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General Anaesthesia is a medically induced, reversible state of unconsciousness. This is achieved using a combination of drugs including pain-killers. Drugs are injected into your vein and/or breathed in as gases into the lungs. A breathing tube will be inserted to help you breathe while unconscious. The tube is removed after surgery when you wake up.
Regional Anaesthesia numbs a specific part of your body. It may be combined with sedation or general anaesthesia. Regional anaesthesia may be performed as a single dose or with a continuous catheter through which medication is given over a period.
a) Epidural Anaesthesia
Local anaesthetic and other pain medicines are given using an epidural catheter (a small tube) that is inserted into your back to block pain during surgery and/or after operation. Epidural analgesia is commonly used to help reduce labour pain.
b) Spinal Anaesthesia
Local anaesthetics and other pain medicines are injected directly into your spinal canal to block pain during surgery. Generally during spinal anaesthesia, the patient is numbed from the chest or abdomen down to the legs for 6 to 8 hours.
c) Nerve Blocks
Local anaesthetics and other pain medicines are injected near a nerve or a group of nerves supplying sensation to the intended surgical site, hence numbing the region and blocking pain during surgery. Nerve blocks typically last 8 to 16 hours, although it may last for a few days in about 2% of people.
During your anaesthesia consult, the doctor will advise you on options suitable for you and your procedure.
d) Local Anaesthesia with Monitored Anaesthesia Care
Local anaesthetic are given to numb the area for surgery while the anaesthesia doctor monitors your vital functions such as heart rate, heart rhythm, blood pressure and breathing to ensure that you are safe and comfortable during surgery. You might also be given sedatives to help you to remain calm during the surgery.
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