Dr.

Setty anesthesiologist
Questions:
1. Is anesthesia safe for babies or children?
Answer from Anesthesiologist:
“Yes it is safe for babies and children, we use it all the time.”
- Reflection and Response: My research shows that millions of infants have been
allowed to endure procedures that might save their lives because of the hard work
of pediatric anesthesiologists. Researchers work hard, and doctors everywhere
exercise special caution when administering any drug to newborns and young
children. This is my reassurance that anesthesia is safe for babies, even newborns.

2. What medicines are typically used in a procedure with a patient undergoing

anesthesia?
Answer from Anesthesiologist:
“Typically when we do anesthesia we use medications like propofol, which puts patients to
sleep, and then we use anesthesia gasses to maintain the sleepy state. And we use many
other medications along with propofol, such as treating pain, we need to treat anxiety, the
anesthesia gasses and propofol will suppress the brain function but the pain is not treated
by that. So we need to use pain medications along with that and antianxiety medications.
And we also sometimes use muscle relaxants to relax the muscles of the body, to facilitate
the surgery. So it's a combination of many medications.”
- Reflection and Response: My research shows that propofol is used to put you to
sleep and keep you asleep during general anesthesia for surgery or other medical
procedures. It is used in adults as well as children 2 months and older.

3. When will you not put someone under general anesthesia, what are some
contradictions?
Answer from Anesthesiologist:
“If they have a significant amount of cardiac issues or respiratory Issues and even maybe
avoid general anesthesia but there are other ways to do it. But if it has to be a general
anesthesia we have to do it but we need to warn the patient that they may even have to go
to the post careoperative room because we want to wake them up slowly as opposed to
when we do it immediately here.”
- Reflection and Response: There are many things that you have to go through
before, during and after the surgery that I was unaware of, thank you for that
information.

4. If a mother has to have a c-section, do they undergo anesthesia?

Answer from Anesthesiologist: “Typically for a c-section we use what’s called regional
anesthesia. Where we numb them up for a certain region of the body. Pregnancy itself
creates so many changes in the body. It changes every single system in the body. There’s
the cardiac system, the gastrointestinal system, so we like patients to be awake instead of
putting them to sleep. So we typically do spinal anesthetics where we put a spinal needle
in the spinal space which will numb them up from, I would say, belly button down. They are
awake during the anesthesia.”
- Reflection and Response: I haven’t heard of regional anesthesia before, but that is a
great way for a c-section to undergo considering that you have to make sure two
humans are safe at the same time.

5. What medicine would you replace if the patient was allergic to a vital medicine?
Answer from Anesthesiologist:
“Well there are many different ways we can do it, we have instead of propofol we have a
few other medications. We can use ketamine, we can use etomidate, and if there are
issues with the anesthesia gasses we can just use propofol as the infusion we do have
alternate medications.”
- Reflection and Response: So in short, a drug allergy is the reaction of the immune
system to a medicine, and if they have a certain allergy there is always a way
around that allergy.

6. Along with that last question, would you be able to still have the surgery with the
allergies and risks? If yes, what would be the precautions you would take while in
surgery?
Answer from Anesthesiologist:
“It depends on what allergies they have and what health issues they have. That's where
the whole training for anesthesia comes in to solve the problem at hand. You have to sit
down and figure it out, what is the safest way to provide anesthesia because the surgery
has to happen. If it is an option to avoid surgery we could do that, but if the surgery has to
happen we have to come up with a plan to do it. “
- Reflection and Response: Training is the most important part when it comes to this,
and when the time comes is when you find an alternative.

7. Is anesthesiology more than just medicines?

Answer from Anesthesiologist: “We could do general anesthesia for certain parts of the
body but if it is in the abdomen we'll have to find another way to put them to sleep. so at
that point we don't make them up immediately we take them to the I see you and wake
them up slowly depending on what condition they have as in bronchitis then we have to
wake them up with a breathing treatment because of a breathing issue because if you take
out then they cannot breathe without it their muscles are not strong enough to breathe so
they have to rely on an oxygen tube so then you wake them up check their breathing
status and check their strength.”
- Reflection and Response: So anesthesia is basically medicines but there’s way more
that goes into being an anesthesiologist than just knowing the medicines.

8. What is the most important task to complete while the patient is in surgery?
Answer from Anesthesiologist:
“There's a word called homeostasis which is maintaining the same state throughout the
body which is what we plan to do throughout surgery. We will be maintaining the oxygen
and the breathing and the organ functions which is our primary focusAnd making sure the
patient is asleep before and during surgery.”
- Reflection and Response: I have researched and found out what homeostasis is
and that is a big part of surgery, especially for the anesthesiologist because you
have to maintain a person’s state while they are asleep.

9. What would your advice be to someone who is looking to learn all about
anesthesiology?
Answer from Anesthesiologist:
“Do it. It’s fun. It's a lot of schooling, you go through four years of college four years of
Med school and four years of a residency training for anesthesia and then if you want to
do any further specialization like doing a cardiac anesthesia or be anesthesia for pediatric
then that is extra time on top of everything.”
- Your Reflection and Response: I plan on becoming an Anesthesiologist Assistant
and maybe even the Anesthesiologist when the time comes.

10. Would you suggest people go into the anesthesiology field? Why or why not?
Answer from Anesthesiologist:
“ So there is a lot of schooling but very satisfying too because I mean if you want to do
anesthesiaThere's a reason why you want to do it. When you want to do something it is
very satisfying.”
- Reflection and Response: I am honestly not looking forward to all of the schooling
but I am looking forward to the outcome of all the hard work put in.