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Types of anesthesia
Understand The Different Types of Anesthesia And Provide Optimal Patient Care
Frequently Asked Questions
The most common side effects noted with the use of general anesthesia are confusion, nausea and vomitting, dry mouth, sore throat, dizziness, chills and muscle aches. The most common side effects seen with regional anesthesia are pain at the injection site, bleeding, and difficulty voiding (in epidurals).
First and foremost, always check with the anesthesia provider, read their note in the chart, and confirm on the consent what type of anesthesia they plan to use. Even if they plan to do a MAC, usually you will also have the patient consent for general in case of a need to switch. Also, if the doctor thinks they will want a block afterward, the patient will consent for it just in case. You will begin to get more familiar with what types of surgeries use which types of anesthesia. For example, total knees are often performed under general anesthesia or an epidural, depending on the team preference. Another example is that many podiatrists prefer to utilize Local/MACs.
Anesthesiologists are required to have specified training in regional anesthesia during their residency, but not all will get a chance to perform many of the different peripheral nerve blocks, versus the more common neuraxial blocks. Some doctors will choose to further their training and will be proficient in many types of regional anesthesia. So it ultimately depends on your specific anesthesiologists and their training.
Most often, the nurses who provide anesthesia are advanced practice nurses, or CRNAs (certified registered nurse anesthetists). They are master level nurses and work under the direction of a physician (although a few states allow them to practice on their own in certain scenarios. Registered nurses can administer conscious sedation under the direction of a physician and with the proper training, but always check with your state laws and work place policy