I’ve had four surgeries, 2 being awake 2 being asleep. I had jaw surgery and my wisdom teeth removal under general anaesthesia. My question is do they always use a breathing tube for general anaesthesia? And if so, why? Thanks.
Thanks guys =] my throat has always hurt after surgery too so I assumed something was up, lol. How come parents lie about it then?
Absolutely not. I give general anesthetics frequently without an endotracheal tube.
It depends on the patient and the procedure.
For short cases that do not require muscle paralysis, we can use a mask on the face.
http://www.imageofsurgery.com/Anesthesia_Mask446.jpg
The disadvantages of this technique include the possibility of upper airway obstruction, which is common, especially in heavy people, and the fact that it ties up the anesthesiologist’s left hand for the duration of the case.
Another very popular airway technique is the laryngeal mask airway. It’s like a face mask, but it sits in the back of the throat. It overcomes the upper airway obstruction and hands-available issues, but cannot be used if the patient needs to be paralyzed or is at increased risk for aspiration of stomach contents.
It is also possible to give a general anesthetic with only IV medications, and for that, nasal cannula oxygen can be used. That’s what I do for colonoscopies.
Many times we DO use the endotracheal tube, and there are a number of indications for that, but it certainly not used for every general anesthetic.