The anesthesia
The current anesthesia takes in consideration the patient choices, the type and the time of intervention. According to the desired sedation, 3 levels of anesthesia can be defined :
No matter what is the mode of anaesthesia, the rules of monitoring are strict and rigorous to ensure the course of the interventions under conditions of optimal safety. The decree of December 1994 requires that all the operating room have to be equipped with electronic instruments of monitoring of the great functions such as the pulse, the oxygenation of blood, the blood pressure, the electrocardiogram uninterrupted as well as many other ventilatory parameters. Those equipments are equipped with preset alarms which start automatically and immediately when they detect the least variation. After any intervention, the transfer in room of post monitoring is accomplished under the responsibility of an assistant and the anaesthetist doctor until the complete wake up.
The current anesthesia takes in consideration the patient choices, the type and the time of intervention. According to the desired sedation, 3 levels of anesthesia can be defined :
Level 1 : Pure local anesthesia
It is an infiltration of anaesthetic products related to the area to be operated. It is reserved for limited gestures, of average duration. Let us quote for example the surgery of the eyelids, the small lipoaspirations, micrograft hair transplantation, etc. The hospitalization lasts a few hours and the patient goes back quickly in his room.Level 2 : Potentiated local anaesthesia or neuroleptanalgesy
Antalgic and sedative agents are managed by perfusion, in complement of the infiltration of local anaesthetic. These auxiliary products with the sedative properties have an action on the emotional tension and the anxiety. They allow the control of emotivity and decrease certain neurovégétatives reactions. The patient remains conscious during the intervention, but it exists often a postoperative amnesia, he does not remember or very little of what happened. The attenuation of vigilance authorizes longer acts, more painful, less supreficial than those quoted previously: face lift, lipoaspiration … The hospitalization is the ambulatory mode, the patient can regain his residence, after a few hours of monitoring, always accompaniedLevel 3 : General anesthesia
In this case the loss of vigilance is total. This type of anaesthesia are made for longer interventions which require an immobilization, such as the rhinoplasty, large abdominoplasty with muscular repair, breast plasty, face lift of the face, etc the hospitalization is the rule for this type of anaesthesia.No matter what is the mode of anaesthesia, the rules of monitoring are strict and rigorous to ensure the course of the interventions under conditions of optimal safety. The decree of December 1994 requires that all the operating room have to be equipped with electronic instruments of monitoring of the great functions such as the pulse, the oxygenation of blood, the blood pressure, the electrocardiogram uninterrupted as well as many other ventilatory parameters. Those equipments are equipped with preset alarms which start automatically and immediately when they detect the least variation. After any intervention, the transfer in room of post monitoring is accomplished under the responsibility of an assistant and the anaesthetist doctor until the complete wake up.
