Profession anesthesiologist. Who chooses anesthesia? Interview with the management of the medical institution

(An (Greek)- without; aisthesis- feeling. R e (lat.)- return; anima- life.) - a doctor responsible for ensuring that surgery was painless and safe for the patient. The profession is suitable for those who are interested in chemistry and biology (see choosing a profession based on interest in school subjects).

Features of the profession

Also in preoperative period The anesthesiologist selects the composition and dosage of painkillers based on the patient’s health condition, taking into account all examinations, tests and chronic diseases the last one. All this is done to avoid any complications from anesthesia, or to mitigate them. Then, working in parallel with the surgeon and his assistants, he administers anesthesia and monitors the patient throughout the entire operation, upon completion of which he resuscitates him and removes him from the effects of anesthesia.

Anesthesia can be general, this is anesthesia, and local, this is local anesthesia, including spinal anesthesia, which is injected into the spinal cord.

Local anesthesia can be performed not only by an anesthesiologist, but also by another doctor, for example, a dentist, an ophthalmologist and other doctors who use local anesthesia. General anesthesia, as well as this type local anesthesia as spinal, it is performed exclusively by an anesthesiologist-resuscitator.

General anesthesia is not just about making the patient unconscious. In addition, during anesthesia, the patient undergoing surgery must experience complete suppression of all types of sensitivity. For this, the anesthesiologist selects the whole complex chemical and pharmacological agents, taking into account their dosage depending on the examination of the patient in the preoperative period. The dosage must be both safe and strong enough so that its effect is sufficient for the duration of the entire operation with a small margin. At the same time, it should not cause any harm to the person being operated on. And after its effect ends, consciousness should safely return to the patient. And the anesthesiologist himself must always be aware of the emergence of new means and drugs that ensure the introduction and removal of a person from anesthesia.

To relieve anxiety before performing elective surgery the patient is prescribed special sedatives, taken immediately before the operation itself, after which he is taken on a gurney to the operating room. After placing the patient on operating table, they inject him intravenous catheter, through which drugs for induction of anesthesia are supplied. After the person gradually loses consciousness, the anesthesiologist performs intubation: inserts a tube into the patient’s trachea to maintain breathing or, for the same purpose, puts on the patient a laryngeal mask. Throughout the operation, the anesthesiologist monitors the functioning of the heart, brain and breathing of the person being operated on, in order to reduce all possible complications. After the operation is completed, the anesthesiologist removes the breathing tube and stops the supply of anesthetic drugs, as a result of which consciousness gradually returns to the patient.

No less responsible is the conduct spinal anesthesia, which can only be performed by highly qualified doctors with extensive experience.

As for local anesthesia, although it is much safer than general anesthesia, mental condition the patient still needs to be monitored, so special sedatives are also very actively used here.

A separate type of this profession is the profession of a pediatric anesthesiologist, which takes into account the characteristics child's body, as well as the child’s psyche. It is important here not only to control possible complications, but also to avoid mental trauma, since children are many times more sensitive and impressionable than adults.

The profession of an anesthesiologist-resuscitator is difficult in that it requires increased resistance to stress. In addition, the anesthesiologist has to breathe fumes from all the anesthetic drugs used, and also often work at night. In this regard, in order to work as an anesthesiologist, you must really love your profession, otherwise it will be very difficult to endure the above difficulties.

Before anesthesia was invented, most long time the operation could take only five minutes. That's why famous surgeon Pirogov could amputate a leg in just three minutes, and surgeon Larrey could perform two hundred similar operations in one night. Anesthesia has brought very great changes to surgery. In 1846, dentist T. Morton used anesthesia for the first time.

Training to become an anesthesiologist-resuscitator

IN Medical University innovation and development (MUIR) you can take advanced training courses remotely (certification cycle) or professional retraining in the field in a distance format. Doctors with specialized specialization can undergo training. Upon completion of the course, MUIR issues documents: a certificate or diploma, and a certificate.

Organizes on-the-job and on-the-job training according to licensed educational programs:

Advanced training in the course "Anesthesiology-Reanimatology" (144 academic hours).
Professional retraining (542 academic hours) for specialists with higher education medical education in the areas of "Neonatology" or "Nephrology".

Diploma state standard allows you to conduct professional activity in a new specialty.

Workplace

The workplace of such a specialist may be a hospital or clinic that has surgery department and an intensive post-operative care unit. An anesthesiologist can become the head of these departments. He can also make a career in the academic field, that is, develop in the scientific field.

Salary

Salary as of 02/21/2019

Russia 25000—70000 ₽

Moscow 74000—140000 ₽

Important qualities

This profession requires maximum responsibility, as well as such qualities as kindness and empathy, the ability to think in stressful situations, self-control, increased attentiveness, desire to continuously learn new things and develop in one’s field, the ability to work in a team and readiness for routine work.

Knowledge and skills

An anesthesiologist-resuscitator must have fundamental knowledge from the field of medicine and be well acquainted with the anatomy and physiology of both the whole organism and its cells and organs. This is necessary for immediate diagnosis of any abnormality in the functioning of organs and timely treatment.

Nikita Pozdeev, anesthesiologist-resuscitator

The ancient Romans used to say: “divinum opus sedare dolorem,” which means “the divine work is to soothe pain.” Residents greatest state Antiquity knew a lot about medicine, and even then they highly valued those who today are called anesthesiologists-resuscitators. It is these doctors who have a noble mission - not only to save lives, but also to save people from suffering.

The report contains content not for the faint of heart.

Let's honestly admit: we know very little about anesthesiologists and resuscitators. Many people see even the name of the specialty in this version for the first time. More often we are sure that there is a certain anesthesiologist who is needed in order to “administer anesthesia.”

Meanwhile, despite the widespread misconception, the functions of anesthesiologists and resuscitators are much broader. Imagine: there are many medical specialties: hepatologists, endocrinologists, neurologists, infectious disease specialists, therapists and so on. Each person treats certain diseases of the patient in his own way, within the framework of his specialization, knowledge and authority. If treatment follows a standard regimen, the patient recovers. It would seem, what do anesthesiologists and resuscitators have to do with it?

No matter what people think about doctors, they don’t get used to it. Especially if it seems to you that you could have saved the person, but for some reason you didn’t have time, it didn’t work out...

Yes, despite the fact that often, despite competent work specialist, the disease becomes uncontrollable, and the patient, regardless of the diagnosis, may fall into a critical condition. And no matter what he is sick with, the only one who will save him is the resuscitator. And only when he stabilizes the patient, brings him out of a critical state and restores the mechanisms of autoregulation, will the attending physician take on the patient again.

So it turns out that, despite the usual opinion of the average person, general anesthesia- only a small part of the work of an anesthesiologist-resuscitator. Of course, in surgery you cannot do without anesthesiologists, because any operation involves exposure to aggressive surgical methods, in which the patient is in critical condition and simply will not survive without the protection of anesthesia.

That is why, contrary to the prevailing stereotype, permission for any surgical intervention is given not by the surgeon, but by the anesthesiologist. It is he who decides whether it is possible to perform surgical manipulations on the patient in current state, it is with his actions that any operation begins and with his actions ends. And he also guides the patient until his condition is completely stabilized in the postoperative period.

Our hero, Nikita Pozdeev, an anesthesiologist-resuscitator at the Russian State Enterprise at the Kazakh Scientific Research Institute of Oncology and Radiology, like any of his other colleagues, had to go a long way towards his goal. It is no secret that doctors study all their lives, otherwise they will not be able to be a true professional.

“My training began with my admission to the National Educational Institution “Kazakhstan-Russian Medical University” back in 2004,” Nikita shares. — The first stage ended only in 2010.

"Cuvez" - a heated bed with an X-ray control option for intensive care children (height no more than 60 cm)

The next level of education was residency in anesthesiology and resuscitation, including pediatrics. Her Nikita took place at JSC “NNTSH named after A.N. Syzganov" from 2011 to 2014. At this time, he was already working full-time in his specialty.

Surgery to remove the “giant intestine” - “megacolon”

Of course, Nikita works far beyond operating rooms.

— Any anesthesiologist-resuscitator in mandatory not only provides anesthesia, but also participates in treatment and intensive care. In this way doctors gain required experience and qualifications.

Nikita, as an anesthesiologist-resuscitator, not only has complete knowledge and understanding of the character of any surgical intervention, but also must have an equal understanding of all systems of the body - blood circulation, breathing, the functioning of the musculoskeletal system, etc. In addition, anesthesiologists must have a good understanding of pharmacology.

Today's work schedule of a young doctor will make many shudder. His day starts at 8:00. Then Nikita works until 16:00 - eight hours without lunch. In addition, he has an average of 4 to 7 daily shifts per month, after which he also has to work all day. That is, at least once a week our hero works for more than a day without a break.

Like any normal professional, Nikita plans his schedule depending on the operations, but the peculiarity of his profession is that plans are often not allowed to come true.

— It’s difficult to talk about any plans in case emergency operations and processing,” he notes. “The plan here is simple: do everything to ensure the patient survives.”

All necessary records are kept directly during the operation: every five minutes, information about the patient’s condition is entered into a special card, based on which treatment will then be carried out.

Nikita has up to four operations a day. In general, at the Kazakh Scientific Research Institute of Oncology and Radiology there are up to twenty such operations every day. Resuscitators spend their daily duty in the wards where patients come to their senses.

Daily duty can fall on any day of the week or year, be it New Year, Constitution Day or Ait. Unfortunately, illnesses and accidents, after which only an anesthesiologist-resuscitator can save the patient’s life, have no respect for weekends or red calendar dates - misfortune can strike on any day and at any time of the day. And the anesthesiologist must be where he is most needed - at his workplace.

Despite all the necessity of the profession and the enormous responsibility of doctors, Nikita, like his fellow anesthesiologists, unfortunately, cannot boast of high earnings. The rate of an anesthesiologist-resuscitator is 44,700 tenge, to which is added an additional payment for the category, duty, harmfulness, psycho-emotional load and special conditions labor. You won't get rich in this position.

However, our hero treats the situation with the dignity and calm of the Roman Stoics. Future prospects are described as follows:

— I plan to enroll in doctoral studies and become a department chair. Then life will tell, I’m counting on administrative work - head physician or director. And since we have very few anesthesiologists, and they are in demand almost everywhere, I, of course, will not be a millionaire, but I will always earn a piece of bread.

The principle of work of anesthesiologists is teamwork.

— We are all, one might say, hitting the same point, we are working as a team towards overall result, says Nikita.

Nikita shared his colleagues’ favorite aphorisms.

To be an anesthesiologist, you not only need to know anesthesiology, you also need to have character.

In many ways, anesthesia is not a science, but an art, and, like any art, it is understandable and interesting only to those who know its subtleties.

High rank, relationship and medical education are the three most severe concomitant diseases.

Do not attribute the success of the operation only to yourself - do not be like a surgeon in this!

A good surgeon needs good anesthesiologist, bad - even more so!

The young doctor admits that even at home he has a whole arsenal: from clamps and spinal needles to endotracheal tubes, catheters and other things. The specialty becomes a way of life, and the anesthesiologist thinks about work 24 hours a day, regardless of location.

Anesthesiologists and resuscitators are the guardian angels of the the last frontier. That is why the most difficult and morally difficult thing to bear in their profession is the death of a patient.

“No matter what they think about doctors, they don’t get used to it,” Nikita shares. - Especially if it seems to you that you could have saved a person, but for some reason you didn’t have time, it didn’t work out...

Of course, there are excellent anesthesiologists among the girls. But I would not wish such a fate on my daughter.

Of course, anesthesiologists also have ongoing difficulties that are not directly related to bringing patients back to life. According to Nikita, he often has to argue with “dinosaurs” from the administration who are stuck in the past and do not recognize evidence-based medicine, on some banal technical or organizational issues.

That is why Nikita considers the ability to perceive new knowledge to be one of the main features good doctor.

— In our business, constant self-development, intelligence, good reaction, an analytical mind and the ability to tame pride. And that’s how we were taught, and I always tell everyone: if you don’t know or don’t know how, ask or ask for help!

But, according to the doctor, melancholic temperament and basic stupidity interfere with the work of an anesthesiologist.

- In our business, the lack of brains is simply unacceptable! - Nikita is sure. — Intellectual myopia, inability to adapt and apply new things, lack of spatial thinking and basic knowledge of physics, chemistry and all medical disciplines are in principle incompatible with the profession of an anesthesiologist-resuscitator. I would also add belonging to female, and this is in no way sexist. It’s just that the work is very difficult, often there is no time left for family, relationships, or anything other than what the specialty requires. Of course, there are excellent anesthesiologists among the girls. But I would not wish such a fate on my daughter.

Anesthesiologists and resuscitators have to sacrifice not only their time, weekends and holidays, but also their health and normal mental state for the sake of work. But they are sure that saving human lives is worth it.

Our photojournalist honestly helped the doctors, nurses and orderlies in the department during the day, and was convinced of own experience that even the work of an orderly in intensive care is a very difficult job, for which it is already necessary specialized knowledge, skills and abilities.

Anesthesiologists themselves are really obliged to understand literally everything, quickly, efficiently, and most importantly - without any room for error.

From time immemorial people have sought to reduce painful sensations, arising during an “invasion,” for example, during surgery, into the human body. Currently, this function is assigned to a specialist such as an anesthesiologist.

Who is this?

An anesthesiologist is a qualified specialist who deals with pain relief for all kinds of surgical interventions, pain, shock and post-traumatic conditions.

It is this doctor who is responsible for the well-being of the patient during anesthesia and is responsible for choosing the safest and most comfortable anesthesia.

The anesthesiologist not only puts you under anesthesia, but also ensures that the patient’s body is maintained throughout the entire period of the surgical operation. It is the specified doctor who brings the patient to his senses after the operation and monitors his condition in the postoperative period.

A little history

Surprisingly, the first anesthesiologists appeared in the Middle Ages. True, their methods of pain relief were, to put it mildly, peculiar. So, in those days, the method of hitting the patient on the head with a heavy object was widely used. After the blow, the patient naturally lost consciousness. Loss of consciousness was anesthesia. In this state, the patient did not feel what was happening to him for some time: this period was used for the operation.

Over the next centuries, scientists around the world conducted active work in search and development of reliable methods of pain relief. And so, in 1864, the famous dentist Thomas Morton was the first to use inhaled ether as a method of pain relief. By the way, at that time the duration of this “anesthesia” was a record and was just over an hour.

IN modern medicine anesthesiology has reached such a level high level that an anesthesiologist can easily calculate the duration of action and localization of anesthesia for each individual patient.

Strict requirements

Becoming an anesthesiologist is quite difficult. Indeed, in addition to the mandatory presence of specialized medical education, the specified specialist must perfectly know both human anatomy and the physiology of the body.

The anesthesiologist-resuscitator must also have deep knowledge of the structure of cells and organs (in order to instantly diagnose the occurrence of any abnormality in the patient).

Personal characteristics also play an important role. Such a specialist must be able to work in stressful situations, accept right decisions in non-standard situations. In addition, Russian anesthesiologists are distinguished by such important quality like empathy and compassion for the patient.

Naturally, the work of an anesthesiologist also involves constant increase qualifications and obtaining new knowledge related to the introduction of new technologies and the production of modern medicines.

Roles and Responsibilities

An anesthesiologist is a doctor who is responsible for ensuring the safety of the patient during surgery. In this regard, the specified specialist, even before administering anesthesia, must carefully familiarize himself with the patient’s medical history, as well as conduct a personal conversation and examination with him (if necessary). The doctor must find out whether the patient has any chronic diseases (for example, heart or lung disease) or allergies to certain drugs.

Only after a comprehensive study of the patient’s personality and his disease does the main work of the anesthesiologist begin.

Besides, experienced specialist will definitely offer the patient to undergo sensitivity tests, which will help minimize the occurrence of any complications during the operation and after the end of anesthesia.

Who chooses anesthesia?

Everyone knows that in practice several types are used: general and spinal (also called epidural). In addition, anesthesia differs in the method of its introduction into the human body, in the number of drugs used, as well as in its use at various stages of the operation. It is the anesthesiologist-resuscitator who chooses the most suitable type of anesthesia for a particular patient.

By the way, most often when performing an operation, it involves a complete loss of consciousness. The anesthesiologist administers the injection intravenously and within 10 seconds the patient loses consciousness. The injection dose is also calculated by the specified doctor, based on the complexity of the injury and the duration of the operation.

Typically used in dentistry. Using this method A specific area of the patient's body is frozen. In this case, the patient is conscious.

Known to many representatives of the fair sex, as it is widely used during childbirth, spinal and gynecological operations. The anesthesiologist injects an injection into a specific area of the spine and after a few minutes the patient stops feeling pain.

When using any type of anesthesia, the anesthesiologist-resuscitator monitors and controls the patient’s physical condition throughout the entire operation.

"Eminence grise"

Despite the fact that the operation itself is performed by a surgeon, the anesthesiologist performs seemingly invisible, but very significant work. An anesthesiologist is the person who is literate and right actions which the patient’s life and health depend on.

So, if during the operation the patient’s condition sharply worsens, it is the anesthesiologist who takes measures to stabilize the patient’s condition. The specified specialist can apply additional pain relief, stop bleeding, etc.

In addition, it is the anesthesiologist who gradually removes the patient from anesthesia and continues to monitor his physical condition after the end of the operation.

Anesthesiologist or resuscitator?

As already mentioned, an anesthesiologist is a doctor who specializes in pain management for a patient during surgery. Who is a resuscitator?

If you delve deeper into history, you will find out that the term “anesthesiologist” Greek language Literally translated as “without feelings.” A resuscitator (translated from the same Greek language) is “the return of life.” Indeed, this specialist not only puts the patient under anesthesia, but also brings the patient back to his senses.

Thus, it would be more correct to say that a specialist who deals with pain relief during all kinds of surgical interventions and restoration of consciousness after surgery is not just an anesthesiologist, but an anesthesiologist-resuscitator.

The successful outcome of the operation mainly depends on the well-coordinated and qualified work of doctors. However, the patient himself must follow certain recommendations.

Thus, experienced anesthesiologists advise adhering to the following rules before performing any operation:

At least a week before the date of the proposed operation, avoid drinking alcohol and try to quit smoking;

Eliminate animal fats from the diet and consume poultry, fish and dairy products as much as possible;

If the patient suffers coronary disease hearts or diabetes mellitus, do not stop taking medications prescribed by your doctor;

Do not hide information from the doctor about the presence of any allergic reactions and other characteristics of the body.

Compliance with these rules will help reduce the risk of emergency situations both during the administration of anesthesia and surgery, and in the postoperative period.

Summarizing

Much needed in any medical institution anesthesiologist. Feedback from patients about the work of these specialists shows that the trust in doctors of this specialization is enormous. And this is no coincidence, because sometimes the life and health of the patient depends on the quality work of the anesthesiologist-resuscitator.

Administration of anesthesia, monitoring the patient’s condition, gradual revival, implementation postoperative rehabilitation- All these duties are performed by the anesthesiologist. An operation is considered successful only when the entire team of specialists (surgeons, anesthesiologists, resuscitators, etc.) medical personnel) works harmoniously, clearly and competently.

You can download the job description of an anesthesiologist-resuscitator for free.
Job responsibilities of an anesthesiologist-resuscitator.

I approve

________________________________ (Last name, initials)

(name of institution, its ___________________________

organizational and legal form) (director; other person

authorized to approve

job description)

JOB DESCRIPTION

DOCTOR-ANESTHESIOLOGIST-RESENIMATOLOGIST

______________________________________________

(name of institution)

00.00.201_g. №00

I. General provisions

1.1. Real job description determines the job responsibilities, rights and responsibilities of an anesthesiologist-resuscitator _____________________ (hereinafter referred to as the “enterprise”).

1.2. A person with a higher medical education and training in the specialty “Anesthesiology and Reanimatology” is appointed to the position of anesthesiologist-resuscitator.

1.3. Appointment to the position of anesthesiologist-resuscitator and dismissal from it is made in the manner established by the current labor legislation by order of the head of the healthcare institution.

1.4. An anesthesiologist-resuscitator reports directly to ____________________ (head of department, deputy chief physician)

1.5. An anesthesiologist-resuscitator must know:

Laws Russian Federation and others regulations regulating the activities of healthcare institutions;

Current normative and methodological documents regulating the activities of medical institutions;

Methods and rules for providing medicinal and emergency medical care;

Contents of anesthesiology and resuscitation as a separate clinical discipline;

Organization, structure, tasks, staffing and equipment of the anesthesiology and resuscitation service;

The procedure for conducting an examination of temporary disability, as well as medical and social examination;

All legal information regulations according to your specialty;

Methods for prevention, diagnosis, treatment and rehabilitation of the patient;

Planning the activities and all reporting of the anesthesiology and resuscitation service;

Methodology and procedure for monitoring your service;

Rules and regulations of labor protection, industrial sanitation, safety and fire protection;

Basics labor legislation Russian Federation

Internal labor regulations;

1.6. During the absence of an anesthesiologist-resuscitator (business trip, vacation, illness, etc.), his duties are in the prescribed manner performed by the designated person bearing full responsibility for their proper execution.

I I. Job responsibilities

Anesthesiologist-resuscitator:

2.1. Provides pain relief and anesthesia and resuscitation care to patients in need.

2.2. Transfers to the duty anesthesiologist-resuscitator lists of patients who require careful monitoring and therapeutic measures.

2.3. Prescribes the type of pain relief taking into account the patient's condition.

2.4. Applies modern means diagnostics and proven methods for treating diseases.

2.5. At various complications coordinates the choice of treatment method with the head of the relevant department.

2.6. According to the approved schedule, he is on duty at medical facilities as an anesthesiologist-resuscitator

2.7. Changes treatment plan as needed

2.8. Consults doctors of health care facilities in his specialty

2.9. Supervises lower-level medical personnel

2.10. Monitors the correctness of diagnostic and medical procedures, as well as the operation of equipment and apparatus, instruments, medicines, reagents

2.11. Monitors compliance with safety and labor protection rules by lower-ranking medical personnel.

2.13. Timely and competently executes orders, instructions and instructions from the management of the institution

2.14. Complies with internal regulations.

2.15. Complies with labor protection, industrial sanitation and safety regulations.

I I I . Rights

An anesthesiologist-resuscitator has the right:

3.1. Make proposals to the management of the enterprise on optimization and improvement issues medical and social assistance, including on issues of their work activities.

3.2. Demand that the management of the institution provide assistance in fulfilling its job responsibilities and right.

3.3. Receive information from company specialists necessary to effectively fulfill your job responsibilities.

3.4. Pass certification in the prescribed manner with the right to receive the appropriate qualification category.

3.5. Take part in meetings, scientific and practical conferences and sections on issues related to their professional activities.

3.6. enjoy labor rights in accordance with Labor Code Russian Federation

I I I . Responsibility

The anesthesiologist-resuscitator is responsible for:

4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description

4.2. For organizing your work and qualified execution of orders, instructions and instructions from the management of the enterprise.

4.3. For ensuring that employees subordinate to him comply with their duties.

4.4. For failure to comply with internal rules and safety regulations.

For offenses or inaction committed during the treatment process; for errors in the process of carrying out their activities that entailed serious consequences for the health and life of the patient; as well as for violation labor discipline, legislative and regulatory acts, an anesthesiologist-resuscitator may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

(An (Greek)- without; aisthesis- feeling. R e (lat.)- return; anima- life.) - a doctor responsible for ensuring that the surgical operation is painless and safe for the patient. The profession is suitable for those who are interested in chemistry and biology (see choosing a profession based on interest in school subjects).

Features of the profession

Even in the preoperative period, the anesthesiologist selects the composition and dosage of painkillers based on the patient’s health condition, taking into account all examinations, tests and chronic diseases of the latter. All this is done to avoid any complications from anesthesia, or to mitigate them. Then, working in parallel with the surgeon and his assistants, he administers anesthesia and monitors the patient throughout the entire operation, upon completion of which he resuscitates him and removes him from the effects of anesthesia.

Anesthesia can be general, this is anesthesia, and local, this is local anesthesia, including spinal anesthesia, which is injected into the spinal cord.

Local anesthesia can be performed not only by an anesthesiologist, but also by another doctor, for example, a dentist, an ophthalmologist and other doctors who use local anesthesia. General anesthesia, as well as this type of local anesthesia such as spinal, is performed exclusively by an anesthesiologist-resuscitator.

General anesthesia is not just about making the patient unconscious. In addition, during anesthesia, the patient undergoing surgery must experience complete suppression of all types of sensitivity. For this, the anesthesiologist selects a whole range of chemical and pharmacological agents, taking into account their dosage depending on the patient’s examinations in the preoperative period. The dosage must be both safe and strong enough so that its effect is sufficient for the duration of the entire operation with a small margin. At the same time, it should not cause any harm to the person being operated on. And after its effect ends, consciousness should safely return to the patient. And the anesthesiologist himself must always be aware of the emergence of new means and drugs that ensure the introduction and removal of a person from anesthesia.

To relieve a patient’s state of anxiety before undergoing a planned operation, he is prescribed special sedatives, taken immediately before the operation itself, after which he is taken on a gurney to the operating room. After placing the patient on the operating table, an intravenous catheter is inserted into him, through which drugs for induction of anesthesia are supplied. After the person gradually loses consciousness, the anesthesiologist performs intubation: inserts a tube into the patient’s trachea to maintain breathing or, for the same purpose, puts on the patient a laryngeal mask. Throughout the operation, the anesthesiologist monitors the functioning of the heart, brain and breathing of the person being operated on, in order to reduce all possible complications. After the operation is completed, the anesthesiologist removes the breathing tube and stops the supply of anesthetic drugs, as a result of which consciousness gradually returns to the patient.

No less responsible is spinal anesthesia, which can only be performed by highly qualified doctors with extensive experience.

As for local anesthesia, despite the fact that it is much safer than general anesthesia, the patient’s mental state still needs to be monitored, so special sedatives are also very actively used here.

A separate type of this profession is the profession of a pediatric anesthesiologist, who takes into account the characteristics of the child’s body, as well as the child’s psyche. Here it is important not only to control possible complications, but also to avoid mental trauma, since children are many times more sensitive and impressionable than adults.

Before anesthesia was invented, the longest operation time could be only five minutes. Therefore, the famous surgeon Pirogov could amputate a leg in just three minutes, and the surgeon Larrey could perform two hundred similar operations in one night. Anesthesia has brought very great changes to surgery. In 1846, dentist T. Morton used anesthesia for the first time.

Training to become an anesthesiologist-resuscitator

At the Medical University of Innovation and Development (MUIR), you can take advanced training courses (certification cycle) or professional retraining in a remote format. Doctors with specialized specialization can undergo training. Upon completion of the course, MUIR issues documents: a certificate or diploma, and a certificate.

Organizes on-the-job and on-the-job training according to licensed educational programs:

Advanced training in the course "Anesthesiology-Reanimatology" (144 academic hours).
Professional retraining (542 academic hours) for specialists with higher medical education in the areas of “Neonatology” or “Nephrology”.

A state diploma allows you to conduct professional activities in a new specialty.

Workplace

The workplace of such a specialist may be a hospital or clinic with a surgical department and an intensive postoperative care unit. An anesthesiologist can become the head of these departments. He can also make a career in the academic field, that is, develop in the scientific field.

Salary

Salary as of 02/21/2019

Russia 25000—70000 ₽

Moscow 74000—140000 ₽

Important qualities

This profession requires maximum responsibility, as well as such qualities as kindness and empathy, the ability to think in stressful situations, self-control, increased attentiveness, the desire to continuously learn new things and develop in one’s field, the ability to work in a team and readiness for routine work.