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    Frequently Asked Questions

    Answers to FAQs provided by Georgia Anesthesiologists, LLC, providing anesthesiology services to patients of WellStar Kennestone Hospital and WellStar Paulding Hospital.

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    Frequently Asked Questions

    1.  What is the normal recovery time for a general anesthetic?

    Answer: Most people are awake in the recovery room immediately after an operation but remain groggy for a few hours afterward.  Your body will take up to a week to completely eliminate the medicines from your system but most people will not notice much effect after about 24 hours.  For this reason, we ask you to refrain from making important decisions or from driving a car for 24 hours after your surgery.  In those with significant medical problems, complex or long surgeries or advanced age, the time for wake up may be longer.

    2. Is there an age where it is no longer safe to have anesthesia?

    Answer: No.  Anesthesia can be performed safely in any age group.  We are more concerned with chronic medical conditions and overall health than with actual age.  Some people are quite healthy and active into their 90's while some are significantly limited by medical conditions at a much earlier age.  Please make sure your anesthesia provider is aware of your chronic medical problems prior to your operation.

    3.  Will I wake up during my operation?

    Answer:  No.  Although this is a real problem and it has received a great deal of attention in the popular press, fortunately for us it is very uncommon in our practice.  As I will explain in the next question, your anesthetic will not "run out" if your surgery lasts longer than anticipated.  All of the doctors at Georgia Anesthesiologists are concerned about preventing awareness during an operation and we have additional monitoring available that may help ensure that you are fully anesthetized.  If you have special concerns, be sure to mention them to your anesthesiologist.

    4.  How do you put me to sleep?

    Answer: Most anesthesiologists use a combination of medicines to put you to sleep.  These medicines last a short period of time (about 20 minutes).  Once the patient is asleep, we place a breathing device to maintain control of breathing.  To keep patients asleep, we use anesthesia gas.  When the operation is over, we shut off the anesthetic and let the patient wake up.  The advantage of using this complicated system is that your anesthetic can be easily tailored to be as long or as short as it needs to be.

    5.  Why can't I eat or drink before my operation?

    Answer: This is a problem that is unique to anesthesia.  While you are asleep, you may regurgitate the contents of your stomach into your mouth and throat. While you are sedated, your body looses the ability to protect its own airway and cough these secretions out.   Therefore, the contents of your stomach can be vomited and then aspirated (sucked) into your lungs.   This can cause a severe lung injury requiring prolonged hospitalization, a mechanical ventilator, a difficult infection and even in advanced cases death.  For this reason, we ask you to have nothing at all by mouth for at least 8 hours prior to your scheduled surgery.  We take this very seriously.  If you are in violation of this policy, your surgery will be postponed or canceled.

    6.  What can you do to prevent nausea after the operation?

    Answer: Depending upon any allergies, each patient is treated for the prevention of post operative nausea and vomiting. Although we do our best to prevent this from occurring, there is still the chance that you may have some mild discomfort for a brief period of time.

    7.  Will I remember the surgery?

    Answer: The short answer is NO. The long answer is that you may remember the period just before going to sleep and the period when waking up while on the operating room table. However, most patients will not be fully aware of their surroundings until they are in the recovery room.

    8.  Will there be someone in the room with me throughout the surgery?

    Answer:  There will be either an Anesthesiologist (“M.D. or D.O.”) or an Anesthesiologist Assistant (“AA”) or Certified Registered Nurse Anesthetist (“CRNA”) with you at all times. Their job will be to monitor a variety of vital signs, manage your depth of anesthesia and treat any problems that may arise during the surgery. There is always a team comprised of an Anesthesiologist and an Anesthetist available for any emergencies should that occur during your surgery.

    9. Are there different kinds of anesthesia?

    Answer: There are three main categories of anesthesia: local, regional, and general. Each has many forms and uses.

    In local anesthesia, the anesthetic drug is usually injected into the tissue to numb just the specific location of your body requiring minor surgery, for example, on the hand or foot.

    In regional anesthesia, your anesthesiologist makes an injection near a cluster of nerves to numb the area of your body that requires surgery. You may remain awake, or you may be given a sedative. You do not see or feel the actual surgery take place. There are several kinds of regional anesthesia. Two of the most frequently used are spinal anesthesia and epidural anesthesia, which are produced by injections made with great exactness in the appropriate areas of the back. They are frequently preferred for childbirth and prostate surgery.

    In general anesthesia, you are unconscious and have no awareness or other sensations. There are a number of general anesthetic drugs. Some are gases or vapors inhaled through a breathing mask or tube and others are medications introduced through a vein. During anesthesia, you are carefully monitored, controlled and treated by your anesthesiologist, who uses sophisticated equipment to track all your major bodily functions. A breathing tube may be inserted through your mouth and frequently into the windpipe to maintain proper breathing during this period. The length and level of anesthesia is calculated and constantly adjusted with great precision. At the conclusion of surgery, your anesthesiologist will reverse the process and you will regain awareness in the recovery room.

    Source : www.gasdocs.com

    How Long Does It Take For Anesthesia To Wear Off? + Other FAQs

    Whether you've been under anesthesia before, or it's your first time, it's common to have questions—an expert answers some of the most common.

    Skip to content INTEGRATIVE HEALTH

    How Long Does It Take For Anesthesia To Wear Off? Plus All Your Other Questions, Answered

    Editorial Operations Manager

    By Abby Moore @[email protected]#=img=#

    Image by Sean Locke / Stocksy

    Last updated on May 31, 2021

    If you've ever seen a video of someone who just got their wisdom teeth removed, you know that anesthesia can leave people feeling pretty, um...delirious. But how long do those effects actually last?

    Whether you've been under anesthesia before, or it's your first time needing it, it's common to have questions (and even some fears) about how long it will stay in your system, what kind of side effects you might experience, and more.

    To help answer some common questions, mbg spoke with board-certified anesthesiologist and interventional pain physician, Alopi Patel, M.D. Here's what she had to say about it.

    How long does it take for anesthesia to wear off?

    The side effects of general anesthesia (aka the type of anesthesia you inhale), take about an hour to wear off. The effects of intravenous (IV) anesthesia can also take up to an hour to subside, but may be less depending on how much is being used.

    According to Patel, that just means the grogginess will fade within the hour. The systemic anesthesia, or the medicine remaining in your system, can last for up to four or five hours, she tells mbg.

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    Can you do anything to flush it out of your system?

    When it’s cleared by the doctor or dentist who performed the procedure, drinking plenty of water is a good way to increase elimination (read: urination), which helps flush waste out of the body.

    However, there is not an evidence-based way to flush anesthesia out of your system. “You have to let your body do the job,” Patel says.

    4 basic things to keep in mind after anesthesia. 

    As a reminder, even if the grogginess has worn off, “it can take a few hours for the body to really metabolize the medication,” Patel says. So there’s a few key things to keep in mind after a procedure.

    1. Don’t exercise right away. 

    “We don’t recommend coming out of general anesthesia and exercising right away,” Patel says. Aside from the fact that anesthesia may still be in your system, there are generally limitations to movement and physical abilities post-surgery.

    Depending on the operation, the surgeon should communicate any lifting restrictions, Patel says, as well as a timeline for adding exercise back in.

    If you were given a local anesthetic for a minor procedure (think: removing a mole or filling a cavity) the restrictions might not be as limiting, but it’s a good idea to wait at least 24 hours before doing any kind of intense exercise.

    2. Don’t make any major life decisions. 

    From a medical-legal standpoint, Patel advises against making any major life decisions within 24 hours of getting the anesthesia. “Don’t get married, or divorced, or buy a car,” she says only half-jokingly. “You might still have some potential grogginess.”

    3. Diet will vary post-procedure. 

    Depending on the type of surgery, some patients will be told to wait a few hours to eat or drink to reduce the risk of nausea, others will be placed on a liquid-only diet, and others will be allowed to eat or drink regularly.

    When patients are able to add food back in, there’s no standard recommended diet. Finding the type of diet that works for you, depending on your genes, dietary preferences, or allergy requirements, is the best route.

    4. Drink plenty of water. 

    Patients are often told to refrain from eating eight hours prior to surgery to reduce the risk of vomiting. Naturally, that can dehydrate the body, Patel says.

    “Most of the time, people will be getting intravenous fluid for at least the first couple hours after the surgery, and sometimes more,” she explains. Once they’re given permission by a doctor to drink fluids by mouth, staying hydrated becomes highly important for two reasons.

    “One, to replete the dehydration from before the surgery. And two, to help your body do its job of metabolizing medications," she says.

    What are the potential side effects of anesthesia?

    Grogginess is one of the most common side effects of anesthesia. Some people will also experience nausea and/or vomiting. “Typically, female patients are at a slightly higher risk, as well as patients with a history of motion sickness,” Patel says.

    According to the American Society of Anesthesiologists, other side effects of general anesthesia could include: a sore throat, confusion or delirium, muscle aches, chills and shivering, and itching.

    Other things you should know before anesthesia.

    Why do I need anesthesia in the first place? 

    Anesthesia is generally required for any procedure that would be painful to experience while awake, requires a feeding tube, or where the patient needs to remain still. It can also vary depending on the patient’s individual needs.

    For example, “Most people can get IUDs without anesthesia, but some patients might have a lower pain tolerance or higher medication requirements,” Patel explains. Additionally, most dental procedures can be done with a local anesthetic, but if “some patients have a phobia or it’s difficult for them to stay still, there is the option for them to have general anesthesia.”

    Source : www.mindbodygreen.com

    Anesthesia: Anesthesiology, Surgery, Side Effects, Types, Risk

    Anesthesia keeps you pain-free and comfortable during medical procedures. During major surgeries, anesthesiologists give general anesthesia.

    Anesthesia

    Anesthesia is a treatment using drugs called anesthetics. These drugs keep you from feeling pain during medical procedures. Anesthesiologists are medical doctors who administer anesthesia and manage pain. Some anesthesia numbs a small area of the body. General anesthesia makes you unconscious (asleep) during invasive surgical procedures.

    OVERVIEW

    What is anesthesia?

    Anesthesia is a medical treatment that keeps you from feeling pain during procedures or surgery. The medications used to block pain are called anesthetics. Different types of anesthesia work in different ways. Some anesthetic medications numb certain parts of the body, while other medications numb the brain, to induce a sleep through more invasive surgical procedures, like those within the head, chest, or abdomen.

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    How does anesthesia work?

    Anesthesia temporarily blocks sensory/pain signals from nerves to the centers in the brain. Your peripheral nerves connect the spinal cord to the rest of your body.

    Who performs anesthesia?

    If you’re having a relatively simple procedure like a tooth extraction that requires numbing a small area, the person performing your procedure can administer the local anesthetic. For more complex and invasive procedures, your anesthetic will be administered by a physician anesthesiologist. This medical doctor manages your pain before, during and after surgery. In addition to your physician anesthesiologist, your anesthesia team can be comprised of physicians in training (fellows or residents), a certified registered nurse anesthetist (CRNA), or a certified anesthesiologist assistant (CAA).

    What are the types of anesthesia?

    The anesthesia your healthcare provider uses depends on the type and scope of the procedure. Options include:

    Local anesthesia: This treatment numbs a small section of the body. Examples of procedures in which local anesthesia could be used include cataract surgery, a dental procedure or skin biopsy. You’re awake during the procedure.Regional anesthesia: Regional anesthesia blocks pain in a larger part of your body, such as a limb or everything below your chest. You are can be conscious during the procedure, or have sedation in addition to the regional anesthetic. Examples include an epidural to ease the pain of childbirth or during a cesarean section (C-section), a spinal for hip or knee surgery, or an arm block for hand surgery.General anesthesia: This treatment makes you unconscious and insensitive to pain or other stimuli. General anesthesia is used for more invasive surgical procedures, or procedures of the head, chest, or abdomen.Sedation: Sedation relaxes you to the point where you will have a more natural sleep, but can be easily aroused or awakened. Light sedation can be prescribed by the person performing your procedure, or together with a regular nurse, if they both have training to provide moderate sedation. Examples of procedures performed with light or moderate sedation include cardiac catheterization and some colonoscopies. Deep sedation is provided by an anesthesia professional because your breathing may be affected with the stronger anesthetic medications, but you will be more asleep than with light or moderate sedation. Although you won’t be completely unconscious, you are not as likely to remember the procedure.

    How is anesthesia administered?

    Depending on the procedure and type of anesthesia needed, your healthcare provider may deliver the anesthesia via:

    Inhaled gas.

    Injection, including shots or intravenously (IV).

    Topical (applied to skin or eyes) liquid, spray or patch.

    PROCEDURE DETAILS

    How should I prepare for anesthesia?

    Make sure your healthcare provider has a current list of the medications and supplements (vitamins and herbal medications) you take. Certain drugs can interact with anesthesia or cause bleeding and increase the risk of complications. You should also:

    Avoid food and drinks for eight hours before you go to the hospital unless directed otherwise.

    Quit smoking, even if it’s just for one day before the procedure, to improve heart and lung health. The most beneficial effects are seen with no smoking for two weeks before.

    Stop taking herbal supplements for one to two weeks before the procedure as directed by your provider.

    Not take Viagra® or other medications for erectile dysfunction at least 24 hours before the procedure.

    You should take certain (but not all) blood pressure medications with a sip of water as instructed by your healthcare provider.

    What happens during anesthesia?

    A physician anesthesiologist:

    Administers one type or a combination of anesthetics listed above pain therapies, and possibly anti-nausea medications.

    Monitors vital signs, including blood pressure, blood oxygen level, pulse and heart rate.

    Identifies and manages problems, such as an allergic reaction or a change in vital signs.

    Provides postsurgical pain management.

    What should I do after getting anesthesia?

    For procedures using local anesthesia, you can return to work or most activities after treatment unless your healthcare provider says otherwise. You’ll need more time to recover if you’ve received regional or general anesthesia or sedation. You should:

    Source : my.clevelandclinic.org

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