Intended for healthcare professionals

Perspectives

Operations: spinal versus general anaesthetics— a patient's view

BMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7276.1606 (Published 23 December 2000) Cite this as: BMJ 2000;321:1606

Perspective of an unusual patient

The views expressed by this patient is extremely personal and in my
opinion not shared by the majority of the patients and SURGEONS round the
world.

Majority of the patients entering the operation theatre are
extremely apprehensive and would not like to know anything that is going
to happento them in the process of the operation. They have fully surrended
to the good judgement of the surgeon and no more wants to be part of the
tensions and drama in the theatre.

FOR THE surgeon performiong an out of ordinary SURGERY, BY WHICH I
mean not the stereotype Surgery, he would prefer that his best judgement is
not coloured by the whimsical views of the not normally
oriented, sedated and apprehensive patient.

I am sure thet the majority of the Surgeons would love to have their
patient under their knife to be asleep and leave them to do their work at
their discretion.

Morerover in this era of escalating medical litigations, a conscious
patient watching his or her oeperation is a potential risk that will cramp
the style and bold actions by the Surgeon.

Therefore it is my firm belief that all surgeries, unless
contraindicated by the medical problems of the patient should be conducted
only under General anaesthesia, even if this adds to the burden of the
Anaesthetist

Signed/DR.CP.NANDAKUMARAN.

Competing interests: No competing interests

02 January 2001
C P Nandakumaran
CARDIOTYHORACIC SURGEON
CONSULTANT THORACIC SURGEON TO SOME MAJOR HOSPITALS AT COCHIN,KERALA,INDIA