Anaesthesia

What sort of anaesthesia will I need?

There are three major types of anaesthesia: local, general and regional. They can be used individually or in combination as required to provide sedation and pain relief. The type of anaesthesia used during your procedure will be determined according to your procedure and your health status.

Your anaesthesia team will meet you in the anaesthetic bay prior to your procedure. They will connect equipment to monitor your vital statistics and may administer prophylactic antibiotics, sedatives and any neccessary fluids or medications intravenously.

Local anaesthesia

Local anaesthetic is delivered via injection at the surgical site, and can provide effective relief for surgeries involving simple fractures, digital dislocation or minor lacerations. 

Advantages: 

  • Limited side effects.
  • No extended monitoring required.
  • Post-procedural pain relief.
  • No anaesthetist required.
  • Hospital admission unneccessary. 


Disadvantages:

  • Limited surgical application.
  • Administration by injection can be painful.
  • Local effect.

General anaesthesia

General anaesthetic is administered intravenously and by inhalation, working directly on the brain and providing heavy general sedation.

General anaesthetic is administered by a trained anaesthetist who will also closely observe your condition. If delivered by inhalation, you will be asked to breath through a mask and will quickly fall unconcious. Once compolete, you will be intubated and connected to a ventilator. Specialised monitoring systems deliver data on the depth of your anesthesia throughout your surgery.

Advantages:

  • You will be asleep during the procedure.
  • Ideal for complex procedures requiring extended theatre time.
  • Global effect allows for surgery on multiple areas concurrently.
  • Delivers extended muscle relaxation.
  • Rapidly effective and reversible.


Disadvantages:

  • Not appropriate for all patients.
  • Increased risk of complications for particular patient groups.
  • May increase blood loss and risk of deep vein thrombosis.
  • Ventilation can temporarily damage the throat.
  • Side effects including headache, nausea and drowsiness.

Regional anaesthesia

Regional anaesthesia involves injecting local anaesthetic into the major nerve bundles serving a particular bodypart (e.g., leg, forearm, shoulder or abdomen). 

Common types of regional anaesthetic include spinal and epidural, which are commonly used for knee and hip replacement surgery, and plexus block, which is typically used for upper limb procedures. The patient may be concious throughout, or they may choose to receive sedation and enter into semi-consciousness.

Advantages:

  • Decreased risk of excessive blood loss, breathing difficulties and post-operative clotting.


Disadvantages: 

  • Short-lived effect renders it unsuitable for long complex surgeries.
  • More difficult to administer.
  • Requires urinary catheterisation.
  • Associated with side effects including headache, nausea and drowsiness.

Contact Us

For further inquiries or to arrange a consultation, please contact Professor Al Muderis’ office at +61 2 88829011 or book an appointment online.