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b_250_250_16777215_00_images_stories_pain_anes-v.jpgIf you will have to undergo a surgery that requires anesthesia, we would like briefly introduce you with the anesthetic procedure. Anesthesia in any of its types is a procedure in which pain is abolished, allowing that a surgery is carried without uncomfortable sensation. Anesthesia is given by physician with a postgraduate specialty in Anesthesia and Reanimation. In general lines, there are three basic types of anesthesia: General, regional and local anesthesia.

The concept of general anesthesia comprehends the loss of consciousness, any feeling of pain and defensive reflexes (like gagging), commonly with relaxation of skeletal muscles. These listed effects can achieved with inhalation of anesthetic gases or intravenous administration of anesthesia. This type of anesthesia allows the the realization of bigger procedures and others that otherwise would be unpleasant for the patient, minimizing discomfort.

In regional anesthesia a defined region of the body will be insensitive to all pain through the administration of an local anesthetic near the main nerves that are responsible for the sensation of a given area of the body (This is the case of epidural anesthesia and plexus anesthesia). This procedure allows operating in defined areas that would need an amount of local anesthesia over safe limits of for patients that can't receive some component medication of the local anesthesia.

In local anesthesia plus sedation, a sedative is given to the patient before the surgery to minimize feelings of anxiety or nervousness and when starting the surgery a local anesthetic is administered in the area of the surgery. During this type of anesthesia the patient can breath spontaneously and the recovery is considerably faster, with less complications associated. During the procedure, the patient usually has a light sleep and the intervention itself it's without pain.


Every type of anesthesia has advantages and disadvantages, we recommend you discuss the type on anesthesia with the surgeon and anesthesiologist and follow their advise, they will recommend you the best and safest option for your case and with less possible load for your organism.   Serious complications of anesthesia are rare, like with every medical procedure, also the risks of anesthesia depend on the previous condition of the patient, age, lifestyle and concurrent diseases (For example hypertension, diabetes, etc.).

During a general anesthesia, the anesthesia machine will control the breathing and monitors control body functions and physiology, like the level of oxygen, carbon dioxide, blood pressure, etc. Through close communication with the surgeon complications are avoided during this period.

The task of the anesthesiologist is not only the sedation and waking up of the patient but direct care of the patient before and after the surgery. To minimize any risk the anesthesiologist will have an interview with the patient before the surgery, with a physical examination and checking of medical documents or laboratory tests if needed. After approval by the anesthesiologist, the patient receives a sedative and after few minutes is conducted to the operating room and is ready to start the procedure after induction of general anesthesia.

The indications to the patients before a plastic or cosmetic surgery are:

- Do not drink fluids or eat food 6 hours before the surgery.


- In case you use daily medication (e.g. Hypertension), ask the surgeon in advance if you may take it the day of the surgery. (Some medication like blood pressure drugs must be taken even the same day of the surgery, while anticoagulants and aspirin should be stopped a week before the surgery, in every case you must clarify this before the surgery)


- If you are a smoker, suspend smoking before the surgery as indicated by your surgeon, usually 2 weeks before the surgery and 1 week after the surgery.


- Before entering the operating  room remove dental prosthesis in case you use one, contact lenses, facial makeup and nail polish, and remove all jewelry.


- At least 24 hours after a general anesthesia you shouldn't drive a vehicle. For local a regional anesthesia ask your surgeon if it's necessary that a relative or friend pick you up after the surgery.


- If allowed by the surgeon, you should be able to drink fluids 3-4 hours after the operation and eat again soon after (Depending on the type of surgery).

Following these measures will ensure the maximum safety and comfort of the procedure, as well as the best results possible and a sooner return to home.

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E-mail: poliklinika@poliklinika-arcadia.hr
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