Anesthesia methods for acute appendicitis

Written by Ren Zheng Xin
Gastroenterology
Updated on September 10, 2024
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The anesthesia method for acute appendicitis is related to the type of surgical treatment. If laparoscopic appendectomy is chosen, general anesthesia is usually required. If a traditional McBurney point incision is used for appendectomy, spinal anesthesia is primarily chosen. Additionally, after anesthesia, gastrointestinal function will be somewhat restricted. Until there is no gas or bowel movement from the rectum, patients should not eat after surgery. Only when the rectum starts to pass gas, indicating that gastrointestinal function is beginning to recover, can the patient begin to consume soft foods.

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Written by Ren Zheng Xin
Gastroenterology
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Anesthesia methods for acute appendicitis

The anesthesia method for acute appendicitis is related to the type of surgical treatment. If laparoscopic appendectomy is chosen, general anesthesia is usually required. If a traditional McBurney point incision is used for appendectomy, spinal anesthesia is primarily chosen. Additionally, after anesthesia, gastrointestinal function will be somewhat restricted. Until there is no gas or bowel movement from the rectum, patients should not eat after surgery. Only when the rectum starts to pass gas, indicating that gastrointestinal function is beginning to recover, can the patient begin to consume soft foods.

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Written by Ren Zheng Xin
Gastroenterology
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What is acute appendicitis?

Acute appendicitis refers to the acute inflammation occurring in the lumen of the appendix, which is caused by the narrowing or blockage and subsequent infection of the lumen. The primary symptom is abdominal tenderness and rebound pain, accompanied by nausea, vomiting, and fever. During the acute phase, blood tests often show an elevated white blood cell count. The main treatment is surgical removal of the appendix, with laparoscopic appendectomy being the commonly used method. This is also a minimally invasive approach to appendicitis treatment. Postoperative care is important, and it is advised to fast on the day of the surgery. Once gas passes through the rectum, a liquid diet may be resumed.

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Written by Ren Zheng Xin
Gastroenterology
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Precursors of acute appendicitis

Acute appendicitis is acute inflammation of the appendix lumen, and currently, there are no particularly typical precursors, but the causes of acute appendicitis should be noted, which are related to obstruction and infection of the appendix cavity. If the appendix lumen is compressed for a long time, the accumulation of secretions can cause blood supply disorders in the distal appendix wall, directly causing damage to the appendix mucosa, and inducing infection that leads to appendicitis. Additionally, gastrointestinal dysfunctions such as diarrhea and constipation can also cause spasms of the appendix muscles and vessels, leading to blood supply disorders and mucosal damage, thereby causing acute appendicitis.

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Written by Ren Zheng Xin
Gastroenterology
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Acute appendicitis nursing care

The nursing care for acute appendicitis includes preoperative care and postoperative care. Before surgery and on the day of surgery, fasting is required; the patient should not eat anything. At the same time, it is important to soothe the patient's emotions. If the pain is very severe, sedative analgesics can be used. After the surgery, dietary care should be intensified. On the first day after the surgery, a liquid diet should be administered. After bowel gas is passed, a normal diet can be resumed on the third to fourth day. It is important to monitor vital signs and the condition of the surgical incision to prevent infection. The patient can engage in activities out of bed 24 hours after surgery. Elderly patients should be assisted in expectoration to prevent dependent pneumonia.

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Written by Ren Zheng Xin
Gastroenterology
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Causes of Acute Appendicitis

The main causes of acute appendicitis are obstruction of the appendiceal lumen and concurrent infection. The appendiceal lumen is a narrow tube that communicates with the cecum at one end. Obstruction, such as a fecalith, can lead to increased pressure inside the lumen, disturbances in blood flow, damage to the mucosa, and secondary infection. It can also be caused by direct bacterial infection within the appendiceal lumen, leading to acute inflammation. Additionally, repeated diarrhea or constipation and other gastrointestinal dysfunctions can also cause circulation disturbances in the appendix, leading to bacterial invasion and acute inflammation.