Table of Contents

What is Anesthesia?

          Anesthesia is a state in which the patient feels no pain. This may range from blocking the sensation of one small part of the body to total unconsciousness. Whenever you have surgery, you usually have some kind of anesthesia. The anesthesia allows the surgeon to perform the surgery painlessly. Your Anesthesiologist will help you decide which type of anesthesia is best suited for you based on your history and the type of surgery you are having.
          The following gives a brief description of the different types of anesthesia you might have for surgery. A more detailed description can be found by clicking the type of anesthesia you would like to read about.

What are the different types of Anesthesia?

General Anesthesia:
          When you have general anesthesia, you are completely unaware of your surroundings (unconscious). Messages of pain or sensations that normally travel to your brain for processing are no longer processed. Usually with General Anesthesia, your breathing is controlled with a breathing tube placed in your airway after you are asleep.

Spinal Anesthesia:
          With spinal anesthesia, you are given an injection in your lower back. The medication blocks the messages carried to the brain from the nerves in the lower half of your body. After the injection, you feel numb from about your waist down to your toes.

Epidural Anesthesia:
          Epidural anesthesia is similar to spinal anesthesia, except during the shot in your back, a tiny catheter (a plastic tube that is about the size of a pencil lead) is inserted through the needle. After the needle is removed, medicine can be given through the catheter into the "epidural space". This medication will block your sensations or feelings from about your waist down. More medication can be given throughout the procedure as needed to maintain your anesthesia. Although the effect of the epidural anesthetic and spinal anesthetic may be identical, the epidural catheter allows prolonged anesthesia and analgesia after surgery. The spinal anesthetic will only last from one to three hours.

Regional Anesthesia:
          With regional anesthesia, a local anesthetic (numbing medication) is injected close to or around a group of nerves to block the feeling to one part of your body, such as your arm, your hand, or your foot.

Local Anesthesia:
          Local anesthetic (numbing medication) is injected into or around the area on which the surgeon is operating.

M.A.C.: (Monitored Anesthesia Care)
          You are given medicine (usually through your IV) which sedates you or makes you sleepy. The sedation may range from very light (you are comfortable but aware of everything around you) to heavy sedation (completely unaware of your surroundings and can feel only intense pain). MAC may be combined with local or regional anesthesia.

Which type of Anesthesia is best for me?

The type of anesthesia you receive will depend on several factors, including:
  • The type of surgery
  • Your health history
  • Your preference
  • Your surgeon's preference
  • Your anesthesiologist's preference
          After reviewing the above factors, your anesthesiologist will determine the best anesthetic course for you. The anesthesiologist will then discuss your anesthetic options with you. Some of these options may be limited by the type of surgery or your health history. For those surgeries in which you have a choice of anesthetics, the anesthesiologist will help you decide which anesthetic will be best for you.   Please see Preparing for Surgery and Anesthesia


 
 
Disclaimer || What is an Anesthesiologist? 
Lowcountry Anesthesia || What is Anesthesia? || Preparing for Surgery and Anesthesia 
What can I expect? || Pain Control After Surgery || Management of Acute and Chronic Pain
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