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© The State of Queensland (Queensland Health) 2017 Except as permitted under the Copyright Act 1968, no part of this work may be ÌSWPIÇ~_-Î reproduced communicated or adapted without permission from Queensland Health To request permission email: [email protected] SWPI9463 Rare risks and complications include: include: Uncommon side effects andcomplications Department of Health • • • • • • • • • • • include: Common side effects andcomplications generally very safe. effects andcomplications, local anaesthesia is Although every anaesthetic has arisk of side anaesthetic? 2. What are therisks of local information about this. for your procedure, you will begiven further given with local anaesthetic. If this is required For someprocedures oroperations, sedation is also generally asafe procedure if required). and risks than ageneral anaesthetic (which is Local anaesthetic generally has less side-effects ointments orinjections. nerves can beeasily reached by drops, sprays, happening. Local anaesthetic is used when You will beawake andaware of what is part of your body andstop you feeling pain. A local anaesthetic is used to numbasmall it helpme? 1. What is local anaesthetic andhow will been developed to beused indiscussion with your doctor orhealthcare professional. This information sheet answers frequently asked questions about having local anaesthetic. It has
permanent damage nerve allergy to thelocal anaesthetic solution. blood vessels, nervesandmuscles damage to surrounding structures such as antibiotics treatment andfurther infection at the site of injection requiring discuss this with you if required different typeof anaesthetic; your doctor will require injection of afurther anaesthetic ora the local anaesthetic does not work: this may of thepartof thebody that goes thenerve to months, causing weakness and/ornumbness damage,temporary nerve for afew days to pain andbruising at theinjection site. death (very rare). cardiac arrest seizures overdose of local anaesthetic
relevant professional guidelines. training. All trainees are supervised according to professional/student undergoing further in rural areas), oradoctor/healthcare a GPwith training inanaesthetics (particularly anaesthetist, your treating doctor ortheirteam, Your local anaesthetic will begiven to you by an anaesthetic? 5. Who will give methelocal these with your doctor/healthcare professional. have theproposed anaesthetic. Please discuss There may beconsequences if you choose not to anaesthetic? 4. What are therisks of not having this consent form before you sign it. these with you. Ensure they are written onthe doctor/healthcare professional will discuss individual condition andcircumstances. Your There may also berisks specific to your 3. What are my specific risks? • • • • • In preparation for your procedure: anaesthetic if you dothefollowing: You are at less risk of problems from an having alocal anaesthetic? 6. What are my responsibilities before
Local anaesthetic patient information v2.00 09/2017 Page 1 of 3 before surgery. Do not drink any alcohol 24 hours effect of theanaesthetic medicines. Drink less alcohol, as alcohol may alter the (13 78 48). during andafter anoperation. Phone13 QUIT your blood andincreases breathing problems to improve. Smoking cuts down theoxygen in surgery to give your lungs andheart achance Stop smoking as early as possible before your weight safely. anaesthetic. Ask your GPabout losing will reduce many of therisks of having an If you are overweight, losing someweight health. Ask your GPabout exercising safely. to improve your blood circulation andlung Increase your fitness before your procedure Informed consent: patient information Local anaesthetic On theday of your procedure: • • having alocal anaesthetic? 6. What are my responsibilities before • • • • Department of Health
hospital for advice. If you feel unwell: telephone theward/ – – there are someimportant exceptions: should becontinued before anoperation, but If you are taking medicines: most medicines smoke ordrink alcohol. If you are asmoker ordrink alcohol: donot your lungs. you vomit, there will benothing to go into to make sure your stomach is empty sothat if operation may bedelayed orcancelled. This is or chew gumafter this timeotherwise your drink. DoNOT eat (including lollies), drink, will betold whento have your last meal and Nothing to eat ordrink(‘nil by mouth’): you – – – medicines, such as fishoil or turmeric: or complementary/herbal/alternative dabigatran (Pradaxa), rivaroxaban (Xarelto) ticlopidine (Tilodene), apixaban (Eliquis), (Persantin orAsasantin), ticagrelor (Brilinta), prasugrel (Effient),dipyridamole aspirin, clopidogrel (Plavix, Iscover, Coplavix), (blood thinning) medicines, such as warfarin, If you take anticoagulant orantiplatelet the anaesthetic. before your surgery as these may affect recreational smoking such as marijuana) Stop taking recreational drugs (this includes
what you are taking. supplements to show your anaesthetist over thecounter, herbal remedies and medicines, those medicines you buy take to thehospital all your prescribed about yourmedicines your doctor will provide specific instructions blood thinning medicine. ask your doctor when you can restart the thinning medicine before your procedure, if you are asked to stop taking blood without medical advice do NOT stop blood thinning medicines may affect your blood clotting should stop taking it before surgery as it ask your surgeon and/oranaesthetist if you
(continued) anaesthetic procedure? 7. What happens after thelocal • having alocal anaesthetic? 6. What are my responsibilities before • • • • • For your own safety: up to 24 hours. numb orweak for several hours andsometimes The area that has beennumbedmay remain
Local anaesthetic patient information v2.00 09/2017 Page 2of 3 – – – – – – you have: Tell your doctor andtheanaesthetist if after 24 hours, contact thehospital. if thenumbness/weakness has not gone away – – whether youcan: ask your doctor/healthcare professional person to assist you if you have a‘weak’ leg, donot walk without a affected area as this could cause burns do not place hot or very cold things onthe as you will not beable to feel pain has beennumbedwith thelocal anaesthetic take care not to injure orbump thearea that
side effects. allergies/intolerances of any typeand diabetic medicines (e.g. insulin) contraceptive pill, antidepressants and/or limited to blood thinning medicines, the supplements; this may include andare not counter medicines, herbal remedies and been taking prescribed and/orover the problems false teeth, caps, loose teeth orotherdental family problems with anaesthesia had previous problems and/orknown a drugaddiction or astay inhospital is needed illnesses), including if regular treatment pressure, infectious diseases, serious health problems (e.g. diabetes, highblood implements operate machinery including cooking drive any typeof car, bike orother vehicle (continued)
ÌSWPIÇ~_-Î SWPI9463 ÌSWPIÇ~_-Î SWPI9463 ÌSWPIÇ~_-Î SWPI9463 ÌSWPIÇ~_-Î SWPI9463 not reviewed this as awhole). ‘About your anaesthetic, 2014’but theRCoA has Royal College of Anaesthetists’ (RCoA) leaflets (This publication includes text taken from the http://www.rcoa.ac.uk/patientinfo Royal College of Anaesthetists: Department of Health proposed procedure. about your condition, treatment options and or any otherinformation you have beengiven information inthis patient information sheet you donot understand any aspect of the Ask your doctor/healthcare professional if professional 9. Questions to ask my doctor/healthcare • • websites: following informationFurther may befound onthe health/services/hospital-care/index.html Queensland Health website: www.qld.gov.au/ after andSurgical procedures is available onthe Information onHospital care: before, during and 8. Useful sources of information
Anaesthetists: www.anzca.edu.au/patients Australian andNew Zealand College of www.health.qld.gov.au/consent Queensland Health:
professional professional 9. Questions to ask my doctor/healthcare Your local contact details are: 10. Contact us Local anaesthetic patient information v2.00 09/2017 Page 3 of 3 (continued)