Questions I am too afraid to ask...

I Don’t Like Losing Control

It's completely understandable to feel anxious about losing control. It's a very common fear, and we want you to feel heard and supported. Some patients find comfort in choosing a regional or local anaesthetic, which numbs a specific area while keeping you awake and alert. This allows you to remain in control throughout the procedure. Alternatively, if a general anaesthetic is necessary, some patients prefer to forgo any pre-medication or sedative drugs, allowing them to be fully awake and aware.

We respect your preferences and will always discuss the best approach for you. Our goal is to ensure you feel as comfortable and informed as possible.

Frequently Asked Questions About Anaesthesia

What exactly is anaesthesia?

Anaesthesia isn't just about "going to sleep." It's a carefully controlled state where we manage pain, anxiety, and awareness. There are different types – local (numbing a small area), regional (numbing a larger area like an arm or leg), and general (inducing a state of unconsciousness). The type we use depends on the procedure, your health, and your preferences.

Will I feel any pain during the procedure?

Our primary goal is to ensure you experience no pain. With local or regional anaesthesia, you’re awake but comfortable. With general anaesthesia, you’re unconscious and won’t feel anything. We also use pain medication both during and after the procedure to manage any discomfort.

What are the risks of anaesthesia?

Like any medical intervention, anaesthesia carries some risks, though they are generally very low. These can include allergic reactions, breathing problems, changes in blood pressure, and, in extremely rare cases, more serious complications. Let's break down some of these risks in more detail:

• Allergic Reactions: These can range from mild skin rashes to severe anaphylaxis. We screen for known allergies and take precautions, but unexpected reactions can occur.
• Breathing Problems: Anaesthesia can temporarily affect your ability to breathe. We use equipment to assist with ventilation if needed and closely monitor your respiratory function.
• Cardiovascular Changes: Blood pressure and heart rate can fluctuate during anaesthesia. We carefully manage these changes to ensure your heart and brain receive adequate blood flow.
• Awareness During General Anaesthesia: While rare, some patients may experience fleeting moments of awareness during general anaesthesia. We take steps to minimise this risk, such as using appropriate medications and monitoring brain activity.
• Post-Anaesthesia Cognitive Dysfunction (PACD): Some patients may experience temporary confusion or memory problems after anaesthesia, particularly those who are older or have pre-existing cognitive impairment. This usually resolves within a few days or weeks.
• Malignant Hyperthermia: This is a very rare, life-threatening reaction to certain anaesthetic drugs. We screen for risk factors and have protocols in place to manage this condition if it occurs.

We take every precaution to minimise these risks, including a thorough medical history review, pre-operative testing, and continuous monitoring during the procedure. We've significantly improved safety over the years, and the risk of a serious complication is now very small.

How likely am I to have a reaction to the drugs?

Allergic reactions are uncommon, but we always ask about any previous allergies you may have. We also take steps to avoid known allergens. If you have a history of allergies, we’re extra cautious and may use alternative medications. We're also careful to avoid cross-reactivity with related drugs.

What happens before the anaesthetic?

Before your procedure, we’re going to have a detailed conversation about your medical history, any medications you’re taking, and any concerns you have. We’re going to explain the anaesthetic plan in detail and answer all your questions. You’re also likely to have some pre-operative tests, such as blood work and an ECG, to ensure you’re fit for the anaesthetic. Fasting is crucial – we’re very strict about this to prevent complications like aspiration (food or liquid entering the lungs).

What happens during the anaesthesia?

During the procedure, you’re continuously monitored by a skilled anaesthesia team. We track your heart rate, blood pressure, oxygen levels, breathing, and other vital signs. We’re also trained to respond quickly to any unexpected events. We use sophisticated monitoring equipment, including capnography (measuring exhaled carbon dioxide) and pulse oximetry.

Will I remember anything?

With general anaesthesia, you won’t be conscious during the procedure, so you won’t remember anything. Some people experience fragmented memories or dreams, but these are usually vague and don’t represent actual events.

What about nausea and vomiting after the anaesthetic?

Nausea and vomiting are common side effects after anaesthesia, but we have several strategies to prevent and manage them. These include medications (antiemetics), hydration, and careful monitoring. We often administer these medications before the anaesthetic to be proactive. The type of surgery and the medications used can influence the likelihood of nausea.

My grandmother’s sister died under anaesthetic. What does that mean for me?

We’re very sorry to hear about your family history. While it’s understandably concerning, it’s important to remember that medical practices have changed significantly over time. We’re going to want to gather as much information as possible about your relative’s experience, including the type of procedure she had, her overall health, and the circumstances surrounding her death. This information will help us assess any potential risks and tailor your anaesthetic plan accordingly. We're also interested in the specific anaesthetic drugs used in that case.

I’m worried about feeling cold after the anaesthetic.

It’s common to feel cold after anaesthesia because your body’s natural temperature regulation is temporarily affected. We’re going to keep you warm with blankets and warming devices.

Could anaesthesia affect my memory?

While rare, some people report temporary memory problems after anaesthesia. This is usually mild and resolves within a few days or weeks.

Could anaesthesia affect my breathing?

Anaesthesia can temporarily affect your breathing. We’re going to carefully monitor your respiratory function and provide support as needed.

What if I’m pregnant or breastfeeding?

We’re going to discuss the potential risks and benefits of anaesthesia in detail if you’re pregnant or breastfeeding. We’re going to choose the safest options for you and your baby.

What if I’m taking medications?

It’s crucial that you provide a complete list of all medications you’re taking, including over-the-counter drugs and supplements. Some medications may need to be stopped or adjusted before the procedure. For example, blood thinners often need to be adjusted, and certain herbal supplements can interact with anaesthetic drugs.

What if I have pre-existing medical conditions?

We take your medical history very seriously. Conditions like heart disease, lung disease, diabetes, and kidney problems require careful planning and adjustments to the anaesthetic plan. We’re going to work closely with your surgeon and other specialists to ensure your safety.

What to Expect When You Wake Up

You’ll likely wake up in the recovery room, where nurses will closely monitor your vital signs and comfort. You may feel groggy, confused, or nauseous. It’s common to have a sore throat from the breathing tube. You won't be allowed to eat or drink until the effects of the anaesthesia have worn off, and the medical team has confirmed you're stable. It's important to let the nurses know if you're experiencing any discomfort or have any questions.

Joint Pains & Post-Operative Discomfort

It’s not uncommon to experience localised pain in your back or joints after anaesthesia. This is often due to muscle relaxation and changes in joint positioning during the procedure. We’re going to encourage gentle movement and stretches to help restore normal function. Warmth, mild pain relief, and rest can also help alleviate discomfort.

How can I help prepare for my anaesthetic?

Following our pre-operative instructions carefully is essential. This includes fasting as instructed, avoiding certain medications, and providing a complete medical history. Don't hesitate to ask questions – the more informed you are, the more comfortable you'll feel.