Surgeons and Anesthesia

263 Pages·2013·16.33 MB·English

by  S. Ahanatha Pillai

SurgeonS and
aneStheSia

SurgeonS and
aneStheSia
S Ahanatha Pillai MD DA
Emeritus Professor
The Tamil Nadu Dr MGR Medical University
Chennai, Tamil Nadu, India
Former Professor
Department of Anesthesiology
Madurai Medical College and Government Rajaji Hospital
Madurai, Tamil Nadu, India
Foreword
Sam C Bose
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Surgeons and Anesthesia
First Edition: 2014
ISBN: 978-93-5090-837-2
Printed at
Sri Ramajeyam
Om Anandamayi Chaithanyamayi Sathyamayi Parame!
Dedicated to
Professor Dr T Subramaniam FRCS
Emeritus Professor
The Tamil Nadu Dr MGR Medical University
Chennai, Tamil Nadu, India
Honorary Clinical Professor of Surgery
Madurai Medical College and Government Rajaji Hospital
Madurai, Tamil Nadu, India
(1971–1987)
I had the great fortune of working with this legendary personality
A wonderful great human being with a loving heart to his fellowmen
A surgeon of high repute with compassion to poor patients
A renowned teacher with admirable virtues

Foreword
Who is better suited to write the foreword for a well-thought out book for
Surgeons by an Anesthetist? Certainly, an Anesthetist!
But when a surgeon is asked to study the 236-page book and write
the foreword, it is a pleasure and honor. Pleasure, because one is
educated even in his eighth decade of life and over six decades of nodding
acquaintance with surgery since 1952.
A lesson which I learned is, in the first 10 years learn ‘how’ to do surgery,
second 10 years ‘when’ to do surgery, third 10 years ‘when not’ to do surgery
(these three were taught by the Jambavans of yesteryears), and finally
when ‘stop’ doing surgery!
In conclusion, I congratulate Professor Dr S Ahanatha Pillai for writing
this wonderful piece of educative manual throwing open the nuances of
high quality anesthesia wizardry for the benefit of future generation of men
and women of all specialties including ‘surgeons’!
Sam C Bose MS MCh
Former Professor of Plastic Surgery
Madurai Medical College
Madurai, Tamil Nadu, India

Preface
This small book is aimed at the young surgeons who would like to know
something about anesthesia while developing expertise in their own field.
I am fortunate to be in the field of anesthesiology from the ‘open drop
ether era’ to the modern-day anesthesia for about four decades and had
the fortune of working with three generations of surgeons specially, some
of the great stalwarts in surgery of yesteryears. Hence, I humbly feel fit to
write about the subject on the title Surgeons and Anesthesia.
There is a natural question, ‘Why should a surgeon know about
anesthesia?’ The answer is very straightforward and simple; surgery and
anesthesiology are very intimately related and interdependent fields, and
as anesthesiologists and surgeons work in the same team, each one must
have some orientation about the other’s work so as to give the best possible
service to the patient in the teamwork.
I brought out the book Anesthesia for Undergraduate sometime in 1995.
Since then, there had been a persistent request from many of my good
friends and colleagues belonging to various surgical specialties for a simple
and comprehensive book that deals with the basics of anesthesiology and
other important aspects related to anesthesia and operating department. I
am very grateful to all my esteemed colleagues, for their love to me.
My close association with my dear surgical colleagues was so pleasant
and enduring for the past four decades that the idea of this book was deep
in the back of my mind all these years. Now it is taking shape.
After a lot of thought and planning, keeping all their requirements in
mind, this book has been designed a little differently.
The topics and chapters have been chosen in such a way that it may
be useful to the postgraduates in surgery as well as practicing surgeons.
Preanesthetic assessment and preparation of the patient which would tell
upon the ultimate outcome of surgery has been adequately dealt with.
Without going deep into the subject, all the practical aspects are discussed
with their clinical relevance. This will certainly help the surgeons to easily
spot and identify the anesthesia-related problems in the perioperative period
so that remedial steps could be taken without delay; and if necessary, call
the anesthetic colleague for help.
Apart from discussing fundamentals of clinical anesthesia, less commonly
discussed topics such as surgical team, surgeon-anesthesiologist relations,
operation theater discipline, planning an operating department, asepsis,
sterilization of equipment, coordination of theater work, postanesthetic
care, etc. have been included. The chapter “Vital Organs Function and
Anesthesia” has been specially included that precisely deals with the
possible alterations in function of vital organs due to anesthesia.