Cosmetic Surgery Anesthetist
Cosmetic Surgery Anesthetist
Understanding The Role Of A Cosmetic Surgery Anesthetist
One interesting question that I find I am not often asked is who will be the anesthetist that is going to be performing the anesthetic when I have my cosmetic surgery. In real terms, the anesthetist is probably one of the most important persons in the operating theater as he is the one who is keeping the patient well and alive through the operation. An anesthetist ideally has had many years training in anesthetics and in cosmetic surgery. I have used the same anesthetist for over 20 years.
One of the main advantages that I find is that he has extensive experience in cosmetic surgery, in particular, laser surgery and liposuction surgery. He therefore understands the type of doses that are appropriate for the fluid that we use with the anesthetic and how to titrate the general anesthetic that is introduced. There are different types of general anesthetics. The laryngeal mask is an anesthetic which is much lighter than a deep intubation. Essentially, the patient is still breathing themselves and therefore the recovery is quicker and patients wake up much quicker. Also, the type of anesthetics that are used, can determine the post-operative nausea and vomiting and also post-operative pain.
Often, an injection is given at the end of the operation to reduce nausea. There are also injections that can be used to reduce pain. There are long-lasting analgesic injections that stop pain for over 24 hours. This is very useful in tummy tucks and breast implant surgery. Our operating theater in Malvern has the latest state-of-the art anesthetic equipment. It is actually quite interesting to have a look at the anesthetic cage out the back which shows all the backup oxygen and nitrous oxide and the size of the suction apparatus.
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The Day Surgery Centre could run many cases at the same time. There are specialised emergency trolleys. Every step is taken to ensure that the anesthetic is the safest as possible. In some cases, we use facial blocks in order to avoid the general anesthetic. The tumescent anesthetic procedure involves introducing an extremely dilute local anesthetic in large volumes.
Patients can obtain local anesthetic of up to 55 mg/kg. This dose determines what concentration local anesthetic is placed in each of the fluid bags that are infiltrated into the body. When a patient is having an anesthetic with our anesthetist, the actual concentration of the fluid is reduced dramatically.
We always still introduce some local anesthetic as this adds to the further post-operative anesthetic effect. We always allow patients to speak to the anesthetist a few days before the surgery if they feel it is necessary. This would be a routine if a patient has any other medical problems. Otherwise on the day of surgery, the anesthetist would have a consultation and explain what he is doing and what would be expected after surgery.
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