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Southern DHB Anaesthesia - Otago
Public Service
Description
What is Anaesthesia?
You are given an anaesthetic when you have surgery so that you don’t feel pain during the operation. There are different types of anaesthesia and the type you receive will depend on the type of surgery you are having and how long it will take.
Your anaesthetic will be given to you by a specialist doctor called an anaesthetist.
Anaesthesia care falls into three parts: pre-operative visit, care during surgery and postoperative care in the recovery room.
Pre-operative Visit
The anaesthetist will visit the patient on the morning of surgery or the night before. It is their job to assess the patient's suitability for an anaesthetic. They will ask questions on the following:
- general health
- previous medical history
- previous anaesthetics received
- allergies
- smoking habits
- previous heart problems.
The ideal candidate for anaesthesia is within normal weight range, is well oxygenated, has a normal and regular heartbeat and is conscious.
A physical examination of your heart and lungs will be carried out. Your neck will be checked for shape and your mouth for loose teeth or caps. These are checked because if a breathing tube is to be inserted, it can sometimes be difficult to insert depending on the shape of the neck and mouth and also to prevent damage to teeth in the process.
The anaesthetist may prescribe a pre-med, which is a medication taken prior to surgery, designed to aid in relaxation and help keep the patient calm.
Care During Surgery
During the operation the anaesthetist's main roles are as follows:
- to prevent pain - achieved by administration of pain relief agents appropriate for you and for the extent and duration of the operation
- to monitor oxygenation - this means ensuring that all vital organs are being adequately supplied with oxygen. This is assessed by skin colour, heart rate and your level of consciousness
- to monitor ventilation - assessed by the respiratory rate, volume of each breath and the inhaled and exhaled carbon dioxide concentrations. The anaesthetic gas and oxygen are delivered together either via a mask or breathing tube. If a mask is used the patient usually breathes on their own. If a tube is used the patient may breathe on their own or be mechanically ventilated using an artificial ventilator
- to monitor circulation - during the operation, intravenous fluids and/or blood products are administered if necessary. Circulation is assessed by blood pressure, urine output and skin temperature.
Postoperative Care
When your operation is over, you will be taken to a special recovery area where your condition will be monitored as you wake up from the anaesthetic.
Consultants
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Dr Lindsay Autio
Anaesthetist
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Dr Sheila Barnett
Anaesthetist
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Dr Estibaliz Blazquez Basarrate
Anaesthetist
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Dr Robyn Chirnside
Anaesthetist
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Dr James Clark
Anaesthetist
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Dr Benjamin Gmelch
Anaesthetist
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Dr Michael Hamilton
Anaesthetist
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Dr Sarah Henderson
Anaesthetist
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Dr Jason Henwood
Anaesthetist
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Dr Charlotte Hill
Anaesthetist
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Dr Justin Holborow
Anaesthetist
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Dr Lisa Horrell
Anaesthetist
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Dr Claire Ireland
Anaesthetist
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Dr Matthew Jenks
Anaesthetist
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Dr David Jones
Anaesthetist
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Dr Joseph Koh
Anaesthetist
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Dr David Koskuba
Anaesthetist
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Dr Geoffrey Laney
Anaesthetist
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Dr Jochen Maierl
Anaesthetist
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Dr Gonzalo Millan Montoya
Anaesthetist
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Dr Chen Ong
Anaesthetist
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Dr Campion Read
Anaesthetist
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Dr Ursula Reymann
Anaesthetist
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Dr Priya Shanmuganathan
Anaesthetist
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Dr Andrew Smith
Anaesthetist
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Dr Everhardus Strauss
Anaesthetist
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Dr Paul Templer
Anaesthetist
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Dr Damon Thompson
Anaesthetist
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Dr Julie Thompson
Anaesthetist
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Dr Cara Thomson
Anaesthetist
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Dr Maartje Tulp
Anaesthetist
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Dr Pieter van Ammers
Anaesthetist
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Dr Edwin van Broekhoven
Anaesthetist
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Dr Christopher Walker
Anaesthetist
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Dr Duncan Watts
Anaesthetist
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Dr John Wilson
Anaesthetist
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Dr Timothy Wright
Anaesthetist
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Dr Patricia Yelavich
Anaesthetist
Procedures / Treatments
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General Anaesthesia
You are put into a state of unconsciousness either by the injection of an anaesthetic medication into a vein or by breathing in a mixture of gases.… More
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Local Anaesthesia
Following local anaesthesia, you are awake but the part of your body being operated on is numb. Local anaesthesia is administered via an injection; it takes effect quickly and lasts a long time. During the surgery you will be aware of touch and pressure, but not pain. If this type… More
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Complications from Anaesthesia
Complications may include: the patient is allergic to the anaesthetic, the dose given may be too high, or the anaesthetic effect has taken effect faster than wanted.… More
Contact Details
Dunedin Hospital
Dunedin - South Otago
Phone
(03) 474 0999
Fax
(03) 474 7025
Email
Website
Emergency Department: Open 24 hours / 7 days, Phone (03) 474 0999
201 Great King St
Dunedin
Street Address
201 Great King St
Dunedin
Postal Address
Private Bag 1921
Dunedin 9054
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This page was last updated at 1:22PM on June 17, 2019. This information is reviewed and edited by Southern DHB Anaesthesia - Otago.