leg, which decreases closer to the thigh. As a result, blood does not stagnate and swelling is eliminated. Such underwear helps the body quickly get used to the changes that follow the operation and prevents excessive tension in injured muscles, thus reducing pain.

The degree of compression and duration of wearing are determined by the doctor. For some patients, it is enough to wear special underwear for 3-4 weeks, while others are prescribed it for 2-3 months.

To prevent recurrence of varicose veins, you should definitely wear compression hosiery in such cases:

• if you have an air flight or a long bus ride (2-4 hours);
• if your legs get very tired at work;
• when playing sports;
• when even minor swelling appears;
• women during pregnancy or taking hormonal contraceptives.

Instead of knitwear, an elastic bandage is sometimes used. In the lower part of the leg, the bandage is made tighter, the middle and upper third of the shin are bandaged looser, and the thigh is bandaged without tension. and compression hosiery increase the speed of blood flow through the deep veins by 5-7 times, without them it is normal postoperative rehabilitation impossible.

Physiotherapy

Perform while lying down. Do the “Scissors”, “Bicycle” exercises, pull the knees to the chest and raise straight legs in vertical position. Physiotherapy — good prevention postoperative complications, because it does not allow the blood to stagnate. However, you should not overload your muscles with training, since the excess of the resulting uric acid may lead to thrombosis. The operated leg must be protected from injury.

Useful breathing exercises, swimming and walking in a heel-toe rhythm. Walks of 20-40 minutes are recommended.

If an operation has been performed for thrombophlebitis of the saphenous veins, vibration gymnastics is useful: standing straight, rise on your toes, lifting your heels 1 cm from the floor, then sharply lower them with a blow. This exercise normalizes blood circulation, it is performed 20-30 times and repeated after a break of 5-10 seconds.

What to eat

• fruits and vegetables rich in vitamin C to strengthen the walls of blood vessels. These are black currant, sea buckthorn, sweet pepper;
• seafood, as it prevents veins from stretching;
• containing plant fibers - leafy vegetables, celery, apples, oatmeal;
• blood thinners - onions, garlic, cherries, citrus fruits, tomatoes, olive oil;
• containing rutin, which makes the walls of veins elastic - walnuts, hazelnuts, honey.

You can't overeat. It's important not to type excess weight, which harms blood vessels and joints. It is recommended to drink 1.5-2 liters of still water at room temperature per day. Part of this volume can be replaced with something useful for blood vessels green tea, freshly squeezed vegetable and fruit juices, with the exception of carrots, as it increases blood clotting.

Drugs

To normalize microcirculation after surgery and restore vascular tone in the lower extremities, the doctor may prescribe the following medications:

• Phlebodia 600;
• Detralex.

Doctors who perform vascular operations use the drug Trental and other pentoxifylline-based drugs to stimulate bypass pathways of blood flow.

The treatment regimen after surgery at home, indicating the dosage and frequency of administration, is determined by the doctor. In addition to therapy, it is prescribed vitamin complexes and antioxidants.

What should you not do after surgery?

The body needs a gentle regimen to open the reserve superficial venous system. Until this happens, the deep veins will experience increased stress, and there will be swelling on the foot and lower leg. In order not to provoke complications, for the first 2-3 weeks you should not move intensively, squat, or sunbathe. It is advisable not to fly on an airplane during this period - changes in atmospheric pressure are harmful.

Taking good care of your health in the postoperative period involves the following prohibitions and restrictions:

• the leg should not be wetted until the skin sutures are removed;
• Do not injure the seam with a hard washcloth or scrub, or remove the crusts covering the incision lines;
• before the suture is formed (2-3 months after surgery), do not take hot baths or go to the bathhouse or sauna;
• It is not recommended to lift a load of more than 4-5 kg ​​in the first 2 months and 10 kg for 6 months after surgery;
• do not smoke or drink alcohol.

You should not try to get rid of bruises and seals along the removed veins using ointments, compresses or heating without consulting the surgeon who performed the operation.

When can I return to work after surgery?

Sick leave is issued for 15-30 days, depending on the profession and condition of the patient. If the operation was performed on one leg, you can start working in 2-3 weeks, if on both legs, after 3-4 weeks.

The therapist evaluates the recovery process and can extend sick days if the patient needs it.

If a long-term certificate of incapacity for work has been issued, you must come for an examination to the clinic every 15 days to confirm or terminate the rehabilitation period.

You can start simple remote work after leaving the hospital.

Possible complications and consequences

Cosmetic defects on the skin appear due to the tendency to form keloid and hypertrophic scars.

More severe complications after surgery may occur in the following form:

• suppuration of wounds when they become infected;
• accumulation of fluid in tissues due to damage to lymph nodes;
• decreased sensitivity of the skin if the nerves passing near the veins and lymphatic vessels are injured.

To determine the risk of thrombosis, do before surgery general analysis blood.

Why did the veins remain

The operation affects only the affected vessels, so the disease may return. The appearance of veins along the scar indicates a relapse of the disease. Dilated veins in the legs away from the incision are evidence of progression varicose veins. The most common reasons for relapse are:

• neovascularization (pathological proliferation of blood vessels);
• heredity;
• obesity;
• pregnancy.

At severe symptoms varicose veins surgery cannot be postponed. 85-90% of the blood flows through deep veins, which are rarely operated on. 10-15% of the total current occurs in the subcutaneous vessels. Surgeries are most often performed on them. Today, surgeons are developing minimally invasive, gentle methods for such intervention.

The need for general anesthesia during surgery is obvious. However, this effect on the body does not pass without leaving a trace and can be accompanied by complications of varying severity. In each case, the speed of recovery after surgery depends not only on the doctors, but also on the patient himself. To prevent the effects of anesthesia from having a long-term and negative impact, you should pay attention to nutrition. The patient needs to remember that no matter how well he feels, he should only eat and drink what the doctor allows.

After surgery, you must listen to the doctor’s recommendations and follow a diet.

After the operation, which was performed under general anesthesia, the human body is restored based on factors such as age, type of operation, heredity, general health indicators, presence chronic diseases. So, if the surgical intervention was long and complex, then, consequently, in unconscious the patient was for a long time. In each case, anesthetic drugs or their combination, as well as the dose and method of anesthesia, are selected strictly individually. Therefore, food in postoperative period may have varying degrees restrictions for different patients.

A diet after surgery is needed because patients during this period often develop an acute deficiency of vitamins and protein, as well as dehydration and a tendency to acidosis. Following recommendations regarding what you can eat and drink in the first few hours and even days after general anesthesia will provide the body with important metabolic adjustments.

Thanks to a reasonable approach to the issue of nutrition, the patient’s body receives the energy necessary for healing the wound (surgical) and as much nutrients, as much as is needed for his physiological needs. If the surgical intervention involved the organs of the esophagus or intestines, a more strict and gentle diet is prescribed.

The body needs healthy food to restore itself.

In any case, the first days after anesthesia, it is strictly forbidden to consume such foods as:

• whole milk;
• drinks containing gas;
• vegetable fiber;
• concentrated syrups with sugar.

Nutritional Features

During surgery on the esophagus, stomach or intestines, you should not drink water or eat food orally (by mouth) for the first 2–4 days. During this period, the patient is shown an isotonic NaCl (sodium chloride) solution and a glucose solution (5%), and “tube feeding” can be used. After this period, the patient is shown a gentle diet, which gradually becomes stricter:

• at first only liquid food (2-4 days);
• then semi-liquid dishes are introduced into the diet;
• pureed food is gradually being introduced.

Immediately after surgery, the patient is allowed only liquid food

After general anesthesia, a diet is required, even if the operation was simple and lasted less than half an hour. If the anesthesiologist has not prescribed stricter nutrition, you can drink water no earlier than an hour after anesthesia. At first, the patient is allowed to take only a few sips of clean, plain water. Water must be filtered, bottled or boiled and always at room temperature. If fluid tolerance is good, the amount of water drunk at one time is gradually increased. 5 hours after anesthesia, in the absence of nausea, vomiting, or bloating, you can eat light food.

After surgery, unless otherwise recommended by the attending physician, the following diet is allowed:

• white meat poultry broths (turkey, chicken);
• low-fat pureed soups;
• jelly;
• low-fat yoghurts;
• mousses;
• boiled rice porridge.

After anesthesia, you can eat and drink only in small portions, but often (up to 7 times a day). The doctor decides how long the patient should adhere to a gentle diet, based on the complexity of the operation and the nature of the digestive system sick.

Recovery after anesthesia

After surgery, with a decrease in the effect of anesthetics, the body gradually restores its functions. Some patients recover from anesthesia easily, without discomfort and disorientation, while others experience pain varying intensity, nausea and confusion. It is impossible to predict how the patient will feel after the operation, so in each case the choice of diet is individual.

The duration and severity of the diet depends on the human body

Side effects of anesthesia sometimes persist for a long time even with mild forms of surgery. However, the patient needs to drink fluids and eat, as the body needs nutrients to heal. At first, you can receive support artificially (through a probe or IV), but the faster the patient begins to eat on his own, the faster his brain begins to positively tune in to recovery. Therefore, in the absence of other recommendations, no later than 2 hours after emerging from anesthesia, you should take a few sips of water.

You can drink water in the first hours after surgery in small portions at intervals of 20-30 minutes. If the water is well tolerated, even if there is some discomfort, you can eat a spoonful of broth. When recovering from anesthesia, muscle control and even coordination of movements are often uncontrollable during the first day, so the patient requires constant monitoring and care. Health workers should be with the patient 24 hours a day to provide care and feeding.

In some cases, the patient's relatives can care for him after anesthesia. The decision about this is made by the attending physician. However, the patient’s relatives are strictly forbidden to give him liquids to drink or eat anything without the doctor’s permission.

Solid food after anesthesia

Food products such as meat, mushrooms, fish, vegetables in a wide range are necessary for everyone to the human body for full functioning. Introduce them into the diet of a patient who has had surgery General anesthesia is required. This should be done as carefully and individually as possible. Each patient is a special case and requires a competent approach and support from specialists, both before and after the operation.

At the end of the first week after surgery, you can try introducing solid foods into your diet.

Already during the first week after surgery, most patients are recommended to gradually introduce solid food into the diet, the amount of which can initially be limited to 30-50 g per day. Expanding your diet helps normalize your work gastrointestinal tract. WITH psychological side, a patient who can calmly chew, for example, a piece of boiled fish or meat, in the absence of nausea and vomiting, as well as problems with peristalsis, begins to better believe in his recovery.

The main rule for all people who have recently undergone complete anesthesia is to eat small meals frequently. In addition, during the first weeks after anesthesia, it is strictly forbidden to eat fried, spicy, salty, smoked food and canned food. All food and drink must be freshly prepared and warm.

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

With all its types, an artificially induced reversible state of inhibition of the central nervous system occurs, sleep occurs, pain relief, muscle relaxation occurs, and some reflexes are inhibited.

They often ask: “Doctor, will I wake up? How will I feel?”

How long it will take and how you recover from general anesthesia, what sensations you experience - everything is very individual. This directly depends on the patient’s initial condition: his age, weight, gender, and concomitant diseases. Particular attention should be paid to which organ is being operated on:

• Cavity in the abdomen: on the stomach, intestines, appendicitis, etc.;
• Chest - that is thoracic surgery, on the lungs, esophagus, trachea;
• Heart surgery;
• Neurosurgical;
• Burn injury;
• Polytrauma with damage to internal organs and the musculoskeletal system.

Also directly affects:

• Duration of the operation and its complexity;
• Qualification of an anesthesiologist;
• What drugs are used.

How many people recover from general anesthesia after elective surgery on the abdominal organs? 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 confirmed during it, then usually the patient wakes up, or rather the anesthesiologist wakes him up already on the operating table. If everything is normal, reflexes are restored, 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 the attending physician.

Recovery of the body after anesthesia

After waking up while still on the operating table, the patient is drowsy and somewhat lethargic, although in contact with the doctor. When he is transferred to the ward, the patient continues the so-called post-anesthesia sleep. How long does it last? The duration of sleep is different for everyone: usually 1-2 hours, but sometimes it takes 6 hours before you fully wake up.

How many people recover from general anesthesia? This usually occurs completely within 6-12 hours. As a rule, these are patients without concomitant pathology and normal physique. Patients who are overweight, in other words, obese, as well as with a history of alcoholism, who use drugs, who are 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.

A funny and sad fact: Coming out of general anesthesia after surgery can be compared to the familiar state of alcoholic intoxication! They drank the same amount, with one being “a fool and a fool,” and the other quickly sobering up and “like a cucumber.”

How do you recover from anesthesia?

During the early period of awakening, the patient feels:

• Pain in the area postoperative wound. Usually it is felt 5-6 hours after the end of the operation. This is good and normal, it means alive.
• A sore throat. This is not fatal and is also absolutely normal. Everything goes away without treatment in 1-2 days! Infrequently, but there is irritation with the endotracheal tube, which is associated with 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 of age, 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 less often, even extremely rarely, vomiting. Nausea and vomiting often occur after operations on the abdominal cavity, stomach, and intestines. All these peculiarities of awakening are easily dealt with by anesthesiologists and resuscitators in the intensive care unit.

Special categories of citizens: in the postoperative period, people suffering from alcoholism and drug use often experience agitation, aggressiveness, and an inadequate reaction to the environment. But these reactions are not directly related to anesthesia; it is rather a withdrawal syndrome! Can be docked quite easily 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 linger! But of course, with the doctor's permission. Lying for a long time is fraught with the development of hypostatic pneumonia, acute thrombosis veins of the lower extremities, bedsores on the back, sacrum, heels.

A case is described: a young patient, 23 years old, practically healthy, after a routine uncomplicated appendectomy, lay on his bed and did not want to get up (he was in pain, you see). On the third day I finally got up. Result: thromboembolism pulmonary artery- immediate death.

When can I return to normal work after anesthesia? After general anesthesia, a person can perform normal work within two days, work with complex mechanisms, requiring concentration, drive a car! But the operating surgeons discharge the patient after 7-8 days, when the stitches are removed and the wound has healed. You can drink after anesthesia when your reflexes are restored and there is no nausea or vomiting.

You can eat it the next day, the diet is gentle: you can’t eat spicy, salty, fried, canned food, sausages, or 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 of age.
• Increased shyness in girls 8-10 years old.
• Underdevelopment of the respiratory system.
• Increased sensitivity to blood loss and overhydration.
• Imperfection of thermoregulation. Heat production lags behind heat transfer - the ratio of muscle mass to body surface is lower.

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 intramuscular injection seduxena. After 15 minutes he was completely cute!

Did you quickly recover from anesthesia? Let's discuss and tell in the comments.

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

Questions on the topic

Aleksey 02/25/2019 22:54

Hello.\\\ Male. Age: 33 \\\ I am currently in the hospital, a couple of days ago I had proctological surgery. According to the surgeon, the operation lasted about 30 minutes. It all started with the fact that on the operating table they inserted a catheter under my elbow and started trying to administer the drug, because I know that the effect should be instantaneous, I was surprised because I didn’t feel anything at all. It turned out that something went wrong, sort of. They did not enter a vein, but bypass it. As a result, a second catheter was placed in my forearm, after which I passed out. I woke up about 7-8 hours after the operation in the ward with severe drowsiness, there were no other sensations. Somehow they say it to relatives and it worked until the morning. In the morning I woke up, nothing hurt, I didn’t want to have breakfast, but after a sip of water I felt nauseous, and I vomited lunch as soon as I ate it (this was already more than 24 hours after the end of the operation). By evening, the nausea disappeared, vomiting did not appear, and the condition stabilized. My surgeon is on first scheduled inspection on the third day he explained how it was, saying don’t worry, it happens. I have next questions Is the situation really harmless and just bad luck? Can I request documents before or at the time of discharge that will indicate the quantity and medications used? What is the probability of indicating the situation that occurred there? What is the correct tactic of behavior? It’s doubly offensive that the anesthesia was paid for out of pocket

Yulia 02/17/2019 15:43

Hello! A 5-year-old child was treated with sevoran for 5 teeth + 1 extraction. (An allergy to local anesthetics: ultracaine, scandonest, Ubistezin, Mepivacaine, Brilocaine), 1.5 years have passed and again he complains about his teeth. The examination showed: 2 teeth for treatment and 1 extraction. Doctors again recommend sevoran. As a mother, it really bothers me that a small child will be given general anesthesia again. I would really like to hear the opinion of a resuscitator. It is clear that it is easier for the dentist to do everything at once when the baby is not excited, etc. But the child is growing, and one can only guess what harm annual anesthesia brings to his body. (blood samples taken showed class 1 IgE with results of just over 1). My request to repeat the allergy test, and based on its results, to try sedation, was refused. Only sevoran! Do we really have no other option? Which method is least harmful to the child?

Valentina 01/09/2019 20:56

Hello! The child is 3 years old. 5 months Will undergo adenomectomy and circumcision medical indications(cicatricial phimosis). It is possible to do these operations simultaneously. Tell me whether it is still worth combining them or whether it is better to space them out over time. If we combine this, will the time the child is under anesthesia increase? If you do not do both operations at once, then after what period of time can you do the second? Thank you!

Oksana 08/16/2018 17:56

Good afternoon. I had several examinations (gastroscopy, colonoscopy) under sedation with propofol. And every time there were problems with waking up and recovering from anesthesia. Usually they can’t wake me up for 10-15 minutes, and then for 3-4 hours I feel dizzy and severe weakness. Moreover, the dose of propofol is standard. The pressure immediately after the procedure is usually low, but after half an hour it rises sharply to 160 to 110. I am 51 years old, BMI 21. Moreover, doctors are surprised every time by such a strange reaction, but no one can really say anything. I will soon have another procedure under sedation. Please tell me how to prevent or reduce such a reaction to anesthesia. Can you guess why this is happening?

Adela 07/30/2018 11:09

Good afternoon. Exactly three weeks ago, the child (girl, 4.5 years old) had her adenoids cut out. I had a very bad recovery from local anesthesia (through a mask) for a day. Then she seemed to go away, but after 3 weeks she began to complain several times a day that she was feeling nauseous and her heart was starting to beat quickly. Could this condition after anesthesia be related?

Alexandra 05/11/2018 11:46

Good afternoon I have never had any problems with anesthesia. I've been going to the same doctor my whole life. Today, an hour after the procedure, I felt that I was slightly nauseous, my hands were sweating and I had trouble concentrating. In general not big problem, but unpleasant. I would like to know if this is normal?

Dima 05/04/2018 01:32

Good afternoon. How harmful is anesthesia to muscles? I want to have rhinoplasty and choose anesthesia. I have Landouzy-Dejerineau myopathy. And if it’s not difficult, then question number 2) 2. What can be done to minimize harm to the muscles and prevent pain. Happy holiday!

Dmitry 03/29/2018 00:00

Hello! Mom is 57 years old; she underwent surgery to remove gallbladder, 3 weeks later we had an operation to remove the uterus and ovaries, I haven’t woken up for 7 hours after anesthesia, the doctors say that everything is fine. Tell me, is this normal? Thank you!

Marina 03/26/2018 22:25

Good day! My son (6 years old) was prescribed a planned Endoscopic Adenotomy under general anesthesia. Prescribed by a doctor from the clinic. When I went to the hospital with a referral, I was told that it was better to do local anesthesia. But at the same time they said if there were no otitis media, and unfortunately we have them every other time. Please tell me is general anesthesia dangerous? And is it still possible to get by with local anesthesia, despite frequent otitis media? As they said at the hospital, under general anesthesia, working with a different instrument. And that for frequent otitis media, general anesthesia is advisable, since they will clean up something somewhere. What can be the consequences after general anesthesia? And is it now masked or intravenous? Thank you in advance

Elena 02/24/2018 09:27

Hello. On December 14, surgery was performed for a hiatal hernia. 7 days later, on the day of discharge, I stayed at home for 2 hours, and then I was taken away by ambulance with acetone (I diabetes). And, if the first time it was “hungry acetone”, then in subsequent times, and this is approximately every 4-10 days (intensive care unit), with normal nutrition and ideal sugars (average 5.5). I was examined by a gastroenterologist, nephrologist, surgeon, infectious disease specialist... in general, my health according to their diseases is normal. The tests are normal. I read information on the Internet that acetone occurs after general anesthesia. Have you encountered this and what can be done? Add. information on the operation: "Anesthesia: TVA+IVL. HELP PLEASE!

Yana 02/16/2018 14:23

Good afternoon, my son is 8 years old, he had an operation a month ago (phimosis, testicular torsion). Before the operation, the anesthesiologist said that besides 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 that they had discovered a small dropsy that needs to be removed, the child was brought in an hour after he was taken for surgery, although all the children were brought in 20 minutes later, I came out of anesthesia for about an hour, was choking, woke up and passed out, my whole body was twitching, my husband and I could barely hold him together, a month passed after After surgery, the boy is very often dizzy, weak, they did a cardiogram of 56 beats, his heart is beating, WAS THIS A NORMAL REACTION TO ANESTHESIA, AND WHAT COULD CAUSE Dizziness, DOUBLE VISION? (thank you)

Nadezhda 02/08/2018 18:40

Hello, please tell me in what cases is a patient woken up after surgery with an endotracheal tube? I had 4 general anesthesias (two laparoscopic surgeries) and it was only during the last one that I woke up with a tube and felt like I couldn't breathe. I couldn’t move for a while; my hand wasn’t tied. Then I managed to point my hand at the mask with the tube, and it was taken out. When I woke up, I felt like I was suffocating.

Nadezhda 01/23/2018 15:39

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

Alina 12/25/2017 18:59

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

Marina 11/19/2017 23:13

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

Vasilisa 11/18/2017 19:32

Hello! I am 40 years old. A month and a half ago I underwent curettage of a frozen pregnancy. And a week ago, another curettage of endometrial hyperplasia. Both times there was ketamine anesthesia, but the premedication the first time was sibazon, the second time promedol. So the first time waking up was soft. A week of headaches and insomnia was easily relieved with simple valerian. The second time was a nightmare. Delirium upon waking, panic attacks, breathing problems, this is probably how drug addicts feel when they overdose... The staff simply ignored me, I lay there all day. Now falling asleep is accompanied by fears and panic attacks. Could the difference in premedication have such an impact on the consequences? I have a history of “emotionality”)) Upon discharge, the doctor said that ketamine was simply not suitable for me. Is it possible?

Anna 10/30/2017 12:04

Good afternoon. I encountered the following situation after 2 general anesthesia. The first operation was for appendicitis, after 9 months the operation ( ectopic pregnancy). Now I don't recognize myself completely. Firstly, anxiety appeared, it arises out of nowhere. I became aggressive, every word and situation was difficult for me, constant worries. Everything is getting worse every time. I went to a neurologist, but he didn’t help. I don’t know if it’s normal to feel like this. Besides, my head is constantly spinning. What do you recommend to do in this situation, where and who to contact.

Marina 10/13/2017 19:13

Good evening, 4 days ago I had 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 I had a terrible sore throat (sore throat, 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’m sneezing, all this continues for the 4th day. I arrived for the operation completely healthy. Tell me, could this be an allergy to anesthesia?

Olga 09.10.2017 21:32

Is it possible to determine an anesthetic drug by metabolites in urine and blood 5 days after surgery? Are there similar tests, for example, in vitro? Propofol and fentanyl were allegedly administered. A terrible effect, no pain was felt, but like in hell, squeezing, spinning, 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. There was general anesthesia. After the anesthesia, I quickly came to my senses, my head hurt slightly. On the second day there was a bitterness in my mouth, then everything went away. After a week, my legs began to hurt a lot, namely stiffness, and then my arms too .the symptoms still persist, my legs hurt, but not always, but also blurred vision and a headache sometimes, could all this be a consequence of anesthesia?

Oksana 09.29.2017 16:52

Hello! I am 22 years old, a week ago I gave birth through a sectional section, epidural anesthesia was used, after the introduction of anesthesia right part I could feel my legs, they gave me general anesthesia, on the third day I began to notice that I couldn’t feel my heel and thumb right leg, what could this be? will it go away on its own or should I see a doctor? This was the second birth, the first was also through a CS and there were also 2 anesthesia (epidural and general), only the first time they managed to take the baby out, and after that sensitivity returned, that’s why they did general anesthesia!

Tatyana 08/26/2017 21:05

Good evening! The child is 3.9 years old and will undergo surgery to lower the testicle. I'm very afraid of mask anesthesia. The operation was said to last 30-40 minutes. We have a mastocytoma on our arm. Is anesthesia contraindicated in this case? Tell us how children often tolerate this type of anesthesia?

Mikhail 08/07/2017 15:07

Hello, 2 months ago I had a planned cholecystectomy - removal of the gallbladder under general anesthesia after the operation was very painful right shoulder after two months, the pain dulled but the problem did not go away, the neurologist said that these are the consequences of anesthesia, but this does not make me feel any better, what should I do? My arm cannot rise above my head; severe pain in the forearm; it is impossible to hang on my arm; what should I do?......

Valentina 06/20/2017 07:07

Good afternoon. I tolerate anesthesia very poorly, I don’t drink alcohol, I don’t smoke, especially drugs, but when I had an operation (vacuum surgery to remove a frozen fetus), the nurse said that as soon as they injected me with anesthesia, it was as if a demon had possessed me. I don’t remember when I was transferred to the ward, but my roommates said that I cried a lot, screamed, and asked for the baby to be returned to me. Is this condition possibly 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 05/22/2017 12:44

Good afternoon 2 weeks ago I had surgery to remove an ectopic abdominal pregnancy. I am 25 years old. The operation lasted 1 hour 15 minutes. Lost 1.2 liters of blood. On the same day, a plasma transfusion was given. I felt good. And now dizziness, weakness, drowsiness. Hemoglabin is 105, blood pressure is normal. Tell me the probable reason.

Anastasia 05/12/2017 23:11

Hello, I had ovarian laparoscopic surgery in February under general anesthesia. 22 years old. I woke up not on the operating table, but in the intensive care unit already, n (I only remember when they woke me up, that I felt very nauseous). I woke up, I was shaking terribly, I was cold, I was very nauseous, I could barely hold on, my eyes were watering, itching... and so on for 4-5 hours. The condition was terrible. But the worst thing began next. the day after the operation, I could not sleep; panic attacks began. As soon as I fall asleep, I am immediately thrown out of sleep, my heart is pounding, and I am afraid that I will not fall asleep. For two weeks after the operation I had trouble sleeping. I started taking sleeping pills. Tell me, is this my individual reaction to anesthesia or was I just unlucky with the anesthesiologist? And sleep problems can be caused by anesthesia? Another operation is planned, but I won’t survive coming out of anesthesia like that again.. thank you.

Sergey 04/29/2017 22:59

Hello! I had neurosurgical surgery for thoracic region. After the operation, on the 2nd or 3rd day I got up and started walking. Nothing hurt me except the wound! I was happy! It only didn't hurt for a day or two. Then everything below my chest started to hurt and continues to hurt to this day. Tell me, could general anesthesia relieve the pain for 3-4 days? Thanks in advance!

Svetlana 04/21/2017 10:32

Hello! A little over a week ago, an operation was performed under general anesthesia (septoplasty and bilateral conchotomy). I still have a temperature of 37.3, sore throat, headache and severe weakness. Could this be a consequence of anesthesia?

Alexander 04/09/2017 11:55

Hello! Based on the direction of a gastroenterologist, I make a diagnosis. Colon videoendoscopy. It is performed under anesthesia. After what shortest time can I drive? I live alone in the suburbs. Driving to and from the hospital on your own. I am 61 years old.

Stepan 03/12/2017 10:40

Hello! Please tell me, I had spinal anesthesia, after the operation I lay down for a day as expected, got up the next day and in the evening I started to have a headache and nausea, it’s been like this for 4 days, the nausea has passed, but the headache remains, although less, tell me, will this condition go away?

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 overwhelming majority of patients are alive and well the next day usual image life, i.e. they walk, eat what they can, and after the stitches are removed on the 5th-6th day, go home. To answer your question, it’s difficult to say anything without seeing you. You need to know how old you are, do you have accompanying illnesses. Seek advice from a therapist.

Zarbazan 03/06/2017 12:01

hello, my 77-year-old mother was operated on to remove an intestinal tumor, after the operation she came to her senses, but on the third day her consciousness began to become confused, the doctors say “intoxication, weakness of the body, it will normalize over time,” it’s already the third day, so tell me how long the recovery period can last, can you help her somehow? best medicine from those treating doctors - communication with relatives???

Andrey 02/27/2017 17:08

Hello, exactly a month ago I had laparoscopic surgery under general anesthesia at 12 points. the Treitz ligament was simply shortened, I was in the hospital for 14 days, the temperature was 35.2 -35.9 and nothing particularly bothered me about the temperature, I didn’t pay attention, I thought the thermometers weren’t working<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), delayed awakening is possible. I don’t know what kind of anesthesia and drugs were used, but such a delayed awakening happens, it’s individual and in general it’s normal.

Nikolay 02/20/2017 16:55

Hello! On February 17, an operation was performed and two stents were inserted into the ureter. Spinal anesthesia was given, plus drops were given for light sleep. Immediately after the anesthesia, I lay under IVs and when I began to feel my legs, nothing hurt. The next morning I woke up, nothing hurt, and they put me on another IV. During the day I was already discharged from the hospital, and while driving, my back started to hurt. Then one evening my head started to hurt. And the very next morning I woke up with severe pain in my back and head. Especially if I get up I start to feel very dizzy. And my head still hurts. Tell me, is this a consequence of anesthesia? And how long can such symptoms last?

Alina 02/19/2017 16:48

Hello. After anesthesia (the appendix was removed), the lower lip became partially numb. More than a week has passed and the numbness does not go away. Should we panic?

Natalya 02/15/2017 06:57

Hello. My husband underwent surgery under general anesthesia in the Department of Maxillofacial Surgery to remove the mucus that had accumulated in his sinus. The second week has passed since the operation, and he says that he has lost all sensitivity. He feels no taste, no cold, no pain, does not feel the internal organs. As if the body was not his. Could this be the consequences of anesthesia, if so, how long can it take?

Masha 02/14/2017 14:02

Hello! My 5-year-old child had her teeth treated under propofol sedation. 5 teeth have been unable to stand on her feet for the fifth day and she hasn’t slept for four days, hasn’t eaten, she really complains that her legs and muscles hurt, is this all from the anesthesia? How long will it take her to recover from it?

Christina 02/09/2017 16:30

My daughter had 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 don’t know how many hours. After that, she spent a very long time in intensive care for 2 weeks. Then, within 2 weeks, there was another intervention; blood entered the pleural cavity. After some time, she stopped absorbing 10 mil in the intensive care unit. She could not digest the mixture. When she felt better, she was transferred to the ward, when they brought her in, her face was like a ball, she was twitching all over, blinking inappropriately. Half a year later we were operated on again only through probing and again under anesthesia. And half a year later we again had heart surgery. The operations were all open heart. And again, anesthesia. Right now she is 6 years old and she doesn’t speak. Are these the consequences of anesthesia??? Until 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 superficial anesthesia, there is no reason to worry!

Svetlana 01/31/2017 21:38

Hello! My daughter (15 years old) had a detailed endoscopy of her intestines. After the examination, when she came 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 be squeezed out, her head ached, and sounds echoed in her ears; for her they seemed sharp and unbearable. Of course, I prevented her from getting up, held her by the shoulders, and laid her down. As a result, her back and pectoral muscles ached later. She has surgery ahead of her. How can we correctly explain to the anesthesiologist what consequences we want to avoid when recovering from anesthesia? After all, some demand that their wishes be expressed in medical terminology.

Olga 01/23/2017 21:15

Hello! My mother (76 years old) underwent emergency surgery on her intestines (there was perforation of the small intestine). Now I’ve been unconscious for the 6th day, the doctors say it’s stupor, I can’t come to my senses, at first I was on a ventilator, then they put in a tracheostomy, and she’s holding the pressure on her own. How long can she remain unconscious and what are the chances of recovery?

Victoria 01/22/2017 14:14

Hello! I am thinking about surgery to eliminate diastasis. The surgeon suggested tracheal anesthesia (I’ll explain it more simply, I don’t know the terms). I’ve heard cases where it’s done under local anesthesia. My diastasis starts almost from the chest and ends in 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 one finger long. Thank you

Natalia 01/21/2017 15:15

Hello! In February 2016, she underwent surgery to remove veins in her right leg under spinal anesthesia. In the postoperative period, severe weakness was discovered in the right leg, pain in the sacrum on the right side, pain in the hip joint, right buttock and numbness (pins and needles) in the lower leg. During these months I took anti-inflammatory drugs, Neuromidin, injected Milgamma and many others. other. X-ray and MRI of the hip showed normal. After about 4-5 months there was an improvement. I have gained strength in my leg, I almost don’t feel the numbness in my lower leg, and the pain in my sacrum is no longer acute. But pain and numbness, a burning sensation in my right thigh and buttock still bother me greatly. Particularly worse after exercise (for example, fast walking or long walking). I have protrusions of L4/L5 and L5/S1 up to 0.3 cm. Before the operation, I sometimes felt heaviness in my back after a heavy load, but there was never pain in my leg. I visited many doctors. The neurosurgeon and traumatologist said that these could be consequences of anesthesia. But what to do next? Who should I contact for treatment?

Anastasia 01/20/2017 19:05

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

Olga 01/06/2017 01:57

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

Alexander B. 12/29/2016 21:48

NICHOLAS: “Alexander B, I read your comments and laugh. I am always amused by personalities like you who “understand” a topic and prove something...” - It’s good if you laugh: laughter prolongs life :) That’s why you should Don’t blame me, but thank me for making you laugh! You owe me “grandmother” for this, in short! . What are you talking about, sir??" - ABOUT WHAT, I already wrote in my “messages” to the anesthesiologist Danilov, if you read them! He, however, chose only to brush them aside and answered specifically only a private question about GABA and GHB , - and for this explanation I already thanked him! But the essence of the problem, which I asked about in general, Sergei Evgenievich basically refused to admit, which rather amazed me, to put it mildly!.. “You look funny - the other doctor seems to me to be just you will send, excuse me, 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 I needed to operating room, for which I am grateful to the anesthesiologist and surgeon." - How lucky YOU personally are, just as really unlucky are thousands and thousands of other patients, adults and children, who suffer every day in our country from the consequences of truly monstrous anesthesia given by other anesthesiologists!:(A Unlike you, I don’t only think about myself!.. Now, if you, Nikolai, like many other poor fellows, during your operation, flew for an hour through endless pipes, contemplated the walls “a la the Matrix-Revolution” in 3D, you would feel like a mindless molecule in them, or a computer microchip, or a pencil case speaking foreign languages ​​(this happens with ketamine!), and then all day long you would catch wild glitches in the process of an outrageously long “recovery”, painfully remembering your name, not recognizing point-blank the people closest to you and learning to speak Russian again, you would be shocked and twitch, breaking the bed under you, and would vomit everything around you in the world, suffering at the same time from unbearable thirst... - in short, all possible “charms” "There are countless modern anesthesia - then it’s unlikely, our funny fellow, that you would remain such a cheerful fellow and would understand well what I was asking about here!!!:(((But if you want to talk seriously about this topic, it’s better for us not clutter this forum with our disputes. - Let me tell you my e-mail here and we will discuss everything privately! ?

Nikolay 12/29/2016 09:23

Alexander B, I read your comments and laugh. I am always amused by individuals like you who “know” a topic and prove something... Doctors’ jobs are difficult and low-paid. Here the doctor has taken on the thankless burden of answering questions online, and here is “gratitude” to him from people like you. An ordinary man in the street arrogantly argues for the “regression” of medicine. What are you talking about, sir?? You look funny - it seems to me that another doctor will simply send you away, sorry, I just couldn’t 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. Thank you Sergei Evgenievich for your help to people. Good luck to you in your difficult medical work.

Tatyana 12/29/2016 05:55

Good afternoon. The child's lower extreme tooth was treated. After anesthesia, the mouth cannot open and the cheek is swollen. The doctor advised me to develop it. 7 days have passed, no changes. Please advise what can be done? Or see a doctor.

Alexander B. 12/27/2016 21:39

Yes, thank you: the futility of talking specifically with you also became clear to me: (I won’t pester you anymore. You popularly explained that I am just another idiot and a rude ignoramus who has read “passions” on the Internet and is 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 can explain something useful to me!? I apologize if I forced you to swallow a sedative - I really didn’t want to cause so much trouble such a distinguished specialist!..:)

Alexander B. 12/27/2016 02:34

I apologize for the harsh emotions, but fighting with your questions as if against a wall is not a pleasant task! NOT APPLICABLE, read at least one textbook on anesthesiology or contact any anesthesiologist..." But if you are right, and GABA could not be used as a tranquilizer with ketamine, then it means that those elderly doctors from the Morozov Hospital in Moscow who are idiots This is how they deciphered for me a few years ago an entry from the operating log of 1989! I immediately wrote down after them: “gammaAMINObutyric acid”; I myself am not a boom-boom in these acids and chemistry in general, and I couldn’t involuntarily confuse such outlandish names! :( “If you have any other questions, please ask, but, if possible, briefly and clearly.” “In any case,” they then injected me with GHB or GABA along with ketamine and droperidol, “the essence of the problem is that from such anesthesia, I and other children had absolutely NO delirium or other terrible side effects that often happen from modern anesthesia, so I ask the question: WHY?! What’s stopping you from doing such anesthesia now and not causing a “nightmare” for 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 discussion! veterinarians their patients!?:(((

Victor 12/23/2016 13:10

Good afternoon I am being offered surgery to remove a tumor in the left lower lobe lung. Malignancy has not yet been proven; cytology is negative. I understand that everyone has risks 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 end up there. I have hypertension, grade 3, risk 4. IHD. Stable angina FC 2/myocardial infarction in 1998. Complications: H1 FC 2. Atherosclerosis of the aorta

Alexander B. 12/21/2016 02:47

Anesthesiologist Danilov writes: “Your question is one of the series that “before the water was wetter and the grass was greener”...” - Well, okay, then answer the SPECIFIC question about the drugs GABA and GHB, please: which of them is it? in your opinion, in 1989 I was then injected intravenously during eye surgery along with ketamine!? Since you have 35 years of experience, you should be aware of the anesthesiological 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 essentially a tranquilizer, and a natural one at that; just right for stopping the negative properties of ketamine!.. And GHB, this gamma-hydroxybutyric acid, is generally a drug that is widely sold in nightclubs, with intoxicating and stimulating properties: mixing it with ketamine is like pouring gasoline on a fire, only it should make things worse maybe, I think!:(All the side effects of GHB such as euphoria, disinhibition, nausea, dizziness, drowsiness, psychomotor agitation, amnesia, etc., were completely absent from me and the other neighbors in the ward, as I already said... But I judge as an amateur, so I’m asking for your authoritative opinion! :) “Alexander, you’ve read a lot of unnecessary stuff on the Internet...” - Okay, let’s say I’ve read too much: but then, as a specialist, advise me WHAT should I read on this topic? Your article above, for example, came out 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, depriving the child of a happy childhood!..:))) It’s good, 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, when recovering, do not laugh or sing, but cry in horror, fight in hysterics, violently rave, 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 “normal”! many people write so many negative reviews about the horrors of modern anesthesia!? Is this all just another conspiracy of CIA spies to discredit the bright image of our Russian medicine among the masses! ?:((("...In general, you should read less on the Internet on medical topics, any doctor will tell you that." - What, you shouldn’t even read the reviews and notes of your colleagues in the profession, such as the “Russian Anesthesiology Forum”!? All of them are also spies, saboteurs 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!:("Neither I, nor my colleagues, nor any source have such statistics , which you describe..." - Sorry, but did I really cite any STATISTICS here!? I didn’t collect any statistics; but since we’re talking about it, just offhand, 80-90% of the reviews on ANY site about anesthesia are purely negative, with a story about long and painful “retreats”! 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 he, with his characteristic delicacy, so aptly convicted me of ignorance and showed me my true place...:) And although the respected author is not inclined to discuss with me, he still asked me a couple of personal questions, to which I like a polite person should answer: “First of all, please tell me if you have a medical education and where did you get such data about “otkhodnyak” and other matters...” - I have no education, but I have common sense to compare my PERSONAL experience with the stories of friends and what people write on forums on the Internet! “Secondly, not GABA, but GHB...” - Well, here I’m throwing up my hands: the truth is that there is both, 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 illegal..." And here's 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-OXYbutyric acid (GHB) that was used together with ketamine, I did not invent it myself: this is how the surgeons of the hospital where the operation performed the operation deciphered it to me 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, what is stopping you from doing with them do we have anesthesia in the Russian Federation?:("And another question - how do you know about “rubbish ketamine”?..” - You’re just killing me with your questions: how do you know that under clothes everyone is naked, etc.? !:(Not only the majority of patients, but also many of your fellow anesthesiologists speak this way about ketamine; well, as I already wrote, I experienced its effects myself!.. “In order to draw such conclusions, it’s worth at least going to study for 6 years at the Medical Academy, then undergo 2 years of specialization as an anesthesiologist, then at least work for 3 years, while constantly being “in the know,” i.e., studying new products and communicating with more experienced colleagues, improving your qualifications at least every 5 years..." - Like Voinovich in “Shapka” I will answer: to find out that food is rotten, all I have to do is sniff it once, or, in extreme cases, bite it, but I don’t need to eat it whole in order to end up with your colleagues in intensive care with poisoning! :) “And your question contains more emotions, reviews from 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, all the more so the question remains: why are current anesthesia in Russia so “senseless and merciless” in relation to patients??? I came to you seriously, and not for the sake of ridicule! If a respected specialist with 35 years of experience is uncomfortable discussing this topic here publicly on a forum, maybe he will agree to do it privately, by e-mail? :)

Yulich 12/17/2016 16:48

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

Elena 12/17/2016 10:52

Hello, . Mom is 69 years old, has angina pectoris and hypertension. There was an emergency operation for a ventral abdominal hernia. Abdominal, under general anesthesia. It's day 4 now. He constantly drinks Betaloc 100 and trimetazidine. Pulse is high up to 100 beats. The pressure is jumping. Doctors don't even see a reason for an ECG. There are no indications, but they have reports. Can you, as an anesthesiologist, answer - are there any reasons for concern? What should be done? Thank you

Alexander B. 12/16/2016 00:03

But I want to ask anesthesiologist Danilov a question for “backfilling”: (Why in recent years have I been reading and hearing a lot of people’s stories about absolutely terrible, long recovery periods with a bunch of “side effects” even after short and simple operations, when patients behave like complete idiots , psychos, drug addicts or drunks in an attack of delirium tremens!? And the majority are not even surprised by this, as a matter of course; and anesthesiologists answer us, saying, “this is normal,” - WHAT IS NORMAL HERE!? After all, everything was not like that before !.. 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 essentially just drunk...” - But I observed it in one of the Moscow hospitals. back in 1989, at least a dozen different school-age boys were recovering from intravenous ketamine anesthesia after eye surgery, and I myself was among them: however, none of us were drunk, either in essence or in form!:(Ketamine was administered to us not outright, but combined with droperidol and gamma-aminobutyric acid (GABA), which neutralized the glitchy nature of this now universally reviled drug. So EXTERNALLY, the recovery from this anesthesia was generally harmless - at first, after the operation, everyone simply lay unconscious for 1-2 hours, then they began to moan quietly and move slightly in bed, but this lasted only a matter of minutes, and not hours or days! And then they came to a clear consciousness, without any side effects... True, during the administration of anesthesia and coming to consciousness there were quite unpleasant sensations that scared me out of habit, but all this is heaven and earth in comparison with what many people now they tell!!! At least, I personally didn’t experience any nightmares, glitches, flying through pipes, labyrinths and tunnels, feelings of “loss of personality” and other creepy psychedelics. And not only me, but NOBODY during the “recovery” did not rave, did not glitch, did not yell, did not cry, did not swear, did not shake, did not hiccup, did not chatter in vain, did not call mom and dad, did not vomit, did not twitch, anywhere didn’t rush, didn’t kick, didn’t piss on himself and didn’t take a shit (however, that nurse took care of this in advance, who gave everyone a huge enema before the operation :))... Even THIRSTY, as I remember, and even then no one had a special one after There was no such anesthesia! And in the future I did not experience any “side effects” such as memory loss, drowsiness, headaches or panic fears either in the hospital or later - I continued to study normally... Moreover, I know very well that ketamine is such rubbish, and GABA with droperidol are simple, cheap drugs. However, in the disintegrating USSR they somehow knew how to combine them into quite good, patient-friendly anesthesia, and in today’s Russia, anesthesia for both children and adults is just a complete “Nightmare on Elm Street”!:(((What do we owe to such a cool " progress of medicine" in our country: have the drugs gotten worse or have the doctors gotten worse?

Julia 12/15/2016 21:54

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

Vyacheslav 12/15/2016 12:29

Good day! Soon I will have a minor operation on the back of my head (removal of atheroma) and it will be performed under local anesthesia. The question is: does local anesthesia somehow affect the nervous system? All the same, the drug will be injected into the head. The question is interesting because I will be getting home by car, I would not want to become the culprit of an accident due to a delayed reaction, or something like that. When the gums are anesthetized, a certain general inhibition is felt.

Gulnara Kozhanova 13.12.2016 08:44

Hello, after giving birth my discharge did not stop, they did an ultrasound, diagnosed a placental polyp, signed me up for curettage, but I am intolerant to ice-caine, what can replace it if I am breastfeeding? My gynecologist tells me to ask them, but they say, let your gynecologist advise you, because I will have to buy this medicine myself or they will do it without pain relief, but I don’t want to, I’m afraid. Recommend me a pain reliever. I am intolerant to icecaine and papoverine, I am 35 years old, I have not noticed intolerance to any other medications

Alla 07.12.2016 21:12

Hello! My son, age 2 years 8 months, underwent surgery 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 nasal discharge, and a whistling sound is made when breathing. After the operation, he was very sick, with a runny nose and cough. Could 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, a seizure attack occurred, and it started from the right arm and spread to the whole body, lasting several minutes, with partial loss of consciousness. Such attacks had never happened before, but only in early childhood (up to 1 year). Could this be a side effect of the anesthesia? Thank you

Hello. My sister had surgery 3 days ago. 43 years. Previously, she had 3 more surgeries. Itsenko-Cushing syndrome and splenic rupture. And this time there was an intestinal obstruction. She somehow does not recover from the anesthesia. Severe headaches, vomiting, temperature 38. Before this, she constantly takes hormones. When will the effects of anesthesia go away? Why does he have a fever and is it related in any way to hormones? Thank you.

Lyubov Smitia 11/10/2016 12:43

Good day! I underwent a complex 4-hour gynecological operation, laparoscopy with a mesh implant, the discharge notes - “endotracheal anesthesia, I woke up in the intensive care unit only at 20 o’clock with a wild pain in my eyes - as if sand and needles had been poured there! Unfortunately, I don’t know which ones I injected the anesthesiologist took the medicine, in the morning she was surprised that this was a reaction to her eyes because they were closed... it’s good that everything else was fine, and she didn’t even feel any changes in her throat... For 2 days her vision was corrected! maybe Are you allergic to anesthesia? Lyubov Vladimirovna, 58 years old

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Hello. I had general anesthesia of the 1st degree to remove polyps in the uterus, after the operation an hour later I was allowed to go home since I was not local, I had to travel 4 hours to get home. 4-5 hours after the operation, my gaze was directed only upward, later my back began to wedge to the right side. After the operation, I did not rest, I was very sleepy, at the station I tried to take a nap, my head was turned to the right. It could be intoxication from anesthesia. Now I’m in the hospital, they brought me by ambulance, I slept and all the symptoms went away. I had an X-ray of the cervical spine (no results yet), an ECG, and a cop. Tamography (everything is in order).

Vyacheslav 10.20.2016 10:30

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

Maxim 10/18/2016 09:04

After surgery on a perforated duodenal ulcer, I completely lost the desire to drink. I think it’s because of the anesthesia. I haven’t drank for 6 years. Now I’m drinking again. What drug should I take to stop drinking again?

Daria 10/12/2016 23:32

Hello. Previously, I asked a question about the use of general anesthesia; I have type 1 diabetes with concomitant diseases on insulin injections. Now I’m visiting doctors, taking tests for hospitalization for surgery for endometrial hyperplasia. In the blood test I took, my hemoglobin was greatly reduced. The gynecologist told me to take medications that increase hemoglobin, ferlatum, 1 bottle 2 times a day or sorbifer. Surgery to remove endometrial hyperplasia is expected to take place in early November. But I have doubts about low hemoglobin, which can possibly be raised with medications in 2 weeks, but should there be a longer period of keeping hemoglobin at a normal level for surgery than 2 weeks? I don’t know whether to postpone the operation for another month due to low hemoglobin or not, I have had constant tolerable abdominal pain in gynecology with periodic discharge for several months now. Among the diseases accompanying diabetes, I have hypochromic anemia, hypotension, and chronic pyelonephritis, thyroiditis, and hypothyroidism.

Victoria 10.10.2016 16:33

Hello, on Friday I had a uterine cleansing due to anembryonia. I don’t know what kind of anesthesia was administered, but when administered, everything started to burn in my throat. Coming out of anesthesia was long and difficult, I had hallucinations, felt sick, felt dizzy, and vomited (even though I didn’t eat anything in the morning). And then on Sunday the problems started, temp 37, bad in the head, when moving the eyes from 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 the operation (from Thursday) they started injecting the antibiotic lincomycin. Now I’m still in the hospital, the doctor doesn’t really say anything, doesn’t know the reasons for my condition. Tell me, could my condition be due to anesthesia?

Three days ago, a laparoscopy was performed to remove an ectopic pregnancy (tubal). We performed a combination of anesthesia: spinal and general anesthesia. On the third day, pain in the lower back is noted after walking. When you lie down on your back, the pain goes away. What does this mean? Thank you!!!

Irina 05/03/2016 23:01

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