General Information on Anaesthesia
María Sverrisdóttir MD;
performs anaesthesia for Dr. Einarsson
Dr. Sverrisdóttir graduated from the University of Iceland Medical Program in 1989. She completed her specialisation in anaesthesia at the Academich Ziekenhuis Dijkzigt in Rotterdam, Holland from 1992 to 1997. She worked at HSS Hospital in Reykjanesbaer, Iceland between 1997 and 2003. She has been an anaesthesiologist at St. Jósefsspítali Hospital and Domus Medica Medical Centre since 2003.
Sveinn Geir Einarsson MD, PhD;
performs anaesthesia for Dr. Stefánsson
Dr. Sveinn Einarsson graduated from the University of Iceland Medical Program in 1985 and completed his specialisation at the Sahlgrenska Universitets Sjukhus in Goteborg, Sweden from 1988 to 1991. He defended his doctoral dissertation, Respiration During Emergence From Inhalational Anesthesia, at the University of Goteborg in November of 1997. He was responsible for administering anaesthesia at the Brånemark Osseointegration Center in Goteborg before returning to Iceland and working at the Landspítali University Hospital from 1998 to 1999. He has been chief anaesthesiologist at St. Jósefsspítali Hospital since 1999 and Chairman of the Board of Landspítali University Hospital from 2001 to 2007.
It is best to keep the following in mind before surgeries involving analgesia or anaesthesia:
Fasting
No food should be consumed in the 6 hours leading up to the surgery. No liquids should be consumed during the 2 hours leading up the surgery when receiving general anaesthesia or local anaesthesia with analgesia.
- The stomach needs approximately 6 hours to rid itself of food. Should food re-enter the oesophagus and make its way through the throat into the lungs while a patient is under, a life threatening situation could occur.
- Fatty foods take a longer time to exit the stomach which is why we suggest to our clients to avoid all foods high in fat content the day before the procedure.
- Clear liquids (water, coffee and tea without milk, clear juices and soda) pass through the stomach very quickly which is why they only need to be avoided for two hours leading up the surgery. It is better to consume some liquids during the allowed time than to avoid them entirely, as dehydration can cause problems during and after the procedure.
Prescribed medications and commonly consumed drugs
The following information generally applies regarding the use of medication by people undergoing a surgical procedure:
- Blood pressure medication: It is permissible to continue the use of all blood pressure medication besides diuretics prior to the surgery. Diuretics increase the rate of urination and can cause undo pressure on the bladder during surgery.
- Blood thinners: Ingesting medications such as Hjartamagnyl, Kovars, Plavix and other blood thinners should sometime stop for up to two weeks prior to the surgery. It is important to seek the surgeon‘s advice on if and when to stop taking blood thinners.
- Antacids: Normal advised consumption of medications such as Omeprazol, Asyran, Losec and Pariet is recommended prior to surgery.
- Insulin: Insulin should not be injected or consumed in pill form prior to the surgery to prevent risk of a drop in blood sugar. Patients with diabetes are advised to let the surgeon know of the condition as diabetics are usually placed first in the surgery schedule so as to minimise their fasting time.
- Pain medication: Those that take anti inflammatory medications such as Ibufen, Voltaren, Naprosen, Celebra), Paratabs or Parkodein/Parkodein Forte, are advised not to take them on the day of the surgery. We often administer these medications prior to the surgery and want to avoid overdosing. Should a patient take any of these medications on the day of the surgery, he or she should let one of the staff know upon arrival for the surgery.
- Sleeping pills: It is safe to use common sleep medications such as Stillnoct or Imovane the night before the surgery.
- Cod Liver Oil: People are reminded that cod liver oil is a blood thinner and are advised to stop taking it one week prior to surgery.
- Dietary supplements: Any drugs that are used to reduce appetite or increase metabolism should be avoided for a week prior to surgery. They often contain stimulants that can affect the heart and circulatory system during anaesthesia.
Allergies
- It is imperative to let the medical staff (the nurse, surgeon or anaesthesiologist) know of any allergies you may have to any medications ( anti inflammatory or pain medicines or antibiotics), bandages, or any antiseptics that could be used for cleaning prior to the surgery, i.e. iodine.
Post-surgery pain management
- One of the anaesthesiologist’s chief responsibilities is to address issues regarding discomfort or nausea after surgery, which is why we strongly encourage our patients to contact us should any issues occur.
We want to ensure our clients comfort, ease and the best possible service.