Verma Rajan, Mohan Brij, Attri Joginder Pal, Chatrath Veena, Bala Anju, Singh Manjit
Department of Anaesthesia, Government Medical College, Amritsar, Punjab, India.
Anesth Essays Res. 2015 Sep-Dec;9(3):293-7. doi: 10.4103/0259-1162.159775.
The Anesthesiologist provides continuous medical care before, during, and after operation to permit the surgeons to perform surgeries; sometimes quite challenging that could otherwise cause substantial threats to the patient's survival. Anesthesiologists, because of their combination of skills are uniquely qualified to care for dying patients suffering from end diseases like cancer. These skills include knowledge of analgesic and sedative pharmacology for the management of pain, awareness of perceptual alterations along with well-known skills in drug titration and experience with critically ill and highly anxious, often agitated patients under stressful circumstances. Anesthesiologists are physicians who provide medical care to patients in a wide variety of situations. This includes preoperative evaluation, consultation with the surgical team, creation of a plan for the anesthesia (which is different in each patient), airway management, intraoperative life support, pain control, intraoperative stabilization of all the vitals, postoperative pain management. Outside the operating room, Anesthesiologist's spectrum of action includes with general emergencies, trauma, intensive care units, acute and chronic pain management. In spite of providing these highly skilled services, Anesthesiologists are facing a lot of stress these days which predisposes them to burnout, fatigue, substance abuse, and suicide. The practice of anesthesia in Indian scenario is different as compared to the western countries. In India, the Anesthesiologists are dependent on surgeons for their work. The degree of stress faced is due to a number of factors like the type and quality of work, his/her relationship with surgeons and the support he/she receives from colleagues and family.
麻醉医生在手术前、手术中和手术后提供持续的医疗护理，以使外科医生能够进行手术；有时手术极具挑战性，否则可能会对患者的生命构成重大威胁。由于具备多种技能，麻醉医生特别有资格护理患有癌症等终末期疾病的临终患者。这些技能包括用于疼痛管理的镇痛和镇静药理学知识、对感知改变的认识，以及在药物滴定方面的知名技能，还有在压力环境下照顾重症和高度焦虑、经常烦躁不安患者的经验。麻醉医生是在各种情况下为患者提供医疗护理的医生。这包括术前评估、与手术团队会诊、制定麻醉计划（每个患者的计划都不同）、气道管理、术中生命支持、疼痛控制、术中所有生命体征的稳定、术后疼痛管理。在手术室之外，麻醉医生的工作范围包括一般急诊、创伤、重症监护病房、急慢性疼痛管理。尽管提供了这些高技能服务，但如今麻醉医生面临着很大的压力，这使他们容易出现职业倦怠、疲劳、药物滥用和自杀等问题。与西方国家相比，印度的麻醉实践情况有所不同。在印度，麻醉医生的工作依赖于外科医生。所面临的压力程度取决于许多因素，如工作类型和质量、他/她与外科医生的关系以及他/她从同事和家人那里得到的支持。
