Pre-operative anesthesia questionnaire
For simple operative procedures, a Northeastern Anesthesia (NEA) staff member may call you to complete an anesthesia pre-operative questionnaire prior to surgery. For more extensive operations, especially for patients with a complex medical history, the anesthesiologist may request that you come to the hospital or facility several days before your surgery to our pre-admission testing (PAT) department. In the PAT department, a nurse will assist you with the completion of an anesthesia questionnaire and appropriate lab tests will be obtained.
NEA provides pre-operative instructions before your surgery
Each patient is given a list of pre-operative instructions including what time to arrive at the facility, which medicines to take on the day of surgery, and what time your last intake of food should be prior to your procedure. Your anesthesia questionnaire and laboratory tests are reviewed by the NEA anesthesia staff before your scheduled date of surgery. Depending on this review, you may be asked to see a physician in order to obtain medical clearance for your procedure. The goal of medical clearance is to ensure that you are in the best possible condition for your scheduled surgery. Clearance may involve further specific tests which may help clarify your risks for surgery and may result in a change to the type of anesthetic that your anesthesiologist chooses to administer.
On the day of your operation, after being admitted by the nursing staff, you will be transported to the pre-operative holding area where you will meet your anesthesiologist. He/she will review your chart and verify all of the information that has been obtained during the pre-admission testing period. This will include laboratory work, and previously requested physician consultations. The information obtained during this initial interview is very important for NEA to develop the safest and most appropriate anesthetic plan for your surgery.
Before entering the operating room and prior to receiving any pre-operative sedation, you and your anesthesiologist will discuss your options for anesthesia. The type of anesthetic best suited for you will be determined by taking into account your physical state of health, your preferences, the type of procedure being performed and your surgeon's needs. Different anesthetic options may include local anesthesia with sedation, regional anesthesia, spinal/epidural anesthesia, or general anesthesia.
It is possible to have a combination of these techniques. For instance, you could have a regional anesthetic that makes your arm fall asleep while receiving sedation so that you are unaware of what is going on in the operating room.
Once everything is agreed upon and prepared for your operation, including having all of your questions answered, your anesthesiologist will insert an intravenous catheter and administer a mild sedative to begin to make you feel relaxed. The NEA anesthesia department understands that everyone having surgery is at least a little nervous and it is our goal to get you into the operating room with as little anxiety as possible.
Please contact Northeastern Anesthesia Services with any questions regarding anesthesiology procedures on the day of your surgery.
Postoperative Nausea and VomitingApproximately twenty to thirty percent of patients are at risk of experiencing postoperative nausea and vomiting (PONV) following surgery and anesthesia. Throughout your surgical experience, Northeastern Anesthesia Services practitioners use expertise and administer medication to minimize the risk of these unpleasant side effects. They will make specific interventions that may alleviate or eliminate PONV.