Perioperative medicine and medical care By the Surgical Operations Master (Anesthesiologist)

Abstract

Knowing of what matters and what matters most, Perioperative medicine matters more than ever (1) There is a growing worldwide awareness of perioperative Medical care (2) Comprehension of perioperative patients safety comfort and well fair, As well as helping surgeons to perform successfully and timely an ever increasing multitude of surgical procedures may necessitate rewriting of Medical texts By contemporary Anaesthesiologists in a purposeful manner that aims specifically at Patients health, safety, and post operative welfare, Why Anaesthesiologists? In contemporary Medical and Surgical practices the Anaesthetist is a clinical Physiologist, Clinical Biochemist a clinical physicist, clinical pharmacologist as well as a competent physician. Anaesthetists have cumulated vast expertise about the patient care minute by minute during the course of operative procedures. They are involved in: appropriate patients placing and locations of equipments, anticipation of possible complications and avoiding it. insuring safety speed and through understanding of what the patient is going through preparing for the post operative demands Post operatively managing pain a resuscitator and a role in early discharge of patients The concern about productivity of operative theatres in sophisticated communities and developed countries alike is the concern of all health care providers. Whether it is Governments, Insurance companies, Private health institutes are undoubtedly under some form of pressure to expand Vertically as well as horizontally, Vertically by continuous process of modernization and rendering new technological facilities for the people they care for. And horizontally by spreading the services to wider sectors of populations in the face the growing demands. The Vertical and Horizontal progresses demands Ideal utilization of surgical operative room's resources Ideal timing for admissions to hospitals Promoting the rates of hospital beds patients turnover Designating responsibilities to the most skilful and who knows how Orienting Health care providers by the role of Anaesthetic practices in contemporary Medical and Surgical practices is a mandatory role of every concerned about the ultimate productivity of HCO (Health care organization) In my article titled taking Anaesthetic practice a few steps higher, My prime concern was about the specialty of Anaesthesia with regards to Maintaining Anaesthetist Cinical medical competence, traditionally the work load on the Anaesthetist had limited his time for maintaining competence in Medical science that undoubtedly reduces the interest of new generations of Perioperative medicine and medical care By the Surgical Operations Master (Anesthesiologist) 2 of 6 physicians from joining this specialty, It would also have negative impacts on the patients under the Anaesthetist care if his tasks shrinks to a physical burden. Providing for patients by the most competent know how in the perioperative settings, Economizing on the perioperative resources I did envision the future arrangements for what modern Operating departments should be like, I simply had the analogy of Labour ward in a modern Obstetric unite, That is intimately linked to Two major departments, An antenatal and a post natal. I am still hoping to see an OR with a preoperative and post operative wards functioning together as a modern Operating department under an Operation master. Patients who are scheduled for surgical procedures would be admitted to the Preoperative wing where the Anesthetist would care from the minute go with a comprehension more than most of what the patient would be going through during surgery. Comparing this speculation to the classic routine of pre operative admission to a surgical ward would expose hundreds of advantages for the patients the surgeon the anesthetist and to the Healthcare providers.