Anaesthesia at the Bronovo Hospital

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The recovery roomAFTER THE ANAESTHESIAThe recovery roomIn the recovery room, you are attended to by specialist nurses. As in the operatingtheatre, your heart and respiration rates and your blood pressure are measuredand recorded frequently. Here too, a special effort is made to prevent not onlythe pain that might occur after surgery (and alleviate it if it occurs) but alsopossible nausea or vomiting after the operation.As soon as your physical condition allows, you will be taken back to the ward,where the unit nurse will receive all your personal information. Occasionally,you might have to be monitored for a little longer, in which case you will betransferred to the Intensive Care unit usually for one night.PainIrrespective of the scope of the surgery, everyone hopes for a quick recovery. Tothat end, effective pain relief can be very helpful. For instance, after surgery it isimportant that you continue inhaling and exhaling deeply and are able to coughup and move. Post-surgical pain keeps you from doing so and stops you15
elaxing. In a situation like this, pain actually impedes your recovery and,consequently, needs to be relieved. To do so, several possibilities exist: it can betreated with pills, suppositories, injections or other methods prescribed by theanaesthiologist.Your pain scoreFor good pain relief, it is important for us to know how much pain you areexperiencing. Your input is important for this. You are the one feeling the painand only you can say how bad it really is.For that reason, pain registration is used. For you, this means that after yoursurgery, nurses and doctors will frequently ask you for a pain score. In order todo so, a ‘pain index’ has been developed which is a sort of ’pain thermometer’.In the first days after surgery, you will be asked 3 or 4 times daily to indicatethe level of pain you are experiencing. You will be asked to ’score’ your pain ona scale between 0 (no pain) and 10 (the most excruciating pain).• If you are pain-free, your score would be 0.• If you are experiencing little pain, a number between 1 and 4 would beappropriate. The number 4 is for the most pain that is acceptable: remember,surgery is never totally painless. Up to and including, 4, the pain is considered“bearable”. Moving, coughing, inhaling and exhaling should not be affected.• Pain scores above 4 are a reason to intervene. You need to report this to yournurse immediately so extra medication can be given.• A pain score of 10 is for the most excruciating pain you can imagine.This really should not ever happen to you.Pain is a personal experience. If, for instance, you think your pain score is 5,then give it a 5 even though you might think somebody else might give it a 3or a 7. You can never choose a wrong score. After all, it is the pain YOU areexperiencing!ImportantIt is important that you inform the nurse and the doctor about the pain you areexperiencing and whether the painkillers are working well. If needed, they cangive you different painkillers or adjust the dose. The longer you wait beforereporting the uncomfortable pain, the harder it will be to treat it. So, please donot try to be ‘brave’!16
Page 3 and 4: Published: Bronovo-Nebo FoundationP
Page 5 and 6: TABLE OF CONTENTSAnaesthesia 5Forms
Page 7 and 8: Regional anaesthesiaWith regional a
Page 9 and 10: Anaesthesiologist team Bronovo.Stan
Page 11 and 12: In principle, the visit to the pre-
Page 13 and 14: case. This is in connection with th
Page 15: PremedicationBefore you are taken t
Page 19 and 20: During spinal or epidural anaesthes
Page 21 and 22: If regional anaesthesia of the arm
Page 23 and 24: 22NOTES
Page 25 and 26: 24Bronovo HospitalBronovolaan 52597

Anaesthesia at the Bronovo Hospital

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