Anesthesia

What is anesthesia?

Anesthesia is the use of medicines, called anesthetics, to prevent pain during surgery and other medical procedures. Medicine may be given by injection, inhalation, topical lotion, spray, eye drops, or a skin patch.

Anesthesia can cause a loss of feeling, awareness, or both. Sedation may be used with anesthesia. Unlike full anesthesia, sedation doesn't make you completely unconscious, and recovery is faster. It helps reduce pain, keep you calm, and make you less aware during procedures such as minor surgeries, endoscopies, imaging, or dental work.

Levels of sedation include:

• Minimal sedation. You are awake but more relaxed.
• Moderate sedation (conscious sedation). You may feel sleepy and not remember much, but you can still respond when spoken to or touched.
• Deep sedation. You are very drowsy and may respond only to repeated or stronger stimulation.

What is anesthesia used for?

Anesthesia may be used for:

• Minor procedures, such as filling a tooth.
• Childbirth or procedures such as colonoscopies.
• Minor and major surgeries.

In some cases, a dentist, nurse, or doctor may give you an anesthetic. In other cases, you may need an anesthesiologist. This is a doctor who specializes in giving anesthesia.

What are the types of anesthesia?

There are several different types of anesthesia:

• Local anesthesia numbs a small area like a tooth or a cut that needs stitches. You are awake during local anesthesia.
• Regional anesthesia numbs a larger area, like an arm, a leg, or everything below the waist. You may be awake during the procedure, or you may be given sedation. It may be used during childbirth, a Cesarean delivery (C-section), or minor surgeries.
• General anesthesia affects your whole body. It feels like a deep sleep, but you do not feel anything. It is used during major surgeries, such as heart surgery, brain surgery, back surgery, and organ transplants.
• Monitored sedation makes you relaxed or sleepy. You may be able to talk, depending on the level of sedation, and you probably won't remember the procedure. It may be used for a colonoscopy or dental work.

Your overall health, medical history, the procedure you're having, and other factors will help determine the type of anesthesia you receive.

What are the risks of anesthesia?

Anesthesia is generally safe. But there can be risks, especially with general anesthesia, including:

• Heart rhythm problem (arrhythmia).
• Breathing problems.
• An allergic reaction to the anesthesia.
• Temporary confusion (delirium), which can last several days in some people over the age of 60, or briefly in children after waking up from anesthesia.
• Awareness when someone is under general anesthesia. This usually means that the person hears sounds. But sometimes they can feel pain. This is rare.

Talk to your health care provider about the benefits and risks of anesthesia.

Questions for your care team

General prompts to help prepare for your appointment.

• How does this information apply to my situation?
• Which symptoms or results need evaluation?
• Which tests are useful, and what can they tell us?
• What care options, benefits, and risks should we discuss?
• When should I seek urgent help, and whom should I call?
• When is follow-up, and how will we know whether the plan is working?