
| FAQ'S: |
Frequently Asked Questions
F.A.Q.'s Anesthesia
Who
will provide my anesthesia?
A
division of the Department of Anesthesiology at Stony Brook University Medical Center provides anesthesia services at the Ambulatory Surgery Center.
A team consisting of a board certified anesthesiologist and certified
nurse anesthetist or anesthesia resident will care for you. This team approach provides maximum
patient safety.
May
I choose my anesthesiologist?
Many
people today find their doctors through recommendations from either other
doctors, or through family and friends. You do have a choice within the
Division of Ambulatory Anesthesia but you must make that choice known
in advance. Our entire team is excellent and most patients are satisfied
with whom they are assigned. Should you have a preference, every effort
will be made to honor that request.
Are
there different kinds of anesthesia?
There
are four main categories of anesthesia; general, regional, monitored anesthesia
care and local anesthesia. Please refer to the Anesthesia
section for a description of these categories. Regardless of the category
of anesthesia that you may receive, special anesthetic agents and techniques
are used to provide a safe and speedy recovery. If there are reasonable
choices available to you for your surgery, and often there are, you will
discuss them with your anesthesiologist before the surgery.
May
I request what type of anesthesia I will receive?
Yes,
in certain situations. Some operations can be performed using a choice
of different anesthetic types. Your anesthesiologist will discuss available
options with you after reviewing your medical history. Your preference
will be discussed so that the most appropriate anesthetic plan is made.
Will
I receive any sedatives before surgery?
You
and your anesthesiologist will develop an anesthetic care plan. This plan
will include preoperative sedation and other medications if necessary.
Most of our patients will walk in the operating room so we will generally
not sedate preoperatively.
What
are the risks of anesthesia?
All
operations and all anesthetics have risks and they are dependent upon
many factors including the type of surgery and the medical condition of
the patient. Most patients operated on in surgery centers are of the healthier
group of patients, and in these circumstances serious complications, while
they can occur, are fortunately very rare.
To repeat - the risk of a major complication in an otherwise healthy patient is extremely low. Your anesthesiologist will assess you preoperatively and every precaution will be taken to minimize your risk. Our equipment is the most advanced and up to date. There will be very little in the acute period that we cannot handle as well as the hospital. However, we will routinely see minor problems such as nausea and vomiting, sore throat, dizziness, tiredness, headache, muscle aches, and pain, most of which are easily treated.
Will
I be billed separately by the anesthesiologist?
Yes,
you will receive a separate bill for your anesthesiologist's professional
services, as you will from your other physicians. Stony Brook Anesthesiology,
P.C. participates in most health plans. If you have any financial concerns,
you may call 631.444.4800. Please see the more detailed topic of
the Billing Information on this web site.
May
I go into the operating room with my child?
There
will be circumstances where it is appropriate for a parent to come into
the operating room. Studies and experience show that this decision needs
to be individualized and discussed between you and your anesthesiologist.
There are many situations where other choices are better and possibly
even safer.
Please do not hesitate to discuss your options. Please see the Your Child section of this website.
Why
must I refrain from eating and/or drinking prior to surgery?
You
refrain from eating and/or drinking prior to surgery in order to prevent
the risks of aspirating gastric contents during your surgery. This complication
is very serious and you need to strictly abide by our recommendations.
This has nothing to do with nausea and vomiting after your surgery as
some think.
We have very clear policies as to specific times before surgery when you must refrain from eating and/or drinking. These are all based on safety standards. Please note that the standards have been revised recently. We believe that the fasting time should be as short as possible before your surgery. You will not improve your safety by not eating or drinking longer than necessary; in fact, at times you may complicate things a bit.
Children have different fasting schedules than adults - so please check in the Your Child section.
Should
I take my usual medications?
You
will be instructed by both the anesthesia team and the surgeon as to which
medications you must take. Generally we request that you take most medications
on the morning of surgery. Yes, you can take them with a sip of water
on the day of surgery. PLEASE bring in all your medications with you
on the day of surgery.
People using inhalers must bring them to the Center on the day of surgery
Some medications will be stopped for the surgery, particularly diabetes medication and blood thinners. You should bring these medications with you the day of surgery. Please call us with any questions you may have.
Any
patient receiving anesthesia should not drive until the next day. A patient
receiving sedation for a procedure needs a ride home. The few patients
who have procedures performed under local anesthesia alone could possibly
drive home.
We would strongly recommend that all patients have a ride home and be received by a responsible adult when they arrive home. Patients will not be allowed to drive, walk or take public transportation home after sedation or anesthesia. Please make the appropriate arrangements.