Talk:General anaesthesia

message: Is it just me, or does this article not include a BASIC DEFINITION of what general anaesthesia is?  Something like, "General anaestheisa is the medical practice of rendering a patient unconscious prior to surgery." Or something better than that, preferably by someone who actually knows what they're talking about, as opposed to me.  This article just seems to launch right into the very "medicaly" stuff that makes my brain hurt.
—The preceding unsigned comment was added by 68.108.72.21 (talk • contribs) .
*"...general anaesthesia is a state of total unconsciousness resulting from anesthetic drugs." That's the definition. To better address this, I changed the generic (and overused) 'Cleanup' tag to a 'Confusing' tag. Deltabeignet 01:05, 26 November 2005 (UTC)
replies: text:  That is the definition I just added a few hours ago to the article (before reading the comments here). --WS 04:56, 26 November 2005 (UTC)
thread_title: Is

message: Those mortality rate figures seem kinda high.  the percentages seem way off for how many surgeries are actually performed.  can anyone add to that?
:—Preceding unsigned comment added by 172.147.54.163 (talk • contribs)  07:50, 11 July 2006
:Indeed - operative risk for, say, a ruptured abdominal aortic aneurysm is (I  gather) about 90% (being 100% if one does not try to operate) vs 50% if in process of tearing vs under 5% if a routine operation for a merely distended non-tearing aneurysm. But these figures have nothing to do with the risks of GA itself, and all to do with the underlying condition & stability of the patient. I've removed the quite misleading (and uncited) info. David Ruben  Talk  11:42, 11 July 2006 (UTC)
replies: text: Around the world that I know off there have been 2 deaths (one in Australia in July, 2006 - huge media coverage), another in California, July, 2006 - R. Grace - no media coverage) that have been caused by GA drugs - or rather an alergic reaction to an anti-nausea agent used in the GA drug process. We need to find out what these anti-nausea drugs are, and determine if there is a process for testing a patient against these drugs, and the other GA drugs, in the days or maybe hours leading up to the GA. John Shannon  Talk  8:13, 5th August 2006 (GMT+9)
–Is the mention of anaphylaxis to anti-emetics important enough to be mentioned here? I think not; induction agents, muscle relaxants, and anti-biotics are much more common causes of anaphylaxis during anaesthesia. --Thegasman 11:47, 5 August 2006 (UTC)

text: Is it just me, or does the info in the mortality rate section seem contradictory?  It says 5 deaths per million in one place, then goes on to say that people aren't even sure that we're better than 1 death per 100,000, and that data isn't even collected.  The cite for 5 deaths per million says 5 deaths per million "anesthetic administrations" after talking about how anesthesia has gotten safer because of things like local anesthetics.  The way it's used now, in an article on general anesthesia, seems misleading, especially when we have a citation that says that he couldn't possibly know the current numbers for general anesthesia.  I'm going to remove the relevant sentence and rework the section. Meviin (talk) 07:36, 7 July 2008 (UTC)
thread_title:  Mortality rate? 

message: I think we need a consensus and some consistency here! --Thegasman 11:47, 5 August 2006 (UTC)
replies: text: Agree - as per WP:MOS, articles should stick with whatever version of English they currently have, and to remain consistant within an article. So "anaesthe-" as root for all terms on this page with initial acknowledgement of alternative spellings. David Ruben  Talk  13:28, 7 August 2006 (UTC)
thread_title:  Anaesthesia or Anesthesia? 

message: Perhaps this is related to the 24Apr2006 question posed above...
http://whyfiles.org/251anesth_brain/index.php?g=1.txt
"Anesthesia is essential to surgery, but does it kill brain cells?"
Any suggestion about where this kind of research might best be found?
199.214.24.129 21:16, 19 January 2007 (UTC)
thread_title:  Anesthesia's longterm impact on developing brain cells? 

message: In the US, up until about 1980 anesthesia was a significant risk, with at least one death per 10,000 times administered. After becoming something of a public scandal, a careful effort was made to understand the causes and improve the results.  It is generally believed that anesthesia is now at least ten times safer than it was then.  However, there is some controversy about this.  In the US, the data is not made public (in fact, the data is not even collected), so the truth is uncertain.  The rate for dental anesthesia is reported to be one out of 350,000.
See also: 
*http://www.apsf.org/resource_center/newsletter/1995/fall/gravenstein.html
-69.87.200.24 21:14, 28 August 2007 (UTC)
thread_title:  Anesthesia safety statistics 

message: Hello. 
I'd like to know if general anaesthesia also causes the person to sleep. For example, suppose a person is suffering from insomnia, if they get knocked out by a mixture of these drugs, would they feel better once they regain consciousness (or at the very least would that be better than not sleeping at all)? Can you experience REM sleep during general anaesthesia? 193.217.54.222 (talk) 09:11, 13 December 2007 (UTC)
thread_title: Anaesthesia and sleep

message: The "Stages of anaesthesia" section lists a 4-stage progression, with an intro that notes that this progression "is largely replaced by the 3 stage classification.", but I see no other mention or link indicating what that means. DMacks (talk) 21:23, 28 January 2008 (UTC)
thread_title:  Stages? 

message: was wondering if you could add some infromation about the drugs general side effects I know many differnt ones are used but just the general side effects and porblem that this could cause if you have an ADVERSE reaction to any of the durgs administered  —Preceding unsigned comment added by 122.104.128.133 (talk) 08:42, 27 May 2008 (UTC)
thread_title:  Side effects and risks 

message: As a consultant anaesthetist I reckon I know a thing or two about this topic.
I last contributed to this article about 2 years ago, when it seemed a reasonable overview of the topic of general anaesthesia, at least in line with modern medical texts.
I came back to see what changes have occured since then, and am frankly shocked. This article is no longer worthy of an encyclopedia, and I would now rate it as a stub - definately not a B. It appears that most of the useful information has been deleted, leaving an article with a beginning and an ending, but no middle. A few points 1. What is the relevence of Viagra? It is not an issue of importance enough to merit a mention. This is not Vogue magazine! 2. Stages of anaesthesia are only of historical interest. It could be a topic of it's own for those interested, but does not belong here. 3. What happened to the processes of induction, maintenance, and recovery from anaesthesia? This is the core of the topic and isn't even mentioned!
To be perfectly honest the best way forward seems to be deletion and start again. Any takers?  —Preceding unsigned comment added by Thegasman (talk • contribs) 20:04, 12 August 2008 (UTC)
replies: text: Well, it's certainly not a stub, because it has lots of content. It might be poorly written, poorly organized, and/or poorly/mis-focused though:( The full edit history is available (click the "history" at the top of the page) so you can see who added what cruft and removed what worthy material. To start us off, can you point to a specific revision back before the page went down-hill? DMacks (talk) 20:17, 12 August 2008 (UTC)

text: agree with most points, but the stages of anaesthesia remain highly relevant for gas induction of anaesthesia (in Australia, the norm for elective, low risk anaesthesia in children). Whyso (talk) 03:06, 5 April 2009 (UTC)
thread_title: Not B Class

message: I have reassessed this article as Start class, mainly because it has few if any reliable sources. I intend to begin working on it soon. It is greatly in need of attention from expert editors and any other interested editors. DiverDave (talk) 13:14, 8 September 2010 (UTC)
thread_title:  article reassessment, begin major overhaul 

message: This article does not give a definition of the term "general anesthesia", which is a problem. In my experience there are multiple conflicting definitions of "general anesthesia" in use in different countries, specialties, and regions. For instance, I have met doctors who believe it is not general anesthesia if the patient is not intubated and not given paralytics. There is a gray area between "procedural sedation" and "general anesthesia". If the patient is somewhat conscious and able to respond to commands, it is clearly procedural sedation. If the patient is mechanically ventilated and given paralytics, it is clearly general anesthesia. Everything in between is a gray area, and some doctors invent euphemisms such as "heavy sedation" to minimize the perceived severity of the surgery (or "procedure") which is planned. Fluoborate (talk) 10:27, 21 December 2016 (UTC)
thread_title:  No definition is given, and no discussion of the conflicting definitions 

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thread_title:  External links modified 

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thread_title:  External links modified 

message: The introduction part refers to: "It is carried out to allow medical procedures ..."
But if surgery is the overwhelming majority of the reasons to apply anaesthesia I'd suggest to state that. Including some other procedures to think about for which anaesthesia is applied.  — Preceding unsigned comment added by Miss Zeyneb (talk • contribs) 20:52, 19 October 2019 (UTC)
thread_title:  Is surgery the major factor for general anaesthesia? 

message: I have added seven sources to the short section "Preanaesthetic evaluation."  Is this sufficient to remove the maintenance tag?
Alexxias (talk) 16:22, 18 November 2019 (UTC)
thread_title:  References-- Removing Maintenance Tag 

message: I revised this section to better reflect procedures followed in the postoperative care unit, including drugs used, vital signs monitored, etc.  I also discussed some of the major side effects that would be managed immediately after general anaesthesia. Many of the same things that were previously mentioned are rephrased, but better organized and cited.  Are there any objections to my changing the section? Alexxias (talk) 15:48, 20 November 2019 (UTC)
thread_title:  "Postoperative Care" Section 

message: Topics seem to be relatively similar in both pages; I'm proposing a merge of the two pages into one. Seems like a logical thing to do. Discussion? BluePankow ✉ 16:25, 17 July 2020 (UTC)
thread_title:  Proposal: Merge with page [[General anaesthetic]]? 

message: — Assignment last updated by Sudokologist (talk) 17:25, 27 October 2022 (UTC)
thread_title: Wiki Education assignment: WikiProject Medicine Fall 2022 UCF COM

message: What is general anaesthesia explain clearly 117.221.222.199 (talk) 04:30, 28 January 2023 (UTC)
thread_title:  General anaesthesia 

message: — Assignment last updated by Jessicacariello (talk) 14:56, 14 February 2023 (UTC)
thread_title: Wiki Education assignment: STS 1010