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Anatomy, Anesthesia
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Fig 22 Examples of simple surgical materials and instruments
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(kaw-ter-ih-ZAY-shun) the process of (-tion) burning (cauter) now generally involves the use of an electric cautery (KAW-ter-ee) If the biopsy involves the excision of a tissue sample from a body cavity, a curette (koo-RET) a scoop-ended scraper or cleanser may remove bleeding material from the cavity interior (Figure 22 displays some examples of the types of surgical instruments mentioned in this chapter)
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SUMMARY TABLE 22
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Consult Summary Table 22 for a quick review of some important words and word parts
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We have already mentioned cocaine as a natural narcotic used to induce a state of anesthesia in Ancient Peruvian Indians Such drug-created narcosis was part of a preoperative technique leading to trephination (trepanation) Natural narcotic substances, such as cocaine and opium, have also been used to create analgesia since ancient times It is very important to distinguish between the two separate medical terms: anesthesia and analgesia (an-al-JEE-zee-uh) [Study suggestion: Right now, try to give the exact English translation of anesthesia If you can t remember it, go back and quickly review past info in this chapter] Anesthesia, you may recall, is a body condition where the person lacks feeling or sensation of any kind including the sense of pain
PART 1
Foundations
Summary Table 22 Words and Word Parts Write in the exact meaning (literal English translation) for up to 10 key terms selected from the preceding block of text After you are done, check your word meanings with the correct answers, which are given at the end of this chapter
Key Terms ligature Pre xes (none) Roots ligat ties, tying ligat Suf xes -ure one which -ion process of -ical pertaining to -ist one who specilizes in -y process of -y Exact Meanings 1
ligation
(none)
anatomical
ana up, apart ana-
tom cutting tom
anatomist
autopsy
auto self (none)
-ops seeing bi living ; ops seeing cauteriz burning
biopsy
cauterization
(none)
-tion process of
In many instances, however, it is desirable to produce only analgesia, which is a condition (-ia) without (an-) pain (alges) For example, many people suffering the constant agony of low back pain try to obtain a good analgesic (an-al-JEE-zik) effect This only pertains to (-ic) creating a lack of pain sense They could achieve this analgesic effect by taking an aspirin, say, or maybe by applying heat or ice packs to the low back area They would certainly not want to create a much more potent anesthetic (an-es-THETik) effect, because such an effect pertains to (ic) the loss of all types of body feelings or sensations (esthet) Wouldn t it be a foolish example of overkill to totally anesthetize (an-ES-thuh-teyez) or cause (a person) to (-ize) become completely numb, when all they were suffering was low back pain
Anatomy, Anesthesia
In summary, we need to remember that: ANALGESIA Loss of pain sense, only (Caused by ANALGESIC agents) Whereas, ANESTHESIA (Caused by ANESTHETIC agents) Loss of all forms of body sensation (including the sense of pain)
The modern story of anesthesia really began with the work of William Morton, a Boston dentist On October 16, 1846, Dr Morton acted as perhaps the rst professional anesthesiologist (an-es-thee-zee-AHL-uh-jist) This is literally one who studies (-ologist) the lack of (an) feeling (thesi) Dr Morton successfully anesthetized a patient who was having a tumor removed from his jaw by a surgeon Morton had the patient inhale ether (EE-thur) through a glass ask placed over his face The patient quickly became unconscious, thereby inducing a state of general or surgical anesthesia In this broadly acting type of anesthesia, the patient undergoing surgery loses consciousness and also experiences total loss of all types of body sensation (including pain) Gentlemen, this is no humbug! exclaimed a physician who was amazed at how effectively the ether anesthetized the patient Another major type of anesthesia is called local anesthesia Here, a small amount of some anesthetic is injected into the patient (usually into a skeletal muscle) The local (nearby) area around the injection site quickly becomes numb You have probably had a local anesthetic injected into the side of your face, for instance, during dental surgery or tooth extraction During major surgery, however, anesthetics are typically administered by an anesthetist (an-ES-theh-tist) one who specializes in (-ist) this eld Because of ether s sometimes unpredictable effects, nowadays other general anesthetics are usually used in place of it Various narcotics are often injected and produce excellent analgesia If given at much higher doses, narcotics not only remove pain but also induce a deep general (surgical) anesthesia
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