The Anaesthetic input starts after you have been seen by the Surgeon and booked for surgery.
The stages involved would be:
You will be seen by the nurse in the pre assessment clinic,who would assess you for the medical fitness to undergo Surgery and Anaesthetics.
If there is any medical condition which needs addressing,you will be dealt with appropriately in terms of routine and specialised investigations along with any medication which needs to be started and or changed.
Admission to Ward
On the day of surgery you would be admitted to the ward early on.
Before booking for the surgery you would be sent a letter along with the fasting protocol.
On the day you would also meet up with your Anaesthetist who would go through the pre-operative assessment with you and also review any investigations done.
The Anaesthetist will explain the type of anaesthetic procedure to be undertaken along with the risks involved.
He will also answer any concerns,questions and apprehensions you may have related to anaesthetics.
Before going off to sleep you would come to the anaesthetic room where the anaesthetic nurse would confirm your details, procedure being carried out and a brief medical history.
You would then be attached to routine monitoring equipment.
Your Anaesthetist will then put an IV cannula to enable him to inject the drugs and start a drip.
Once you are asleep the anaesthetist has to take control of your breathing and would have to insert a tube in the throat,which you will not be aware of.
You would then be transferred to the operating theatre and connected to the anaesthetic machine.
You would be continuously monitored for your vital parameters.
At the end of operation you would be woken up and, once you are awake and breathing on your own without support, the tube in the throat will come out and you will be transferred to recovery.
During this whole procedure the Anaesthetist will be with you all the time looking after you.
In recovery you will be looked after by a trained nurse, who would monitor the vital signs and also make sure that you are pain free, not feeling sick and that you are warm as well as comfortable.
You would stay in recovery for about 20 minutes or so until all the parameters are okay and then you will be transferred back to the ward.
Post -operative care
On the ward you would be cared for by the nurse.
The pain killers, anti -sickness medication and IV fluids, if required would be prescribed for the ward. You will also be prescribed medication to take home.
On the ward you would meet the Surgeon and the Anaesthetist again,for an explanation of the procedure done and the findings.
From the ward, you would be allowed home once you meet the discharge criteria.
If there are any further concerns, questions or information you may need to ask, you could ring up the nurse in the pre-assessment clinic who will try to address these or refer them to the anaesthetist who may be able to help.
The Anaestherist may administer Local Anaesthesia for some procedures. This means that he will numb the specific area to be treated but, although you will be awake, you will not feel anything.
This will be discussed by the Surgeon at the time of your consultation with him as well as the appropriateness for that procedure.
The advantages are that you can be ready to go home sooner.
There is less disruption of activity and, possibly, a reduction in the cost of your hospital stay.
Consultations are under no obligation