Which anesthesia should I use for my rhinoplasty?
Q. I have the options of local or general.
I know the main difference between the two is that local is just for the specific area that's going to be operated on & the the general produces a state of unconsciousness.
I know general is much more expensive, so I would like to know what the procedure would be like if I decided to go local.
Would I be "awake"?
Would I be able to look around & feel everything?
I really don't know, so thanks for any advice you can give.
I know the main difference between the two is that local is just for the specific area that's going to be operated on & the the general produces a state of unconsciousness.
I know general is much more expensive, so I would like to know what the procedure would be like if I decided to go local.
Would I be "awake"?
Would I be able to look around & feel everything?
I really don't know, so thanks for any advice you can give.
A. Rhinoplasties often involve bone chiseling, and you'll feel the hammer and chisel as the surgeon works if that is part of the plan. Ask you surgeon for more specifics. If it's just some tip work, then you'll be fine with local. (And yes, you'll be wide awake and know what is going on)
You won't see much because there will be a head drape and probably some gauze over your eyes so the light doesn't bother you. (If you are asleep, we tape your eyelids shut to prevent corneal abrasions)
The first procedure I scrubbed in on as a med student was a rhinoplasty. It's not delicate surgery. I got to tap the chisel with the little mallet. Since then, I've given anesthesia for a fair number of them, almost always general, but we do a few under local with deep sedation. (If you have an anesthesiologist, the cost is the same regardless of the technique used).
You won't see much because there will be a head drape and probably some gauze over your eyes so the light doesn't bother you. (If you are asleep, we tape your eyelids shut to prevent corneal abrasions)
The first procedure I scrubbed in on as a med student was a rhinoplasty. It's not delicate surgery. I got to tap the chisel with the little mallet. Since then, I've given anesthesia for a fair number of them, almost always general, but we do a few under local with deep sedation. (If you have an anesthesiologist, the cost is the same regardless of the technique used).
What is the difference between sedation and general anesthesia?
Q.
A. Sedation is just as the name implies. You are sedated but not unconscious. An example of sedation would be a benzodiazepine such as alprazolam, temazepam, etc. Sedation is used for less invasive procedures or even testing. IE: You would likely be given the option to be sedated for an MRI scan, or something like Laser eye surgery.
However, general anesthesia is the full deal. You are unconscious and you are intubated. Intubation is the process of inserting tubing into your lungs and having a machine breath for you. In general anesthesia you are given a cocktail of medications that not only put your to asleep, but kill pain and cause hypnotic effects -- where you usually don't remember a thing except the moment just before the I.V. started going and they told you goodbye (or in some cases the inhaled anesthesia). I.V. is the most widely used in modern medicine.
General anesthesia is used for more invasive purposes.. for most often surgery. Anything that takes more than a few minutes to perform or needs absolute stillness and control of bodily output is going to be using GA. Some surgeries use local anesthetics,.. and some nothing at all.
An example of a fairly painful surgery that often uses nothing is a hemodialysis neck catheter. If the vascular surgeon (or other general surgeon) is confident enough in his technique then it isn't uncommon for them to take a scalpal and slice directly into the side of your neck into your artery and run rubber tubing ports all the way to your heart, insert the catheter on top of this and apply a few stitches -- all without any sort of sedation, anesthesia, etc. It only takes, with a good surgeon, 5-10 minutes at the most to perform this. There is always a risk with General Anesthesia of death. Some people do not come out of the 'sleeping' phase as intended, and others die from the anesthesia for a variety of reasons.. so if it doesn't have to be risked it isn't.
However, general anesthesia is the full deal. You are unconscious and you are intubated. Intubation is the process of inserting tubing into your lungs and having a machine breath for you. In general anesthesia you are given a cocktail of medications that not only put your to asleep, but kill pain and cause hypnotic effects -- where you usually don't remember a thing except the moment just before the I.V. started going and they told you goodbye (or in some cases the inhaled anesthesia). I.V. is the most widely used in modern medicine.
General anesthesia is used for more invasive purposes.. for most often surgery. Anything that takes more than a few minutes to perform or needs absolute stillness and control of bodily output is going to be using GA. Some surgeries use local anesthetics,.. and some nothing at all.
An example of a fairly painful surgery that often uses nothing is a hemodialysis neck catheter. If the vascular surgeon (or other general surgeon) is confident enough in his technique then it isn't uncommon for them to take a scalpal and slice directly into the side of your neck into your artery and run rubber tubing ports all the way to your heart, insert the catheter on top of this and apply a few stitches -- all without any sort of sedation, anesthesia, etc. It only takes, with a good surgeon, 5-10 minutes at the most to perform this. There is always a risk with General Anesthesia of death. Some people do not come out of the 'sleeping' phase as intended, and others die from the anesthesia for a variety of reasons.. so if it doesn't have to be risked it isn't.
Is this a normal outcome for a simple surgery?
Q. My mom had to have surgery yesterday, it was to remove a lump from the right side of her neck, she had iv sedation, not general anesthesia, upon waking up from it, her eye was in terrible pain and the doctors said it was a corneal abrasion, she has a an eye patch and medicine she needs to put in every day, the doctors say the "do not know how this could have happened". she is in more pain from her eye than she is from her actual surgery. is this typical and is there anything else she should do?
A. A corneal abrasion can happen during conscious (IV) sedation because the blink response is slowed. Your mother probably had her eyes open, and something might have brushed against one eye. Since she was sedated, she probably won't remember it happening.
If she keeps using the medication, patches the eye, and takes it easy for a bit, she should improve. For the pain, it may help to put a warm compress over the closed eye.
If she keeps using the medication, patches the eye, and takes it easy for a bit, she should improve. For the pain, it may help to put a warm compress over the closed eye.
What is it like to be put under anesthesia ?
Q. Hi everyone Ian going into surgery in a week iam wondering what it us like to be put under anesthesia ? This will be my frist time getting anesthesia I've heard story and they sound scary so can y'all tell me what it was like to get anesthesia your frist time . Btw does it feel like a long or short time when your under anesthesia ?
A. i'm 23 and i've had 9 surgeries (8 under general anesthesia and 1 under IV sedation) so i pretty much know the drill.
i'll try to give you a run down of what usually goes on from the time you get there to the time you leave.
first you'll probably be told not to eat or drink anything effective at midnight the night before surgery.
you'll go to the hospital and go to the admission desk. they'll put some info into the computer and put a wrist band on.
then you go up to what ever floor they tell you to and the nurse will put you in a room, ask you a bunch of questions, take your blood pressure and temp, and maybe ask for a urine sample. then they'll give you a gown and tell you to hang out on the bed until they come get you. you'll then be wheeled on a cart down to the preoperative area. depending on your age they may ask your parents to go to the waiting room or they may let them come to the preoperative area with you.
down in pre-op they will ask you a bunch of the same questions that you were already asked just so they can be sure everything was written correctly. they'll take your BP again (they will put a cuff on that does it automatically every few minutes and this will stay on for the entire surgery and while you are in the recovery room), take your temp again, and also put a pulse ox monitor on your finger. it just measures how much oxygen you have in your body so they can regulate it(this will also stay on during surgery and in the recovery room) it doesn't hurt or anything. and they'll start an IV in the back of your hand or in the bend of your arm. the dr doing the surgery will usually appear to ask if you have any last minute questions and run through exactly what he is doing again. then if you are extremely nervous they may give you something in the IV to calm you down. it will most likely give you a burning sensation in your arm for a minute but it goes away quickly. it may make you feel tired, looopy, or just chilled out depending on what drug they used.
then they will wheel you into the operating room and help you scoot over onto the operating table. they'll then put an oxygen mask on your face and heart monitor patches on your chest. then they will either give you the anesthesia through the mask or through the IV. if its through the mask you will just breath it in. it smells like nail polish remover. you may feel like you can't breath cuz the smell is sooo strong but with in a minute you are out like a light. if its given through the IV you will have a burning sensation in your arm for a frew seconds and then you may start to feel dizzy or sick but before you can even tell someone you don't feel good you are out like a light.
when you wake up you may feel like you just closed your eyes and then opened them again. you may not even realize for a second that the surgery even started let alone it being done already.
you'll almost certainly feel really tired. you may also experience uncontrolable shaking, being emotional and crying cuz you don't know whats going on, feeling dizzy and possibly fainting, and/or feeling sick and possibly throwing up. these are all common side effects after anesthesia.
you will start out in the recovery room where there are nurses and other patients coming out of anesthesia. they will monitor you and bug you every few minutes to make sure you are alright. they don't really expect you to full wake up in this room. once you are stable you will be wheeled back up to the room you started in when you got there and that is where your parents can see you again. at this point a nurse will come in and really start to try to get you to wake up. they'll try to get you to drink something like apple juice or 7up. they also try to get you to go use the bathroom.
they usually try to get you up and out as quickly as they can so they can make more room for other patients.
if you don't feel like you can get up and go then don't let them rush you. its best to go at your own pace this will lessen the chance of you getting extremely sick or dizzy.
one little thing that i always try to let people know is if you get the least bit chilly ask for a blanket. they have a "warming oven" so when they give you a blanket it is nice and warm. if you are still cold ask for another one and another until you feel comfortable cuz when you get cold you get more shaky and in my opinion then get more nervious.
oh and if you are prone to cold feet wear a pair of regular socks and then also a pair of those soft fuzzy socks and it will keep your feet toasty.
i'll try to give you a run down of what usually goes on from the time you get there to the time you leave.
first you'll probably be told not to eat or drink anything effective at midnight the night before surgery.
you'll go to the hospital and go to the admission desk. they'll put some info into the computer and put a wrist band on.
then you go up to what ever floor they tell you to and the nurse will put you in a room, ask you a bunch of questions, take your blood pressure and temp, and maybe ask for a urine sample. then they'll give you a gown and tell you to hang out on the bed until they come get you. you'll then be wheeled on a cart down to the preoperative area. depending on your age they may ask your parents to go to the waiting room or they may let them come to the preoperative area with you.
down in pre-op they will ask you a bunch of the same questions that you were already asked just so they can be sure everything was written correctly. they'll take your BP again (they will put a cuff on that does it automatically every few minutes and this will stay on for the entire surgery and while you are in the recovery room), take your temp again, and also put a pulse ox monitor on your finger. it just measures how much oxygen you have in your body so they can regulate it(this will also stay on during surgery and in the recovery room) it doesn't hurt or anything. and they'll start an IV in the back of your hand or in the bend of your arm. the dr doing the surgery will usually appear to ask if you have any last minute questions and run through exactly what he is doing again. then if you are extremely nervous they may give you something in the IV to calm you down. it will most likely give you a burning sensation in your arm for a minute but it goes away quickly. it may make you feel tired, looopy, or just chilled out depending on what drug they used.
then they will wheel you into the operating room and help you scoot over onto the operating table. they'll then put an oxygen mask on your face and heart monitor patches on your chest. then they will either give you the anesthesia through the mask or through the IV. if its through the mask you will just breath it in. it smells like nail polish remover. you may feel like you can't breath cuz the smell is sooo strong but with in a minute you are out like a light. if its given through the IV you will have a burning sensation in your arm for a frew seconds and then you may start to feel dizzy or sick but before you can even tell someone you don't feel good you are out like a light.
when you wake up you may feel like you just closed your eyes and then opened them again. you may not even realize for a second that the surgery even started let alone it being done already.
you'll almost certainly feel really tired. you may also experience uncontrolable shaking, being emotional and crying cuz you don't know whats going on, feeling dizzy and possibly fainting, and/or feeling sick and possibly throwing up. these are all common side effects after anesthesia.
you will start out in the recovery room where there are nurses and other patients coming out of anesthesia. they will monitor you and bug you every few minutes to make sure you are alright. they don't really expect you to full wake up in this room. once you are stable you will be wheeled back up to the room you started in when you got there and that is where your parents can see you again. at this point a nurse will come in and really start to try to get you to wake up. they'll try to get you to drink something like apple juice or 7up. they also try to get you to go use the bathroom.
they usually try to get you up and out as quickly as they can so they can make more room for other patients.
if you don't feel like you can get up and go then don't let them rush you. its best to go at your own pace this will lessen the chance of you getting extremely sick or dizzy.
one little thing that i always try to let people know is if you get the least bit chilly ask for a blanket. they have a "warming oven" so when they give you a blanket it is nice and warm. if you are still cold ask for another one and another until you feel comfortable cuz when you get cold you get more shaky and in my opinion then get more nervious.
oh and if you are prone to cold feet wear a pair of regular socks and then also a pair of those soft fuzzy socks and it will keep your feet toasty.
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Title Post: Which anesthesia should I use for my rhinoplasty?
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Rating: 98% based on 3217 ratings. 4,8 user reviews.
Author: Unknown
Thanks For Coming To My Blog
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