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Local Anaesthetic Informed Consent

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Local Anaesthetic Informed Consent Local anaesthetic Informed consent: patient information This information sheet answers frequently asked questions about having local anaesthetic. It has been developed to be used in discussion with your doctor or healthcare professional. 1. What is local anaesthetic and how will 3. What are my specific risks? it help me? There may also be risks specific to your A local anaesthetic is used to numb a small individual condition and circumstances. Your part of your body and stop you feeling pain. doctor/healthcare professional will discuss You will be awake and aware of what is these with you. Ensure they are written on the © The State of Queensland (Queensland Health) 2017 Health) (Queensland Queensland of State The © To request permission email: [email protected] email: permission request To happening. Local anaesthetic is used when consent form before you sign it. nerves can be easily reached by drops, sprays, 4. What are the risks of not having this ointments or injections. anaesthetic? Except as permitted under the Copyright Act 1968, no part of this work may be may work this no part of 1968, Act the Copyright under permitted as Except Local anaesthetic generally has less side-effects reproduced communicated or adapted without permission from Queensland Health Queensland from permission without or adapted communicated reproduced and risks than a general anaesthetic (which is There may be consequences if you choose not to also generally a safe procedure if required). have the proposed anaesthetic. Please discuss these with your doctor/healthcare professional. For some procedures or operations, sedation is given with local anaesthetic. If this is required 5. Who will give me the local for your procedure, you will be given further anaesthetic? information about this. Your local anaesthetic will be given to you by an 2. What are the risks of local anaesthetist, your treating doctor or their team, anaesthetic? a GP with training in anaesthetics (particularly in rural areas), or a doctor/healthcare Although every anaesthetic has a risk of side professional/student undergoing further effects and complications, local anaesthesia is training. All trainees are supervised according to generally very safe. relevant professional guidelines. Common side effects and complications include: 6. What are my responsibilities before • pain and bruising at the injection site. having a local anaesthetic? Uncommon side effects and complications You are at less risk of problems from an include: anaesthetic if you do the following: • temporary nerve damage, for a few days to In preparation for your procedure: months, causing weakness and/or numbness • Increase your fitness before your procedure of the part of the body that the nerve goes to to improve your blood circulation and lung • the local anaesthetic does not work: this may health. Ask your GP about exercising safely. require a further injection of anaesthetic or a • If you are overweight, losing some weight different type of anaesthetic; your doctor will will reduce many of the risks of having an discuss this with you if required anaesthetic. Ask your GP about losing • infection at the site of injection requiring weight safely. antibiotics and further treatment • Stop smoking as early as possible before your • damage to surrounding structures such as surgery to give your lungs and heart a chance blood vessels, nerves and muscles to improve. Smoking cuts down the oxygen in • allergy to the local anaesthetic solution. your blood and increases breathing problems Rare risks and complications include: during and after an operation. Phone 13 QUIT • permanent nerve damage (13 78 48). • overdose of local anaesthetic • Drink less alcohol, as alcohol may alter the • seizures effect of the anaesthetic medicines. • cardiac arrest • Do not drink any alcohol 24 hours SWPI9463 SWPI9463 before surgery. • death (very rare). ÌSWPIÇ~_-Î ÌSWPIÇ~_-Î Department of Health Local anaesthetic patient information v2.00 09/2017 Page 1 of 3 6. What are my responsibilities before 6. What are my responsibilities before having a local anaesthetic? (continued) having a local anaesthetic? (continued) • Stop taking recreational drugs (this includes • Tell your doctor and the anaesthetist if recreational smoking such as marijuana) you have: before your surgery as these may affect – health problems (e.g. diabetes, high blood the anaesthetic. pressure, infectious diseases, serious • If you take anticoagulant or antiplatelet illnesses), including if regular treatment (blood thinning) medicines, such as warfarin, or a stay in hospital is needed aspirin, clopidogrel (Plavix, Iscover, Coplavix), – a drug addiction prasugrel (Effient), dipyridamole – had previous problems and/or known (Persantin or Asasantin), ticagrelor (Brilinta), family problems with anaesthesia ticlopidine (Tilodene), apixaban (Eliquis), – false teeth, caps, loose teeth or other dental dabigatran (Pradaxa), rivaroxaban (Xarelto) problems or complementary/herbal/alternative – been taking prescribed and/or over the medicines, such as fish oil or turmeric: counter medicines, herbal remedies and – ask your surgeon and/or anaesthetist if you supplements; this may include and are not should stop taking it before surgery as it limited to blood thinning medicines, the may affect your blood clotting contraceptive pill, antidepressants and/or – do NOT stop blood thinning medicines diabetic medicines (e.g. insulin) without medical advice – allergies/intolerances of any type and – if you are asked to stop taking blood side effects. thinning medicine before your procedure, ask your doctor when you can restart the 7. What happens after the local blood thinning medicine. anaesthetic procedure? On the day of your procedure: The area that has been numbed may remain • Nothing to eat or drink (‘nil by mouth’): you numb or weak for several hours and sometimes will be told when to have your last meal and up to 24 hours. drink. Do NOT eat (including lollies), drink, For your own safety: or chew gum after this time otherwise your • take care not to injure or bump the area that operation may be delayed or cancelled. This is has been numbed with the local anaesthetic to make sure your stomach is empty so that if as you will not be able to feel pain you vomit, there will be nothing to go into • do not place hot or very cold things on the your lungs. affected area as this could cause burns • If you are a smoker or drink alcohol: do not • if you have a ‘weak’ leg, do not walk without a smoke or drink alcohol. person to assist you • If you are taking medicines: most medicines • ask your doctor/healthcare professional should be continued before an operation, but whether you can: there are some important exceptions: – drive any type of car, bike or other vehicle – your doctor will provide specific instructions – operate machinery including cooking about your medicines implements – take to the hospital all your prescribed • if the numbness/weakness has not gone away medicines, those medicines you buy after 24 hours, contact the hospital. over the counter, herbal remedies and supplements to show your anaesthetist what you are taking. • If you feel unwell: telephone the ward/ hospital for advice. SWPI9463 SWPI9463 Department of Health Local anaesthetic patient information v2.00 09/2017 Page 2 of 3 ÌSWPIÇ~_-Î ÌSWPIÇ~_-Î 8. Useful sources of information 9. Questions to ask my doctor/healthcare Information on Hospital care: before, during and professional (continued) after and Surgical procedures is available on the Queensland Health website: www.qld.gov.au/ health/services/hospital-care/index.html Further information may be found on the following websites: • Queensland Health: www.health.qld.gov.au/consent • Australian and New Zealand College of Anaesthetists: www.anzca.edu.au/patients Royal College of Anaesthetists: http://www.rcoa.ac.uk/patientinfo (This publication includes text taken from the Royal College of Anaesthetists’ (RCoA) leaflets ‘About your anaesthetic, 2014’ but the RCoA has not reviewed this as a whole). 9. Questions to ask my doctor/healthcare professional Ask your doctor/healthcare professional if you do not understand any aspect of the information in this patient information sheet or any other information you have been given about your condition, treatment options and proposed procedure. 10. Contact us Your local contact details are: SWPI9463 SWPI9463 ÌSWPIÇ~_-Î ÌSWPIÇ~_-Î Department of Health Local anaesthetic patient information v2.00 09/2017 Page 3 of 3.
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