Surgery is performed under local anesthesia decided upon by the anesthesiologist and can be made by the surgeon or anestezjologa- depending on the habits and training team the resort. The most frequently performed anesthesia in Hand Surgery:
- local anesthesia
- staple intravenous anesthesia so. anesthesia Bierre
- bachial plexus block
These types of anesthesia are methods with a negligible likelihood of side effects and complications, but they use all the rules of safe anesthesia: perform basic laboratory tests, to determine the general health of the patient (Poll anesthetic), agreed with the doctor who handle or anesthetist how to take that in. current medications, behavior 6 hour period to abstain from food and 4 hours of drinking, remain under the care of staff for a period of 0.5 - 1 hour for observation general and local condition. Going into the house by road under the care of a companion after approval by the anesthesiologist performing anesthesia.
Injections or surgical site, eg. A finger anesthetic. The effect of anesthesia is achieved after a short time after drug administration and is maintained depending on the capacity of absorption of the drug by the patient to kilkudziesięciuminut. Anesthesia is the only eliminates the pain while maintaining consciousness and maintaining the sense of touch the patient is aware that "something is being done", but does not feel pain. Administration of the anesthetic can be painful at the beginning.
The so-called. Bierre anesthesia. Administration of local anesthetics into the vein following the ischemic limb and the point of action becomes nerve endings. Anesthesia occurs shortly after injection and is intended for the treatment of the expected duration approx. 1 hour.
The effect of anesthesia is maintained until the release limb ischemia. Local anesthesia eliminates pain with full awareness and behavior tactile-patient is aware that "something is being done", but does not feel pain.
Administration of local anesthetics occurs in the vicinity of the brachial plexus, which was previously identified by means of a device called a peripheral nerve stimulator. Locks are made from a variety of places such as. In the armpit or above the collarbone on the side of the limb. You can also numb the smaller nerves eg. The wrist so. Block wrist.
The development of the anesthesia takes 15-25min., But provides a longer lasting painless treatments. Anesthetic effect lasts up to several hours. The patient feels no pain and is unable to move a limb. Sometimes, this kind of anesthetic may remain on the treated leg so. paresthesia, which over time slowly should spontaneously give way.
Despite the behavior of all the rules relating to anesthesia anesthesia can always reach of complications / adverse effects have:
- ineffectiveness lock
- hematoma at the injection site
- unexpected allergic reaction to medications
- the persistence of temporary postoperative numbness so. paresthesia