Published on Nov 23, 2019 and last reviewed on Jan 12, 2023 - 4 min read
It is natural to be anxious about getting a surgery done under general anesthesia, as you will be in a state of a medically-induced coma. Read the article to know the uses, possible side effects, and what to expect when you are administered general anesthesia
The use of certain drugs to achieve reversible coma or loss of consciousness, long enough for surgeons to operate, is called general anesthesia. How these drugs produce their effect is still not understood properly. Here, the patient is not put to sleep, but they are in a state of medically induced coma.
These drugs when inhaled or administered through the veins, make the patient unresponsive and unconscious. When under the effect of general anesthesia, the patient will not be able to feel pain and might also temporary memory loss. Anesthetic drugs are administered only by an anesthesiologist, and he or she also monitors the patient's vital signs and breathing throughout the procedure.
In 1842, Crawford Long used Diethyl ether to perform the first painless surgery, and since then, general anesthetics are being widely used.
An anesthesiologist or anesthetist administers general anesthetic before major surgery.
GA are relatively safe when administered correctly.
Some of the common side effects include nausea and dizziness.
Sometimes, the patient might come out of the effects of anesthesia in the middle of the procedure.
The mechanism of action of general anesthesia is only partly understood.
The type of anesthesia used is decided based on the type of surgery, overall health, and the patient’s choice. Surgeries that might include the following factors are usually done under general anesthesia:
If the surgery will take a long time.
If it is too painful.
If it results in too much anxiety.
If the surgery results in a lot of blood loss.
In cases of chest or upper abdominal surgery, GA is used as the breathing might be affected.
The advantages of using general anesthesia are:
It reduces how much the patient can recall about the surgery.
It allows the use of muscle relaxants.
It lets the doctor be control of breathing and circulation.
The dosage can be easily altered in case the surgery runs longer than expected.
It can be used in patients who are allergic to local anesthetic agents.
Even though there are many possible side effects of general anesthesia, it is relatively safe if administered properly. The following are the common side effects:
The side effects that occur immediately or shortly after administering the anesthetic are:
Nausea and vomiting - Most patients feel nauseated up to a couple of days, which can be treated using anti-nausea medicines.
Hoarseness of voice - Before surgery, a tube is inserted in your throat to help you breathe. This tube when removed makes your throat sore and voice hoarse.
Dry mouth - As patients wake up from the effects of GA, their mouth feels dry and parched. Keep sipping water.
Chills - Hypothermia (drop in body temperature) is a common side effect of general anesthesia. This might last for a couple of hours after surgery.
Confusion - The effects of the anesthesia makes the patient feel confused and drowsy. This goes away in a few hours usually.
Difficulty passing urine - This might last for some time.
Dizziness - Patients feel dizzy when they try to stand up, and drinking water helps with this.
Muscle pain - Muscle relaxants used during surgery makes the muscle sore and painful after surgery.
Itching - If the doctor administered opioid medications during or after your surgery, you might feel itchy, as it is a common side effect of this class of drugs.
If you are lucky, you will not experience the long-term side effects of general anesthesia. But some patients who are at risk, experience the following side effects:
Postoperative delirium - Mental confusion lasts for only a few hours for most patients. But in some, it might last for up to a week.
Postoperative cognitive dysfunction (POCD) - In some patients with a history of a stroke, heart problem, or lung disease, memory problems and cognitive impairment are seen for a longer time.
In most cases, general anesthesia is much safer than the surgery itself. But for certain patients with the following risk factors, the chances of side effects from general anesthesia increase:
Previous adverse reaction to anesthesia.
Hypertension (high blood pressure).
Taking blood thinners.
In very rare cases, patients become aware of what is going on during the operation. Almost 1 in every 1,000 people regain consciousness, but cannot move, talk, or talk to their doctor. The patient normally does not feel pain, but it can result in long-term psychological problems like post-traumatic stress disorder (PTSD).
For more information on general anesthesia, consult an anesthesiologist online.
After a surgical procedure where general anesthesia was administered, most people will wake up in the recovery room instantly after the procedure. However, they may remain groggy for a few hours afterward. The person’s body might take up to a week to recover from the medicines from his or her system. The fact is that most people will not notice any effects of the general anesthesia after 24 hours.
There are four stages of general anesthesia, which are as follows:
- Analgesia - stage 1.
- Delirium - stage 2.
- Surgical anesthesia - stage 3.
- Respiratory arrest - stage 4.
Yes, general anesthesia will make you sleep. General anesthesia is a type of treatment that uses certain medicines that puts you into a deep sleep. Due to this process, you will not be able to feel any pain during the whole surgery. After you get administered with these medicines, you will also not be aware of what is happening around you.
No, you will not be able to breathe under general anesthesia. This is because of the anesthesia’s suppressing effect, which is also known to relax the breathing muscles to a limited extent. So these patients are intubated and are made to breathe artificially with the help of a mechanical ventilator.
After the completion of the surgery, the patient will wake up in the operating room. Here, the anesthesiologist will be the one who starts transitioning you from the sleepy state to the normal wakeful state. He or she will gently tap your cheeks and call out your name to ensure that you are awake to a gloomy state.
General anesthesia is a type of anesthetic procedure that is used to induce unconsciousness during the surgical procedure. The medicine is administered either through a breathing mask or tube, which is known as an inhalation route or given through an intravenous (IV) line. A breathing tube is usually inserted into the windpipe (trachea) to maintain proper breathing during surgery.
General anesthesia is the anesthetic method of choice that is being used for all major operations. Few examples of such surgeries are knee replacement surgery, open-heart surgery, transplantation surgeries, and all the procedures that require a loss of consciousness during the procedure.
There is a medicine known as Sevoflurane. This medicine is a gas that is being commonly used in order to keep patients in sleep. This medicine is noted to be the reason why people cry after anesthesia. However, various studies suggest that crying after anesthesia can also be due to the combined effects of various factors, the stress of surgery, pain, and the effects of various medicines used.
A person who has completed his or her surgery is recommended to take foods rich in healthy fats. The reason behind this is that healthy fat helps the person’s body to absorb all the vitamins that are present in fruits and veggies. The foods that are rich in healthy fats are as follows:
- Olive oil.
- Coconut oil.
It is quite normal for any person to get afraid before a general anesthesia procedure. But it is also important to understand the reasons why general anesthesia is not something to get afraid of, and they are as follows:
- Mortality rates associated with general anesthesia inductions are noted to be very less.
- It is not a rare procedure. It has been a promising advancement of medicine, which is being used every day in thousands of people every day.
Dreaming during anesthesia is generally unrelated to the depth of anesthesia in almost every case where general anesthesia is being used. Dreams of sleep are suggestive that anesthetic dreaming occurs most commonly only during the recovery phase, where the patients are sedated to stay in the sleep state.
No general anesthesia does not cause any pain. Because general anesthesia is a combination of medicines that puts the person in a sleepy state before surgical procedure. Under general anesthesia, the person does not feel any pain because he or she is completely unconscious.
The following are the important don’ts before you are administered with general anesthesia:
- Do not eat or drink anything after midnight, the night before your surgery.
- You should not drink water.
- Do not smoke or use chewing tobacco after midnight the night before your surgery.
In normal, young, and healthy individuals, there is no scientific evidence-based study that proves that anesthesia can shorten a person’s lifetime. But a recent clinical study has shown that deep induction of prolonged anesthesia, as measured with the help of bispectral index monitoring, was noted to be associated with increased one year rate of mortality among middle-aged and elderly surgical patients.
The following are the various risks associated with general anesthesia:
- Temporary confusion and memory loss, and these are more common in elderly surgical candidates.
- Difficulty in urinating.
- Bruising or soreness at the intravenous drip.
- Nausea and vomiting.
- Shivering and a feeling of cold sensation.
- Sore throat, due to intubation of breathing tube.
General anesthesia essentially puts the person in a medically induced coma. It is not similar to normal sleep. Drugs used in general anesthesia makes the patient unresponsive and unconscious. They are normally administered intravenously (IV) or in the inhalation route through the breathing tube. Under general anesthesia, in addition to the inability to perceive pain, the person might also have amnesia.
The following are various drugs that are commonly being used for general anesthesia:
- Benzodiazepines such as Diazepam, Lorazepam, and Midazolam.
Complications associated with general anesthesia are quite rare. It is noted only in the people belonging to the category of elderly and high-risk patients. The following are the commonly noted complications:
- Postoperative delirium.
- Cognitive dysfunction.
- Memory loss is noted to last longer than a few hours or days.
Before a surgical procedure that involves the usage of general anesthesia, the main instructions you should follow are the avoidance of the intake of any form of food and fluids at least 12 hours before the induction of general anesthesia. Your doctor might also instruct you to avoid the intake of your certain daily medicines that you would have been taking for other health concerns such as diabetes and hypertension.
Last reviewed at:
12 Jan 2023 - 4 min read
I am worried about palpitations.Please advise.
Query: Hi doctor, Last Wednesday night, I got palpitations. I took Rivotril 5 mg and slept. Next day I rushed to my physician. He prescribed me Ciplar 10 mg tablet and advised me to take one tablet daily after breakfast. Palpitations did not happen from past three months. My doctor advised me to continue... Read Full »
What does it mean when there is back pain, arm stiffness, and grip loss?
Query: Hello doctor,My daughter has been experiencing severe back pain, arm stiffness with grip loss, shooting pains down legs when the heel is put to floor and vision blurring when sitting in the car for long periods, for over two years following spinal anesthesia for C-section. MRI scans show nothing and... Read Full »
Is it necessary to shave beard before a general anesthesia?
Query: Hello doctor,I am scheduled next week for out-patient surgery to have a malignant tumor removed from my bladder via a catheter inserted into my urethra. Before that, the anesthesiologist will administer a general anesthetic as well as a muscle-relaxant to keep me from kicking when under. The procedu... Read Full »
Most Popular Articles
Do you have a question on General Anesthesia or Loss Of Consciousness?Ask a Doctor Online