#appendicitis #burstappendix #generalanesthesia #pediatricanesthesia #anesthesiainduction #sedation
Appendix inflammation (acute appendicitis) occurs in 8% of men and 7% of women. Many of these can perforate leading to a burst appendix. There are many vital organs in the body without which we cannot function. Brain, heart, kidney, and liver there are many others. However, there are also organs called vestigial organs which are not of much functional use anymore. Examples are the appendix, tonsils, tailbone, wisdom teeth, and body hair.
When appendicitis happens the pain usually starts in the naval area and then slowly moves towards the right lower side of the abdomen. This is accompanied by nausea, vomiting, fever, loss of appetite and this is when usually patients end up going to the hospital. Burst appendix symptoms are more severe. When patients show up in the hospital, they end up getting an ultrasound of the abdomen which is the commonest way to diagnose appendicitis. Some places also do a CT scan or an MRI in the abdomen although this is not usually required. Whether the appendix is burst or intact an appendectomy surgery is performed, and this is done under general anesthesia many years ago when I was a medical student the appendectomy surgery was done in an open fashion and was sometimes done under spinal anesthesia. For the last 15 years or so i have seen appendectomy being done as a keyhole surgery called laparoscopy and the anesthesia of choice is general anesthesia.
Anesthesia medicines like propofol and a muscle relaxant are administered to get the patient off to sleep. As the patient is going to sleep, they may feel some pressure on the anterior neck, and this is called cricoid pressure. This is done to prevent any aspiration and then a breathing tube is placed.
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00:00 Human Body is a complex machine
00:31 Vestigial organs
01:26 Origin of appendix
02:20 Acute appendicitis
03:09 Preventing burst appendix
03:45 Sings and symptoms of appendicitis
04:18 Anesthesia for appendectomy

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