Our goal is to make the operation and the required examinations pain-free and as safe and as pleasant as possible. We observe and maintain the vital functions (meaning the bodily functions important for life) like breathing and blood circulation. After the operation we are there for you as well, and we treat your pains or other symptoms.
At the latest 3 to 4 days before the operation you should visit your family doctor, if necessary with the attached form, to have the pre-operative diagnostics taken care of. Bring the results of the examination with you to the operation. Please contact us immediately if something unusual results from this pre-examination. Please check on the day before the operation once again that you have all the documents required for the operation. Confirm that you are coming or confirm your appointment at the telephone number of your operating position. On the evening before the operation, eat a light supper and drink alcohol only sparingly. If you waited till now, check on who will bring you home after an outpatient operation and will take care of you at home. Pickup can take place about four to six hours after the time slated for your operation.
If you regularly take medications for high blood pressure, you should take these as well on the day of the operation with just a little bit of fluid. Do not eat, drink, or smoke!
Shower at home before the operation, but do not use any skin cream or makeup. Please remove your nail polish. Please do not take any jewelry into the operating area. Remove false teeth only when asked to do so. A tube will be inserted into your breathing canal.
or we will begin preparation for the anesthesia in the preparation room with constant monitoring of your heart activity (EKG). We will measure your blood pressure, and an indicator will show us how much oxygen is in your blood (pulse oximetry). Then we will prepare an infusion, what is called a venous drip, in the veins of your arm or the back of your hand. The rest of the course of the operation depends on which anesthetic procedure has been discussed with you.
(= general anesthesia) you will fall asleep and lose all feeling of pain throughout your body. During the entire operation, you will be in a deep sleep-like state. A combination of various medications is usually used for the anesthetic, which as a rule is administered through the venous drip or an infusion cannula, but later on may also be administered by respiration. In some longer operations, after falling asleep, a tube will be inserted into the breathing tube, or you will receive a laryngeal mask in order to make your breathing safe. The tube in particular guarantees a high degree of safety. It separates the breathing canal from the alimentary canal and prevents saliva, stomach acid, or the contents of your stomach from getting into your lungs (aspiration).
With modern anesthetic techniques and new medications, you'll be awake once again just a few minutes after the end of the operation. It is possible that you will feel tired or somewhat numb for some time. If you should feel nauseous or feel pain, please tell us. We are there for you and have appropriate counter-medications ready.
a numbing material will be injected into the area of the lumbar spine filled with spinal fluid (approximately 10 cm below the spinal cord). After local numbing, the anesthetist inserts a thin needle into your back, and upon reaching the area of the spinal fluid will inject a small amount of anesthetic. In that way the sensation of pain will be removed from your legs and lower abdomen; your legs will temporarily lose all feeling and will be lame. The regulatory ability of your blood circulation will also be affected.
However, you will not lose consciousness, but will remain awake. In ambulatory anesthesia, we recommend this procedure only in exceptional cases.
the hands, the arm (and possibly the shoulder) will be numbed temporarily. You will remain conscious, but you will not feel any pain. If you feel disturbed by the atmosphere of the operating theater or by noises, you can fall into a light sleep with the help of a sleep inducing medication, or you could ask for a headset with your favorite music. The numbing material (local anesthetic) in plexus anesthesia is usually injected into the armpit (in shoulder operations, into the neck). It takes about 30 minutes to start working. Then your arm will lose all feeling and generally will go loose. This situation generally remains for about 4 hours or even longer. For that period of time you remain under our supervision. Then you can leave the doctor's office with a companion.
These are in particular the IV local anesthetic, the peridural anesthetic, and the anesthetic targeted to various nerves. Since these are not used as often as in other procedures, they will not be discussed here in detail. In the individual case, the anesthesiologist will discuss with you the procedure that he recommends, or you should ask him about.it.
The ongoing care and close supervision by your anesthetists have significantly reduced the risk of serious incidents. The risk of serious complications today in many cases is no higher than the risk of events occurring on a regular basis in your home or out in traffic on the street. Certain existing diseases or advanced age and other circumstances may however increase the individual risk. Please discuss your personal risk with the anesthesiologist, and pay attention to other specific instructions on the following page regarding the risk of anesthesia.
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