Friday 25 February 2011

Genral COMPLICATIONS and SIDE EFFECTS

COMPLICATIONS and SIDE EFFECTS

Very common (1/10 - 1/100)

  • FEELING SEEK AND VOMITIMG AFTER SURGERY: Some operations and anaesthetic and pain-relieving drugs are more likely to cause sickness (nausea) than others. Sickness can be treated with anti-vomiting drugs (anti-emetics), but it may last from a few hours to several days.
  • SORE THROAT: If you have had a tube in your airway to help you breathe, it may give you a sore throat. The discomfort or pain lasts from a few hours to days and can be treated with pain-relieving lozenges.
  • DIZZINESS, BLURRED VISION: Your anaesthetic or loss of fluids may lower your blood pressure and make you feel faint. Fluids or drugs (or both) will be given into your drip to treat this.
  • SHIVERING: This may be due to you getting cold during the surgery, to some drugs, or to stress. You can be warmed very efficiently using a hot-air blanket.
  • HEADACHE: This may be due to the effects of The anaesthetic, to the surgery, to lack of fluids, or to anxiety. More severe headaches may occur after a spinal or epidural anaesthetic. The headache usually gets better in a few hours and can be treated with pain relievers. If it lasts a long time, it may need special treatment.
  • ITCHING: This is a side effect of opiates (such as morphine) but can also happen as an allergic reaction (for example, to drugs, sterilising fluids or stitches (sutures). If you have itchiness, it can be treated with other drugs.
  • ACHES, PAINS AND BACKACHE: During your operation you may lie in the same position on a firm operating table for a long time. Great care is taken to position you, but some people still feel uncomfortable afterwards.
  • PAIN DURING INJECTION OF DRUGS: Drugs used may cause some pain or discomfort when they are injected.
  • BRUISING AND SORENESS: This may be caused around injection and drip sites by a thin vein bursting, movement of a nearby joint, or infection. It normally settles without treatment, but if the area becomes uncomfortable, the position of the drip can be changed.
  • CONFUSION OR MEMORY LOSS: This is common among older people who have had an operation under general anaesthetic. It may be due to several causes. It is usually temporary, but may last a few days or weeks.

Sunday 20 February 2011

HOw to recover from anesthesia services

Recovering From Anesthesia

Leaving the recovery area

When your normal body functions have returned, you either will be transferred to another location in the hospital to complete your recovery or allowed to go home.
In many cases minor surgical procedures are done on an outpatient basis. This means you will go home the same day. Before you are discharged from an outpatient clinic, you should be alert and able to understand and remember instructions. You will also want to make sure you have regained muscle control and coordination enough to walk safely, take fluids without vomiting, and take oral pain medicines safely. Depending on your medical history, your surgeon may also want you to be able to urinate before you are discharged.

When you are discharged, make sure you have:
  • Reliable transportation to your home and for return to the hospital if complications develop. Do not plan to drive yourself home.
  • A competent adult caregiver who can be with you for 24 hours after discharge.
  • Access to a telephone so you can call for assistance if complications develop.
  • Access to a pharmacy so you can get your prescriptions.
If you are not ready to go home, you will be transferred to another area in the hospital to complete your recovery. The length of your stay will depend on your response to your surgery.

 

 

Thursday 17 February 2011

Recovering and after anesthesia treatment

Recovering From Anesthesia

Recovery from anesthesia occurs as the effects of the anesthetic medicines wear off and your body functions begin to return. Immediately after surgery, you will be taken to a post-anesthesia care unit (PACU), often called the recovery room. There, nurses will care for and observe you. A nurse will check your vital signs and bandages and ask about your pain level.

How quickly you recover from anesthesia depends on the type of anesthesia you received, your response to the anesthesia, and whether you received other medicines that may prolong your recovery. As you begin to awaken from general anesthesia, you may experience some confusion, disorientation, or difficulty thinking clearly. This is normal. It may take some time before the effects of the anesthesia are completely gone.

Your age and general health also may affect how quickly you recover. Younger people usually recover more quickly from the effects of anesthesia than older people. People with certain medical conditions may have difficulty clearing anesthetics from the body, which can delay recovery.

After anesthesia

Some of the effects of anesthesia may persist for many hours after the procedure. For example, you may have some numbness or reduced sensation in the part of your body that was anesthetized until the anesthetic wears off completely. Your muscle control and coordination may also be affected for many hours following your procedure. Other effects may include:
  • Pain. As the anesthesia wears off, you can expect to feel some pain and discomfort from your surgery. In some cases, additional doses of local or regional anesthesia are given to block pain during initial recovery. Pain following surgery can cause restlessness as well as increased heart rate and blood pressure. If you experience pain during your recovery, tell the nurse who is watching you so that your pain can be relieved.
  • Nausea and vomiting. You may have a dry mouth and/or nausea. Nausea and vomiting are common after any type of anesthesia. It is a common cause of an unplanned overnight hospital stay and delayed discharge. Vomiting may be a serious problem if it causes pain and stress or affects surgical incisions. Nausea and vomiting are more likely with general anesthesia and lengthy procedures, such as surgery on the abdomen, the middle ear, or the eyes. In most cases, nausea after anesthesia does not last long and can be treated with medicines called antiemetics.
  • Low body temperature (hypothermia). You may feel cold and shiver when you are waking up. A mild drop in body temperature is common during general anesthesia, because the anesthetic reduces your body's heat production and affects the way your body regulates its temperature. Special measures are often taken during surgery to keep a person’s body temperature from dropping too much (hypothermia).

 

Monday 14 February 2011

Know about spinal anesthesia

Spinal anesthesia

Spinal anesthesia involves the injection of a medication into the canal next to the spinal cord. It is used to numb the body below the chest, usually before a surgical procedure.

The area where the needle will be inserted is first numbed with a local anesthetic, then the needle is guided into the spinal canal and the anesthetic is injected. The person may not be able to move his or her legs until the anesthetic wears off.

 

Saturday 12 February 2011

anesthetic medicines risks

Risks from reactions to anesthetic medicines

Some anesthetic medicines may cause allergic or other abnormal reactions in some people, but these are rare. If you suspect you may have such a problem, you should tell both your surgeon and anesthesia specialist well before your surgery. Testing will then be arranged as needed.

A rare, potentially fatal condition called malignant hyperthermia (MH) may be triggered by some anesthetics. The anesthetics most commonly associated with malignant hyperthermia include the potent inhalation anesthetics and the muscle relaxant succinylcholine. For more information, see the listing for the Malignant Hyperthermia Association of the United States (MHAUS) in the Other Places to Get Help section of this topic.

Thursday 10 February 2011

Define anesthesia team

ANESTHESIA TEAMS

An anesthesia team is defined as one directing anesthesiologist and one CRNA providing services to
a member. The payment split between the anesthesiologist and medically directed CRNA equals 100
percent of the payment level for an individually performing anesthesiologist with the anesthesiologist
receiving 60 percent and the medically directed CRNA 40 percent.

Only one provider or anesthesia team will be paid for epidural anesthesia.

Sunday 6 February 2011

Know about Intractable Pain and Epidural Catheters

Intractable Pain and Epidural Catheters

Some forms of conventional therapy such as oral medication, physical
therapy, or a TENS unit may not relieve recipients with intractable pain.
Placement of an epidural catheter may be allowed when medically necessary
for recipients with intractable pain. Reimbursement for daily management is
allowed when it is medically necessary and is a separately identifiable
physician-recipient encounter is clearly documented in the medical record by
the anesthesiologist. Placement of an epidural catheter and daily
management of an epidural catheter is not reimbursable on the same date of
service.