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Anaesthesiology- science of anaesthesia (i.e. loss of
sensation) without loss of consciousness.
From
Greek anaesthesia means no feeling.
Different
types of Anesthesia
General Anesthesia:
General anesthesia puts the patient to sleep.
In general anesthesia, the patient is completely unaware of his
surroundings (unconscious). Messages of pain or sensations that
normally travel to your brain for processing are no longer
processed. Usually with General Anesthesia, your breathing is
controlled with a breathing tube placed in your airway after you
are asleep.
Local Anesthesia:
Local anesthesia numbs a specific body part.
Local anesthetic (numbing medication) is injected into or around
the area on which the surgeon is operating.
Regional Anesthesia:.
Regional
anesthesia, such as spinal anesthesia and epidural anesthesia,
numbs the nerves that conduct sensation to a circumscribed body
area.
With regional anesthesia, a local anesthetic (numbing
medication) is injected close to or around a group of nerves to
block the feeling to one part of your body, such as your arm,
your hand, or your foot.
Spinal Anesthesia:
In spinal anesthesia, you are given an injection in your lower
back. The medication blocks the messages carried to the brain
from the nerves in the lower half of your body. After the
injection, you feel numb from about your waist down to your
toes.
The spinal
anesthetic will only last from one to three hours.
Epidural
Anesthesia:
It is similar to spinal anesthesia, except during the shot in
your back, a tiny catheter (a plastic tube that is about the
size of a pencil lead) is inserted through the needle. After the
needle is removed, medicine can be given through the catheter
into the "epidural space". This medication will block your
sensations or feelings from about your waist down. More
medication can be given throughout the procedure as needed to
maintain your anesthesia. Although the effect of the epidural
anesthetic and spinal anesthetic may be identical, the epidural
catheter allows prolonged anesthesia and analgesia after
surgery. The spinal anesthetic will only last from one to three
hours.
Monitored Anesthesia Care
(M.A.C.)-
You are given medicine (usually through your IV) which sedates
you or makes you sleepy. The sedation may range from very light
(you are comfortable but aware of everything around you) to
heavy sedation (completely unaware of your surroundings and can
feel only intense pain). MAC may be combined with local or
regional anesthesia.

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