Before any surgery that requires narcosis, there is an introductory talk at the anesthesiology outpatient clinic. There a doctor will obtain an impression of the patient’s health status and physical performance. It’s possible that the doctor will arrange further examinations. While considering the individual circumstances and the type of intervention planned, the best possible narcosis method will be chosen in a close discussion with the patient while explaining the procedure and possible side effects. Additionally, the option of a pain catheter therapy will be discussed depending on the planned intervention. Furthermore, questions, concerns or fears of the patient will be discussed.
During general anesthesia consciousness and pain are entirely removed. For this purpose, depending on the requirements, the application of a combination of pharmaceuticals with different functions will take place: narcotics for blocking out consciousness, pain medication for the removal of pain perception, muscle relaxation and clouding the autonomic nervous system. Depending on the circumstances, a plastic tube is placed in the trachea or a larynx mask on the larynx to ensure ventilation. With the usage of these methods the patient is ventilated during surgery.
With regional anesthesia pain perception in a specific body region is blocked. For operative intervention on arms or legs regional anesthesia is often enough to completely remove pain perception. Therefore, an operation can be performed on a fully conscious patient. If the patient is disturbed by the operation room’s atmosphere or scared a mild sedation with additional pharmaceuticals is possible. The patient’s ventilation and safety reflexes are fully active. In addition, regional anesthesia is used in combination with general anesthesia to, for example, ensure pain therapy for multiple days after surgery via catheter.