|Does anesthesia have different side effects on males and females? |
In general no. Young women may have more nausea with certain anesthetics
Do complications potentially increase with age?
The very young and very old have higher complication rates.
There was a mention of fentanyl. Is it still used, despite its high addiction and dangerousness? What precautions are now being taken and will there be a change of medication to replace fentanyl?
This is still one of the best opioid analgesics. The addiction risk is no different from other opioid analgesics. Most major surgery is very painful and will require strong painkillers (the opioid analgesics are the most powerful but are typically combined with other pain killing drugs). The major risk when fentanyl is abuse. it is very potent and has a rapid onset (so you can easily stop breathing). These are the properties we need when we do anesthesia.
How do you deal with family separation when you travel to different countries for medical missions? When is the best time for relationships like marriage; before, during or after education/your journey to be a doctor?
You need to have a supportive family! There is no best time for these major life events. It really depends on who your partner will be.
You mentioned that bringing patients out of their “sleep” was the hard part that required a lot of skill. Why? The difficulty is keeping patients asleep yet not too deep to shut down other organs of the body (like the heart). We also do not want to wait hours or days for the patient to wake up. Wake should typically take less than 15 minutes.
If anesthesia helps us not recall memories, would it be possible to focus memories (goal – photographic memory)?
Not that we know of today.
How does the anesthetic process differ when the patient needs to be awake during the operation?
We need to use very short acting drugs that will wear off very quickly and we need to give a very accurate dose (not too much or too little).