| Anesthesia
The Hand Surgery Center has highly-trained anesthesiologists (physicians)
and certified registered nurse anesthetists (CRNAs) who work with
your surgeon to make your experience safe and pleasant. Several
different anesthetic choices are offered to you and your physician.
Local Anesthesia
This technique involves injecting a small amount of local anesthetic
in the area where the surgery is to be performed. With a local anesthetic,
you will be awake for the entire procedure. You will not require
an IV or intravenous fluids. This is performed by the surgeon and
the anesthesiologist will not be involved with your care.
Monitored Anesthesia Care
One of our most common forms of anesthesia is a technique called
"monitored anesthesia care." During this technique an
intravenous drip is started in your opposite hand and you are given
a sedative by the anesthesiologist or CRNA which makes you very
sleepy for a few moments. During this time, your surgeon will inject
your operative site with local anesthetic. You probably will not
feel this or remember it afterward. You most likely will be partially
awake during the rest of the procedure, but you will be comfortable
and relaxed.
Regional Anesthesia
Regional anesthesia involves numbing a portion of your body, in
this case your arm. Performed by injecting a local anesthetic around
the large nerves in your axilla or armpit, this technique has the
advantage of providing excellent anesthesia for surgery while allowing
you to relax comfortably with a sedative that is placed in your
IV. A major advantage of this type of anesthetic is the pain relief
that it provides for several hours after surgery.
General Anesthesia
Your surgeon may request a general anesthetic which involves the
use of an intravenous sedative and anesthetic gas to keep you unconscious
or asleep during your surgery. While under general anesthesia,
you will be monitored constantly according to the standards recommended
by The American Society of Anesthesiologists.

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