Undergoing surgery is a stressful experience for many people. A lot is thrown at patients, often all at once, and no matter how much is explained, it still seems difficult to really comprehend what is happening. This is also true when it comes to the anesthesia that will be administered. Anesthesiologists play a critical role in ensuring your comfort and safety during surgery, but they need to have accurate information about your medical history, medications, and lifestyle to determine the best type and amount of anesthesia to use. Therefore, it is crucial to communicate openly and honestly with your anesthesiologist before the procedure to avoid any potential complications or adverse reactions.
You will need to talk to your anesthesiologist before surgery. Sometimes they will call you a day or two before. Sometimes they will talk to you the day of. They will have reviewed your medical history as it is available in your medical chart but they are going to want to know some things directly from you. So if you can, have your medical history and medications readily available so you can answer any questions.
Here are some essential things to tell your anesthesiologist before you have surgery:
- Your medical history: Your anesthesiologist needs to know about any medical conditions you have, such as heart disease, lung disease, high blood pressure, diabetes, or sleep apnea, as these can affect your response to anesthesia. Be sure to disclose any surgeries or hospitalizations you have had in the past, and any complications or problems you may have had.
- Medications: Let your anesthesiologist know about any medications you are taking, including prescription drugs, over-the-counter medicines, supplements, and herbal remedies. Medications to pay particular attention to would be blood thinners, blood pressure medications, and diabetes medications like insulin.
- Any allergies or adverse reactions: If you have had any adverse reactions to anesthesia in the past or have any allergies to medications or other substances, such as latex, inform your anesthesiologist. An allergic reaction to anesthesia can cause symptoms such as hives, itching, wheezing, and even life-threatening anaphylaxis.
- Smoking or substance use: If you smoke or use recreational drugs, you must inform your anesthesiologist. Smoking can increase the risk of complications during and after surgery, while substance abuse can interfere with the effectiveness of anesthesia and pain medications.
- Pregnancy or breastfeeding: If you are pregnant or breastfeeding, or might be pregnant, you need to discuss this with your anesthesiologist. Some medications used for anesthesia can cross the placenta or be excreted in breast milk, potentially harming the fetus or infant.
- Fasting and hydration: Your anesthesiologist will provide you with specific instructions regarding fasting and hydration before surgery, but it is essential to follow them closely. Failing to fast or hydrate properly can lead to complications during the procedure, such as vomiting or aspiration of stomach contents. Typically your anesthesiologist is going to require that you have had nothing to eat for a minimum of 6 hours. For more specific information look here.
- Concerns or questions: Don’t be afraid to ask your anesthesiologist any questions or express any concerns you have about the anesthesia or the procedure itself. Your anesthesiologist is there to ensure your comfort and safety and can help alleviate any anxiety you may have about the process.
In conclusion, open communication with your anesthesiologist before surgery is essential to ensure a safe and comfortable procedure. By providing accurate and complete information about your medical history, medications, allergies, lifestyle, and concerns, you can help your anesthesiologist tailor the anesthesia to your specific needs and minimize any potential risks. Remember that your anesthesiologist is there to support you and provide the best possible care during your surgical journey.