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Anesthesiology


The Anesthesiology Department is responsible for the pre-operative evaluation, intra-operative management, and immediate post-operative care of surgical patients in the Main Operating Room (MOR), Post-Anesthesia Care Unit (PACU) and other anesthetizing sites (Urology Suite and Labor and Delivery) within the hospital. The Anesthesiology Department provides on-demand state-of-the-art labor analgesia services for pregnant women admitted to the hospital. The Anesthesiology Department is also available to provide advanced airway management, invasive procedure expertise, and/or acute pain management consultation for patients admitted to the hospital.

The current department is a highly qualified anesthesia team consisting of four Board Certified Anesthesiologists, four Certified Registered Nurse Anesthetists (CRNA), and two Anesthesia Technician (Corpsmen).

As a general rule, patients should not eat or drink anything after 1200 Midnight the evening prior to surgery (Exceptions will often be made for certain medications and for young children). If patients are instructed to take medications the morning of surgery, they can be taken with enough water to help swallow the pills. Patients should follow all guidelines given by their surgeon including "Surgical Showers/Scrubs" if indicated. If patients are scheduled for same day surgery they should wear loose fitting and comfortable clothing and have plans in place for transportation home with someone to help out at home for at least the first night following surgery. Patients should anticipate arriving at the Hospital approximately 90 minutes before their scheduled surgery time; this allows ample time to complete preparations for the planned surgical procedure. At the assigned time patients should check in on ward 4 East of the Naval Hospital at the Ambulatory Procedures Unit (APU).

The Anesthesiology Department is responsible for the pre-operative evaluation, intra-operative management, and immediate post-operative care of surgical patients in the Main Operating Room (MOR), Post-Anesthesia Care Unit (PACU) and other anesthetizing sites (Urology Suite and Labor and Delivery) within the hospital. The Anesthesiology Department provides on-demand state-of-the-art labor analgesia services for pregnant women admitted to the hospital. The Anesthesiology Department is also available to provide advanced airway management, invasive procedure expertise, and/or acute pain management consultation for patients admitted to the hospital.

The current department is a highly qualified anesthesia team consisting of four Board Certified Anesthesiologists, four Certified Registered Nurse Anesthetists (CRNA), and two Anesthesia Technician (Corpsmen).

An Anesthesia Provider is available 24 hours a day for consultation from Obstetricians, Family Practice Physicians and Nurse Midwives regarding pain management during labor and delivery. Interventions performed by the Anesthesia Providers include Epidural Analgesia, Intrathecal Analgesia and Combined Spinal Epidural Analgesia for laboring women; and Spinal Anesthetics for women undergoing Caesarean Section delivery. Patient Controlled Epidural Anesthesia (PCEA) is also available, allowing women to have an active role in the control of their pain medication during labor and delivery.

Patients scheduled for elective surgery are directed to call the day prior to their surgery to obtain a planned arrival time in the Ambulatory Procedures Unit (APU). The APU is located on the fourth floor of the Naval Hospital on ward 4 East. Report times are usually 90 minutes prior to the scheduled time of surgery to allow adequate time for check in and patient preparation. During this period, patients can expect to be interviewed by the Perioperative Nursing Staff and change into appropriate clothing for surgery. Family members are permitted and encouraged to stay with the patient during this time period.

When the time comes for surgery, patients will be escorted to the pre-operative holding area. This is a direct patient care area and unfortunately family members are not permitted here (An exception is made for children. One parent is allowed to accompany the child to the pre-operative holding area). In the pre-operative holding area patients can expect to meet their Anesthesia Provider and the Operating Room Staff. During this time period, the patients medical history will be reviewed, a brief examination will be conducted and the anesthetic plan will be discussed. Patients also will have an Intravenous Access (IV) placed.

Prior to being taken to the operating room, the specific operative procedure and operative site will be confirmed with the patient and the operating team. After the operative and anesthesia consent forms have been reviewed and all patient questions are answered, the patient will be escorted to the operating room for their procedure. Following surgery, patients will be transferred to the Post Anesthesia Care Unit (PACU/Recovery Room) where they will be closely monitored as they recover from anesthesia. Once the initial recovery from anesthesia is complete, patients are transferred back to the APU for continued recovery and eventual discharge. To meet discharge criteria, patients must be able to tolerate clear liquids and have adequate pain control. Prior to discharge, patients will be given discharge instructions and a follow up appointment if required. Most patients can anticipate discharge home approximately 2 hours after completion of their surgical procedure.

(+/-)Anesthesia: Frequently Asked Questions

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