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Spinal Anaesthesia for Day Surgery Patients; A Practical Guide 3rd Edition The third edition of this practical handbook for spinal anaesthesia in day surgery now includes the …

Your Procedure

It is important that you understand the procedure you are undergoing, the expected outcome and the possible complications and/or side-effects. There will be several opportunities for you to ask questions or obtain information.

Surgery

The outpatients' clinic is the best place to have an in-depth discussion about your procedure with your surgical team. They should discuss with you what the procedure involves, what they expect the outcome to be and what the risks are. You may be asked to sign the consent form at this point too (see the "consent" section below for details).

However, should you have any further questions or need more information, there will be opportunities to ask at the Pre-operative Assessment Clinic and on the day of surgery.

Your surgical team will not be able to tell you about your anaesthetic in any great detail.

Anaesthesia

You are likely to meet your anaesthetist either at the Pre-operative Assessment Clinic or in the Day Surgery Unit itself, depending upon your hospital. They will discuss with you the method of anaesthesia (and the relative pros and cons should more than one way be available) and any common side effects, such as a sore throat afterwards. Sometimes, they may recommend a specific procedure such as a regional nerve block for limb surgery. If so, they will discuss with you why and how it is performed and any potential complications or side-effects. They may ask you to sign a separate consent form for such a procedure.

The anaesthetist will tell you about the monitoring they use while you are asleep and the pain relief they will use during the procedure. They are also the best person to talk to about post-operative pain relief and anti-nausea measures.

Your anaesthetist will not be able to tell you about your surgical procedure in any great detail.

Consent

Formal consent to both surgery and anaesthesia needs to be agreed. It is important that you properly understand and give informed consent to the whole planned procedure. It is common for your consent to be sought some time prior to surgery, possibly in your out-patient clinic or at your pre-operative assessment. Whenever consent is given, you need to be happy that you have had sufficient information for long enough to reach a decision. If you sign the consent form in advance, you may be asked to confirm your signature on the form immediately prior to the procedure and anaesthetic.