In System Hospital, anesthesiologists examine the patient before surgery. It ensures that the necessary examinations and consultations for the preparation of the surgery are completed. They constantly monitor the vital functions of the patient during surgery and try to keep them within the limits that are most suitable for that patient. They follow the general condition of the patients, laboratory tests and even their nutritional adequacy and provide solutions to the problems they spend in the service until they are discharged.
There are many forms of anesthesia to be performed in patients undergoing hand surgery. One or combinations of local, general and regional anesthesia options are applied considering the size, duration of the surgery, general health status of the patient, preferences of the patient-surgeon-anesthesiologist triad.
Local Anesthesia: Local anesthesia is typically an injection of a local anesthetic that will eliminate the sense of pain in a small area (ingrown toenail, etc.) or only in the surgical area (removal of a trigger finger, small, superficial mass, etc.).
General Anesthesia: It is a technique in which the patient is fully anesthetized during surgery. It is not preferred by our anesthesia team to apply it alone, since it does not have any effect and contribution on pain relief, especially after the operations involving the upper limb.
Regional anesthesia (nerve blocks): It is the anesthesia of certain parts of the body with the injection of local anesthetic into the areas close to the nerves with the help of a special needle.
Axillary Block: Brachial plexus is a related neural network system formed by the nerves formed from the nerve roots coming from our neck vertebrae. Generally, it provides good anesthesia for elbow, forearm, wrist and hand surgery.
Interscalene Block: Generally, this type of regional anesthesia provides a good application for all of our upper limb especially in shoulder surgery applications. It is the application of a local anesthetic that will eliminate the pain sensation in the brachial plexus between the muscles called scalene group in the area above the collarbone (clavicle).
Infraclavicular Block: It provides a good anesthesia in the surgery for hand, wrist, forearm and elbow. It is the application of local anesthetic to remove the sense of pain from the area under the collarbone (clavicle) to the brachial plexus.
Bier Block (riva): Useful for applications such as carpal tunnel surgery. It is not preferred by our anesthesia team because it does not contribute to postoperative pain and does not provide adequate patient comfort.
Elbow and wrist blocks: It is used in hand and fingers without tourniquet surgery. Local anesthetic drugs are injected from the anterior region (for media and radial arms) or at the wrist level (for the median and ulnar nerves) near the nerves.
Why choose regional anesthesia?
With regional anesthesia, the numbing of only a part of your body has been proven to reduce blood clot formation, blood loss, less nausea, faster recovery, use of less drugs (morphine, etc.) in some surgical applications, and especially the high quality of postoperative pain relief.
PREJUDICES IN PSYCHIATRY
Stigma is the most important obstacle for people to receive professional mental health assistance all over the world.
The problem of stigmatization may come up in different ways. Most of the time, when going to a psychiatrist, we are faced with the fear of being exposed to unjustified criticism and devaluation from the environment or the reservation experienced by the person.
Yes, there are prejudices developed by people who do not have enough knowledge and training behind the problem of stigmatization in psychiatry. Since they tend to perceive mental health support as a sign of weakness or failure, a specialist cannot move to seek help when he / she experiences psychiatric symptoms until very severe levels. Unfortunately, the consequences of this are lost years, deteriorating professional, social and family lives are seen as.
When other branch doctors see a psychiatric disorder that can clearly be treated with treatment, they choose to give advice or send an antidepressant, which they themselves are not very experienced, if the situation is not too severe at the moment. Especially in the eyes of socioeconomically strong and well-educated patients, you need to consult a psychiatrist, ’he is experiencing difficulties in the reaction of the patients themselves.
Stigma in psychiatry leads to avoiding mental health assistance. However, more commonly, moderate and mild illnesses are not treated, so people adapt to this unhealthy life. Living with constant depression and anxiety, after a while, that person is perceived as fate. He/she cannot turn his/her own talents into life, and goes away from the quality of life he/she deserves in business, family life and human relations. It is not uncommon for our patients to cry out after receiving responses to a buoyant treatment: ‘I wish I had gone to a specialist years ago’.
In fact, the meaning of everything we have, of being, of talent, even of body health, passes through mental health. Therefore, stigma, which means fear and prejudice in mental health, is a human drama that needs to be studied hard on both the individual and social levels.