Role of the anaesthetist
Types of anaesthesia
- General Anaesthesia
This involves the anaesthetist putting you in to a state of carefully controlled unconsciousness. This is done so that you are unaware of the circumstances of the operation and so that you do not feel pain. During the course of general anaesthesia your major bodily functions are carefully and constantly monitored by your anaesthetist
- Topical/local Anaesthesia
A local anaesthetic is injected at the site of surgery to cause numbness. You will be awake, but comfortable and feel no pain
- Regional Anaesthesia
A nerve block numbs the part of the body where the surgeon operates. The regional block will take away pain sensation, you will still be aware of movement.
To make things more pleasant, the anaesthetist might administer drugs to make you relaxed and drowsy
Risks of anaesthesia
Some patients are at increased risk of complications because of their own health problems (ie heart disease, obesity, uncontrolled asthma, smoking) and/or the type of surgery being undertaken. After reviewing your history, I will discuss your personalised risk with you on the day of the surgery.
Some infrequent complications include:
- Bruising/pain at site of injections
- Sore throat/coughing
- Blurred vision
- Disorientation/ hallucinations
- Damage to teeth/dental work. Lip injuries
- Muscle pains
Do you need to make appointment to see me
- You have any concerns you would like to discuss
- If you have ever had a problem with any form of anaesthetic previously
- If you have had a recent cold (within 2 weeks of operation) and still feel unwell
- If you have significant medical problems, including a previous heart attack, coronary stents, severe asthma, poorly controlled diabetes.
Medications and anaesthesia
Some diabetic medications may need to be withheld and insulin dose adjusted.
Medications that make you bleed
These medications include:
- Aspirin (generic names include dispirin and cartia)
- Warfarin (generic names include Marven and Coumarin)
- Clopidogrel (generic names include Plavix and Clopidogrel)
Depending on the operation, you will be advised when and if to stop the medication and whether an alternative is required.
These may have a profound effect on anaesthesia and also increase surgical risk.
Supplements which increase bleeding risk include:
- Gingko Biliba
- Fish Oil
- Dong quai
Supplements which have sedating effect and may prolong anaesthetic include:
- St Johns Wart
- Valarian Root
- No food from MIDNIGHT
- You are able to drink water only until 6am. If you are booked for later in the morning, I will inform you when you should stop drinking water.
- If you need to take your medication in the morning, please have with 50ml of water prior to leaving home for hospital (do not have diabetic medication)
For afternoon lists:
- Breakfast prior to 7am
- Water, black tea or clear apple juice from 7 to 9am and then nothing else.
Please contact us to discuss
However, you should note the following:
- Reflexes will be impaired for at least 24 hours
- You can not drive for 24 hours
- Caution is required with all potentially dangerous activity
- It is advisable not to make any important decisions or sign any legal documents within the first 24 hours post anaesthetic.
Private (insured): I am a no gap provider and as such no extra charges apply.
Private (uninsured): please contact us via email email@example.com or phone 08 6244 3800 to obtain a quote prior to operation. We would prefer payment prior to the procedure.