Anaesthesia for Day Case Surgery

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Anaesthetia at BNH

Anaesthesia or anesthetic means the condition of having the feeling of pain and other sensations blocked. This allows patients to undergo surgery and other procedures without the distress and pain they would otherwise experience.

  • General anaesthesia induces a state of controlled unconsciousness.
  •  Local anaesthesia involves injections which numb a small part of the body. The patient will stay conscious but free from pain.
  • Regional anaesthesia involves injections which numb a larger or deeper part of the body. The patient will stay conscious but free from pain.

BNH Hospital has a team of qualified and experienced anaesthetists who review the patient’s general health history and use this information to decide how best to offer care. The various options are discussed with the patient before the operation and patients are encouraged to ask questions and speak about any concerns they may have.

During the operation, the anaesthetist stays with the patient at all times to make sure they are comfortable and safe. This involves measurement and control of all the vital functions of the body such as the heart beat, blood pressure and brain and kidney functions, pain control and replacement of body fluids. This process continues after the operation, with the anesthetist managing the control of pain and nausea and advising on when it is safe for the patient to eat and drink again.

 

Before coming to hospital

To prepare yourself for your operation, please follow the instructions below :

  • If you smoke, it is best to quit smoking for several weeks before the operation to reduce the risk of breathing problems and respiratory complications during and after surgery.
  • If you have any loose teeth or crowns, seek treatment from your dentist prior to surgery to reduce the risk of damage to your teeth if the anaesthetist needs to put a tube in your throat to help you breathe.
  •   If you have a long-standing medical problem such as diabetes, asthma, thyroid problems, epilepsy or high blood pressure (hypertension) you should have a physical check-up with your GP prior to surgery.
  • Refrain from alcohol beverages for 1 day prior to the operation.
  • Do not eat or drink for 6 hours prior to the operation as it is important to have an empty stomach with anaesthetic and during surgical procedures. If there is food or liquid in your stomach during surgery it could be vomited and aspirated into your lungs causing complications.
  • Try to have a good sleep on the night before the operation as this will enhance your recovery.

 

 

On the day of your operation.

  • It is recommended that you take a shower on the day of your operation and arrive at the hospital an hour beforehand.
  • If you feel unwell when you are due to come into hospital, please telephone the clinic for advice.
  • It is important for you to inform the anaesthetist about:
    – All the pills, medicines, herbal remedies or supplements you are taking, bothaperscribed and those you have purchased over-the-counter.
    – Any allergies you have and whether you suffer from asthma, hay fever or eczema, and about any medicines that you are taking (whether prescribed, herbal, or over-the-counter).
    – Any operation or surgery you have had in the past
  • For women, please inform the anaesthetist or doctor if you are pregnant.
  • Please arrange for someone to take you home and to take care of you at least 24 hours after the operation.
  • If you are having a local or regional anaesthetic, please wear comfortable clothes and shoes on the day of your operation. Wide-sleeve clothing will make you feel more comfortable if you have an operation on your arms or legs and post surgical bandages are required.
  • Jewellery and decorative piercing should be removed.
  • For general anaesthetic; dentures, dental crowns or hearing aids should be removed. You may keep them  on if you are having a local or regional anaesthetic.
  • Please inform the anaesthetist if you are wearing contact lenses.
  • It is recommended that you remove all nail polish prior to surgery as nail colour can help determine the conditions of a patient under anaesthetic.
  • Women should not wear makeup on the day of surgery, if undergoing a facial operation.

 

When you are called for your operation

  • A relative or friend is able to come with you to the entrance of operating department, and then a member of staff will go with you into the operating theatre. A parent is able to go with a child into the operating department but not in the theatre.
  • Theatre staff will ask to see your identification bracelet, check your name and date of birth and will ask you check that you are having the right operation.
  •  The injections of anaesthetic drugs will be given into a vein or you can breathe anaesthetic  gas and oxygen through a mask. Once you are unconscious, an anaesthetist stays with you at all times and continues to give you medications to keep you anaesthetised.
  • After the operation, you will be taken to the recovery room. Recovery staff will be with you at all times. When they are satisfied that you have recovered safety from your anaesthetic you will be taken back to the ward.
  •  It is helpful to have a relative or friend with you after the operation. This person should not disturb you and should not adjust the IV level by themselves. If any abnormalities occur such as vomiting, difficulty breathing, bleeding or swelling, a nurse should be informed immediately.
  •  When you feel pain, you should ask for help from a nurse. Some people need more pain relief than others. It is much easier to relieve pain if it is dealt with before it gets bad. Pain relief can be increased, given more often or given in different combinations to achieve effectiveness.
  • When you are fully recovered, you should have someone to take you home.
  • Before leaving the hospital, you should ask your doctor for advice in post surgical care in areas such as: diet, use of medication and when to resume your regular activities. You will also need to know about your follow-up appointment.
  •  It is useful to remember the name of your surgeon or attending doctor in case you need additional advice or follow-up.

 

When you are at home

  • You should not drive or operate machinery until a full day after your operation.
  •  A care taker should be with you for at least 24 hours after the operation to monitor your recovery. If you develop post surgical abnormalities i.e. bleeding, persistent pain, swelling at the wound site, fever, or wet and foul smelling wound, you need to seek medical attention even if your next appointment is not due yet.
  • Having a good night sleep will significantly aid in your recovery.
  • Do not drink any alcohol beverages for at least 24 hours after the operation.
  • Please follow the prescribed medication and instructions and see the doctor at the follow-up appointment.

 

Appointment :

For further information or to make an appointment, please contact us by

telephone on (+662) 686-2700   E-mail : info@www.bnhhospital.com