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Anesthesia

Anesthesia Services:

General anesthesia

General anesthesia causes you to be unconscious during surgery. The medications used to induce and maintain unconsciousness are either inhaled through a breathing mask or tube, or injected through an intravenous catheter – a thin plastic tube inserted into a vein, often called simply an “IV”. A tube may be inserted into your windpipe to maintain an air passage during surgery. Once the surgery is completed, the anesthesiologist stops the anesthetic, and you wake up in the recovery area.

Monitored anesthesia

Monitored Anesthesia Care or MAC provides pain medications and sedatives through an intravenous line.   The surgeon or anesthesiologist will also inject local anesthetic under the skin.  While you are sedated, the anesthesiologist continually monitors your vital body functions.

Regional & Spinal anesthesia

Spinal anesthesia is often used for lower abdominal, pelvic, rectal or lower extremity surgery. This type of anesthetic involves injecting a single dose of local anesthetic directly into the fluid around the spinal cord in the lower back, causing numbness in the lower body.

Epidural anesthesia

An epidural is similar to a spinal anesthesia. It is also commonly used for surgery of the lower limbs, as well as during labor and childbirth. For this type of anesthesia, medicine is injected through a thin catheter that has been placed into the space that is near the spinal cord and nerves. This causes numbness in the lower body.

Peripheral nerve blocks

Peripheral nerve blocks are performed by injecting a local anesthetic close to the major nerves that go to a particular part of the body, such as an arm, leg or foot. These injections are performed away from the spinal cord. Peripheral nerve blocks can last up to 24 hours; this can be extended to several days by using small soft tubing to provide continuous infusion of numbing medication. This type of anesthesia is often used in combination with general anesthesia.

Anesthesia Services Overview

Anesthesia services are provided to patients undergoing surgical or nonsurgical procedures in an outpatient or inpatient setting where the administration of an anesthetic is required. Reporting anesthesia services is appropriate by or under the responsible supervision of a physician. To provide the care deemed appropriate, the type of anesthesia may include, but is not limited to the following:

• General anesthesia

• Regional anesthesia

• Supplementation of local anesthesia

• Other support anesthesia as needed

Services that are part of the anesthesia process include the following:

• Preoperative and postoperative visits

• Anesthesia care during the procedure

• Administration of fluids or blood

• Usual monitoring services (ECK, temperature, blood pressure, oximetry, capnography and mass spectrometry)

Conscious Sedation

The intent of conscious sedation is for the member to remain conscious and able to communicate during the entire procedure. The member retains the ability to independently and continuously.

maintain a patent airway and respond appropriately to physical stimulation or verbal command. Conscious sedation includes the following:

• Performance and documentation of pre sedation and post sedation evaluations of the member

• Administration of the sedation or analgesic agents

• Monitoring of cardiorespiratory functions (pulse oximetry, cardiorespiratory monitor and blood pressure)

Deep Sedation

Deep sedation is a drug-induced depression of consciousness during which patients cannot be easily aroused but purposefully respond following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.

Epidural Analgesia for Vaginal or Cesarean Delivery

Anesthesia for kidney disease

Anesthesia for kidney transplant

Anesthesia for cardiao vascular

Anesthesia for pediatric surgery

Anesthesia neonates

Anesthesia for elderly patients

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