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Anesthesia Services Information

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The specialty of anesthesiology has greatly expanded during the last 20 years. Advances in pharmacology, physiologic monitoring and anesthetic techniques have enabled the anesthesiologist to provide safer conditions for all types of procedures – whether inpatient, outpatient, emergency or ambulatory (same day) surgery.

Who is your Anesthesiologist?
The Rye Ambulatory Surgery Center anesthesia team is comprised of physicians who are board certified or board eligible by the American Board of Anesthesiology and trained to provide care for patients in the various subspecialties of anesthesiology.

What are the responsibilities of the anesthesiologists?
The responsibilities of the anesthesiologists involve all phases of a patient’s surgical center stay, including preoperative care and discharge. Also, anesthesiologists are called upon to perform special tests or to administer therapeutic anesthetics as a component of a multidisciplinary approach to diagnosis and therapy for patients with special medical problems.

Pre-Operative Care – Thanks to advances in anesthetic techniques and the use of short acting anesthetic agents, it is possible to enter the surgical center, recover from an anesthetic and leave the facility the same day.

The anesthesiologist reviews all of the information accumulated during the pre-admission work up the day before surgery. Following careful evaluation, the most appropriate anesthetic plan is then developed.

During your Operation – The anesthesiologist’s job in the operating room is threefold:
    1. To minimize the pain and discomfort of surgery
    2. To product conditions suitable for the surgeon to operate; and
    3. To maintain the patient’s general health throughout the procedure

To perform these functions, the anesthesiologist has available a variety of anesthetic techniques. Utilizing the anesthesiologists understanding of the requirements of the surgery, the medical and psychological condition of the patient and the techniques available, and an anesthetic is chosen and administered.

Modern devices are used in the operating room to monitor the patient’s heart, lung function, temperature and the proper functioning of all anesthesia equipment. The choice of monitoring devices employed by the anesthesiologist for a particular operation is based on the complexity of the surgery and the type of anesthesia being administered.

Postoperative Care – Following a surgical procedure, the patient is brought to the recovery room where he or she is under the supervision of the anesthesiologist in consultation with a specially trained recovery room nurse. After being monitored in the recovery room, the anesthesiologist will discharge the patient.

What are the Types of Anesthetics available?

General Anesthesia – When a general anesthetic is chosen for an operation, the patient will be totally unconscious (asleep) for the duration of the procedure, using a combination of gas mixtures and intravenous agents. The patient is monitored the entire time by the anesthesiologist. While the patient is asleep, an endotracheal tube is often placed in the windpipe to protect the lungs. This sometimes results in the patient experiencing a scratchy throat postoperatively. This usually resolves within 12 to 24 hours.

TIVA (Total Intravenous Anesthesia) – Often, the surgeon will place local anesthesia directly in the area to be operated on while the anesthesiologist administers sedation. The patient typically falls asleep and remains sedated and comfortable for the entire procedure. The surgeon has chosen to perform this operation in the operating room (as opposed to the office) so that the anesthesiologist can monitor the patient fully and administer sedation in a safe environment.

Central Nerve Block Anesthesia – Spinal anesthesia involves the placement of anesthetic in a space below where the spinal cord ends; the medication moves in the fluid that bathes both the spinal cord and associated nerves. Spinal anesthesia is extremely safe and useful for the patient who does not want general anesthesia and is having a procedure done on the lower abdomen, groin or lower extremities.

The epidural anesthetic is similar to the spinal in that it is placed in the back and also makes the patient numb from the waist down. This technique allows for a small catheter (tube) to be placed in the back through which the anesthesiologist can administer the anesthesia and precisely control the level of anesthesia for prolonged operations. The decision as to which central nerve block will suit a patient’s particular operation should be discussed with the anesthesiologist.

Nerve Blocks – In some cases, the anesthesiologist may feel that the most effective technique for performing procedures on the arm, leg or foot is to place an anesthetic though a fine needle near the nerve supply of the area being operated upon, thus allowing for a pain-free surgical procedure. Often a mild sedative will be given to the patient to allay anxiety during the placement of the nerve block and to make the stay in the operating room more pleasant.

While some patients may experience side effects such as nausea, headaches, sore throats or weakness, they should be cautioned that the occurrences of such are rare. Remember, the practice of anesthesiology is highly individualized, adapted to the specific requirements of the patient, anesthesiologist, surgeon and operation.

Billing Information
The Rye ASC will bill your health insurance plan for anesthesia services you receive whenever possible. For further information regarding anesthesia charges, please call (914) 681-3110.


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