|
This
page contains answers to some of the most common questions we receive
from patients. You are always encouraged to ask any other questions
you may have at the time of your pre-anesthesia interview or telephone
call or on the day of surgery. You may also reach us for medical
questions through the Anesthesia Department at Reading Hospital
(484-628-8269) or by calling the Surgery Center where your procedure
is scheduled. |
What
are the risks of anesthesia?
Can
I choose my anesthesiologist or nurse anesthetist?
Will someone be with me the whole
time I am under anesthesia?
What if I wake up during anesthesia?
Will I be sick after my anesthesia?
What can I eat or drink before my
operation?
What medicines should I take before
anesthesia?
What should I do if I might be pregnant?
Is it alright to eat and drink before
my pre-anesthesia interview?
What
is a nurse anesthetist?
|
What
are the risks of anesthesia?
Although modern
anesthesia is extremely safe, there remains a very small risk of complications.
While various studies have found somewhat differing statistics, a
widely quoted number is less than 1 in 100,000 risk of serious complications
in otherwise healthy patients. Certain health conditions, such as
heart or lung disease, can increase this risk. Because each patient
and operation is different, and the entire list of possible complications
is long, it is best to discuss your situation with your anesthesiologist.
Top |
Can
I choose my anesthesiologist or nurse anesthetist?
While we
will try to honor requests for a certain person to administer your
anesthesia, this can be difficult because of prior commitments and
our complicated scheduling needs. If you have a specific request,
it is usually best to contact that person directly to see if they
are available on the day of your operation.
We
are confident that you will receive excellent anesthesia care from
any of our anesthesiologists or nurse anesthetists. If we are unable
to accommodate your request, we hope you will understand. Top
|
Will
someone be with me the whole time I am under anesthesia?
You will never
be left alone in the operating room. One of our anesthesiologists
or nurse anesthetists will be with you the entire time until you can
safely be transferred to the post-anesthesia care unit (PACU or recovery
room). Top |
What
if I wake up during anesthesia?
The likelihood
of "awareness under anesthesia" is very low. Anesthetic
medications are given continuously during the operation based on your
responses to our monitors and observations. We will almost always
know when you need more anesthesia long before you could become aware.
If you have particular concerns about awareness, or feel you have
experienced awareness during a prior operation, please discuss this
with your anesthesiologist. Top |
Will
I be sick after my anesthesia?
The chance of nausea or vomiting after
anesthesia has been greatly reduced because of improved anesthetic
medications and the availability of several very effective anti-nausea
medications which have fewer side effects. For certain operations
where nausea is more likely, such as eye muscle surgery, ENT surgery
and intra-abdominal surgery, we may administer anti-nausea medication
through the IV before you awaken from anesthesia. If
you notice nausea after your operation, please inform the nurse
as early as possible. We can usually control this nausea with IV
medication.
Certain patients
are very sensitive to anesthetic or pain medications and will continue
to have nausea despite our best efforts. Fortunately, this has become
an unusual occurrence.
If you have
special concerns about nausea, please discuss this with your anesthesiologist.
Top
|
What
can I eat or drink before my operation?
One
of the most important steps you can take to reduce your risk of complications
during anesthesia is to follow your instructions regarding eating
and drinking. These instructions are designed to minimize the chance
of stomach acid or food particles getting into your lungs where they
can cause a chemical pneumonia. Chemical pneumonia can be serious
or even fatal. In
general, current research suggests that clear liquids leave the
stomach more rapidly than milk products or solid food. For healthy
patients, we usually ask that no solid food or milk products be
used after midnight the night before your operation. It is normally
safe for children and adults to have clear liquids until 2 hours
before the operation.
Clear liquids
are those without milk and without pulp. Examples are apple or cranberry
juice, water, black coffee, clear tea and iced tea.
Patients who
may have delayed stomach emptying, such as patients with diabetes
or GERD (acid reflux), may be instructed not to eat or drink after
midnight before the operation.
You will receive
specific instructions at the time of your pre-anesthesia interview
or telephone call. Please discuss any special concerns at that time. Top
|
What
medicines should I take before anesthesia?
In general, it is good to continue inhalers
and most eye drops, and to continue most blood pressure, heart and
breathing pills as well as cholesterol lowering pills. Usually, diabetic
patients should not take either blood sugar lowering
pills or insulin on the day of surgery.
However, since
each patient's medications are different and surgical times vary
throughout the day, it is important to discuss this during your
pre-anesthesia interview or telephone call. You will be provided
with complete instructions at that time.
If you have
any questions, please call the Anesthesia Department at Reading
Hospital (484-628-8269) or your Surgery Center for clarification.
Top
|
What
should I do if I might be pregnant?
Surgery
on any patient who is or might be pregnant requires careful consideration
by your surgeon, anesthesiologist, and obstetrician. The safest option
for a pregnant patient is to postpone elective surgery until after
delivery. If you are or may be pregnant at the time of your scheduled
procedure, be certain to discuss this with your surgeon and anesthesiologist
as early as possible before your surgery. Top |
Is
it alright to eat and drink before my pre-anesthesia interview?
In
general, any testing that will need to be done at the time of your
pre-anesthesia interview does not require
fasting after midnight.
Your surgeon's
office will inform you of any special testing that
does require fasting. Top |
What
is a nurse anesthetist?
Nurse
anesthetists are registered nurses who have graduated from an accredited
anesthesia school and passed a national certifying exam. Most have
also had at least a year of critical care nursing experience and many
have master's degrees in nursing. As with physician anesthesiologists,
nurse anesthetists must fulfill annual continuing education requirements.
Top
|