General anaesthatics

You will soon be operated on, at one of the locations of Diana Gabriels. Your plastic surgeon has informed you about this. For the operation it is necessary that you have a general anaesthetic.

This information brochure contains everything you need to know about general anaesthetic and how you can best be prepared.

Preparation for the general anaesthetic
Health Questionnaire
For you own safety it is necessary that the anaesthesiologist is fully informed about your general state of health. This is why we provide you with a health questionnaire in which you should report everything about any previous operations you have had, any treatments, medicine you use and any allergies you may have.
Please fill in this questionnaire as correctly as possible so that the anaesthesiologist has a complete view of your health.
In some cases, it is necessary to make further enquiries with another specialist. By signing this questionnaire, you authorise us to do so.
Should anything be unclear regarding your health, the anaesthesiologist will call you personally to ask you some questions.

Authorisation
Based on the information received, the anaesthesiologist will make the final decision as to whether you may be operated on. Without approval from the anaesthesiologist the operation will not go ahead. Should this be the case, you will then be informed, of course.
In almost all cases the anaesthesiologist provides approval based on your health questionnaire and you will therefore not be called.

Paracetamol
On the day of the operation it is advisable to have sufficient paracetamol at home, for the pain after the operation.
You will receive a prescription from the anaesthesiologist after the operation for stronger painkillers to take home.

The day of the operation
An empty stomach
On the day of the operation you must have an empty stomach. This means that you may not eat anything after midnight. Your stomach must be empty for the general anaesthetic. Should this not be the case, you then run the risk of your stomach contents entering into your lungs whilst you are asleep. This is a serious complication, for which you will need to go into the Intensive Care.

Before the operation you may
• Not eat anything after midnight
• On the morning of the operation, insert 2 paracetamol suppositories.
• Not smoke
• Not use any drugs.

If you do not have an empty stomach, or the anaesthesiologist has reservations about this, then the operation will not take place that day!

Medication
On the day of the operation you may take your medication with a little water in the morning.
Should you use inhalers for asthma, then you should use them. In that way your airways are better prepared for the general anaesthetic.
Take 2 x 500mg paracetamol with a little water, before you leave the house. Do not take any other painkillers.

The operation
Before the operation you will be taken to the preparation room. You will need to wear a special operation gown.
They will go through the check list with you, regarding your health, whether you have had anything to eat and whether you have had any paracetamol. The anaesthesiologist will greet you and may possibly ask you any questions. An intravenous line will be inserted – this is necessary for the general anaesthetic.
The surgeon will stop by and answer any questions you may have and mark the area to be operated on.
When it is your turn, we will walk with you to the operating theatre where it is quite chilly. Take some thick, warm socks with you for this reason. When you are lying on the operating table, you will be hooked up to the monitor. This monitor enables us to constantly check your blood pressure, the oxygen levels in your blood and your heart rate.
When the team is complete, they will run through the last checks with you. Thereafter, the general anaesthetic will be administered through the intravenous line and you will receive oxygen through a mask.

The general anaesthetic
You will be kept in a deep sleep throughout the operation (under general anaesthetic) with a sleeping sedative and a strong painkiller. When you are in deep sleep, you no longer breath on your own. That’s why a tube is inserted into your throat, to keep you breathing with an anaesthesia machine. It is impossible that you will wake up during the operation and feel everything. You will be constantly monitored to check that you are in deep sleep. 
No muscle relaxants will be used. You will receive medication to stop you from feeling sick after the operation. And localised pain killers will be administered, so that you will feel little pain after the operation.

The operation is finished
Once the operation is finished, the tube will be removed, before you awake. Sometimes this can irritate the throat, but this will pass.
Afterwards you will be taken to the recovery room. You will feel quite sleepy and a little groggy. Take your time to doze until you feel more awake.
When you are sufficiently awake, you can have something to drink and eat. Afterwards you may get dressed and go to the toilet. You may go home as soon as you have passed urine and the pain is bearable for you.
You will be given a prescription for the pain killers to take with.

You may go home
You may only go home when accompanied by an adult with a car or by taxi. Do not go home using public transport and do not walk either or go on the back of a scooter or bicycle. Make sure that for the first 24 hours an adult is with you, to watch over you, and to call for help should you become unwell. After the operation you may eat and drink what you like, except use alcohol. Do not use any drugs and try not to smoke for 14 days. The wounds have a better chance of healing then.

Side-effects of the general anaesthetic
Nowadays, general anaesthetic is extremely safe. This is because of the improved monitoring equipment, modern medication and the high-quality education of the anaesthesiologist and anaesthesia assistants. 
However, no matter how carefully and precisely the anaesthesia is nowadays carried out, a complication can always arise. For example: an allergic reaction to the medication, or dental damage due to the insertion of the breathing tube. During the operation a nerve in your leg or arm can become pinched, causing pins and needles and loss of strength. This is normally only temporary.

See you at the operation!