You will have a comprehensive preoperative assessment at the hospital prior to surgery. I will review this information prior to surgery & visit you on the day to discuss your case & individual needs. I may contact you prior to surgery for clarification of complex medical history.
Surgeries are usually performed with a general anaesthetic (sleep), but sometimes you may choose a local, spinal or regional anaesthetic (nerve block). Information about these can be found below
You will be asked to fast for 6 hours prior to your anaesthetic, & not drink any clear fluids for 2 hours before. This is important to prevent stomach contents entering the lungs during anaethesia.
This usually means no breakfast for a morning list, & nothing from early breakfast for an afternoon list. You will be told at preassessment what to do.
Most medications, including pain killers can be taken up to 2 hours prior to surgery (with clear fluids). At preassessment, you'll be asked for all your medications, it is important to have a complete list. Some need to be stopped prior to surgery e.g some blood thinners, & you must follow instructions to prevent your surgery being cancelled.
Please reach us at info@bloomsburyanaesthesia.co.uk if you cannot find an answer to your question.
Modern anaesthetics are very safe. The risks of serious consequences to you are very small. During preassessment, a thorough medical history will be taken, & if you are found to have any conditions putting you at higher risks, these will be discussed with us. Occasionally you will need a face to face interview with an anaesthetist prior to surgery, & here risks of the various anaesthetic options will be discussed & a personalised plan agreed upon.
Lots of types of surgery can be performed under spinal or nerve block anaesthetics.Some people choose to stay awake, but many prefer not to know what is going on during surgery. You can opt to have a sedative given continuously, that essentially allows you to sleep all the way through. This is often the best of both worlds. Good pain relief, whilst avoiding the side effects of general anaesthesia, but still sleeping throughout.
If choosing to stay awake, you may wish to bring your phone with some noise cancelling headphones, it's surprising how quickly the time can pass listening to some good music or an audiobook, & before you know it the operation is done & you are back on the ward.
Your preferences will be fully met at all times.
Many people aren't aware that anaesthetists are present during all of their surgery until they wake up. We continuously monitor your vital signs, give medications & assess your pain levels, amongst many other tasks. We will visit you before & after surgery to assess your comfort.
There are lots of options for nausea after anaesthesia. Usually it is caused by the gas anaesthetics, so can be largely avoided by using intravenous anaesthesia throughout. In addition, modern anti-nausea drugs will be given.
Avoiding a general anaesthetic altogether is sometimes an option (see above), & this usually leads to much less nausea after surgery.
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