Anesthesia - Arm and Hand Surgery

MORE INFORMATION OR CLEARANCE

Anesthesia - Arm and Hand Surgery

Overview

Usual Risk

Allergy

Vascular puncture

Local anesthetic intoxication

Specific Prepration

Fasting

Blood tests

Smoking cessation

Anesthesia

Loco-regional

General +/- loco-regional analgesia

Anesthesia is a set of techniques that allows the realization of a surgical, obstetrical or medical act by suppressing or attenuating the pain. There are 2 main types of anesthesia: general anesthesia and loco-regional anesthesia.

Anesthesia Techniques Used for Arm and Hand Surgery

During interventions on the hands and arms, many options are available for anesthesia, which includes two main types:

General anesthesia: comparable to sleep, this state is induced by injecting drugs through an intravenous route;
Loco-regional anesthesia: numbing of the part of the body on which the operation will take place.

It is during the pre-operative anesthesia consultation that the anesthesiologist will determine, with your agreement, the type of anesthesia most appropriate.

Generalities

Hand and arm surgery can be used to treat conditions that affect:

The hand;
The wrist;
The forearm;
The elbow.

Hand surgery is in most cases performed under loco-regional anesthesia where only the affected limb is anesthetized. The duration of this anesthesia depends essentially on the type of product used and the volume injected and can vary from a few hours to 24 hours.

‍This intervention consists of injecting a local anesthetic in contact with one or more nerves concerned. This creates a blockage of the nerve communication between the hand and the brain and by extension, a paralysis and insensitivity of the limb. Local anesthesia is a reversible action since the local anesthetic will be resorbed by the body.

Is it Feasible to Combine a General Anaesthesia with a Loco-regional "anaesthesia"?

When a general anesthesia is essential ( for instance, for shoulder surgery), it is possible to combine it with a loco-regional anesthesia. This association allows:

To attenuate the painful stimuli during the operation which decreases the quantity of drugs necessary for the general anesthesia;
Easier waking recovery with fewer side effects such as nausea or vomiting;
To reduce postoperative pain.

‍In this configuration, the loco-regional anesthesia is in fact a loco-regional analgesia. It does not aim to cut off the transmission of all nerve messages but only the transmission of the painful message. The big difference is that you do not feel the pain but you can mobilize your sleeping limb.

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More than 1 in 3 surgical patients has complications

About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported Wednesday in the BMJ.

Nearly half of these complications result in serious, life-threatening or fatal harm, results showed.

60% of the complications were potentially preventable and 21% were definitely or probably preventable, researchers report.

"More than 1 in 3 surgical patients has complications

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"About 38% of adult patients suffer an adverse event

About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported in the BMJ.

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"2 in 100 people who have surgery develop a surgical site infection

The U.S. CDC estimates 1 to 3 in 100 people who have surgery develop a surgical site infection.

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"More than half of open-heart-surgery patients receive blood transfusions

But two new studies suggest that many of the transfusions provide little benefit.

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"Preoperative evaluation visit is associated with decreased risk of postoperative mortality

Anesthesiologists are well equipped to design and oversee the preoperative patient preparation process.

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Information

Frequently Asked Questions

1. Who's behind Hoopcare?

Hoopcare is a telehealth service dedicated to preparing patients for surgery. Our team consists of world-class clinicians, including Richard Boyer, MD, PhD, who serves as our Chief Medical Officer and is affiliated with Weill Cornell Medicine. Our team has trained and supervised over 100 licensed clinicians to ensure you receive first-class preparation and optimization for your surgery. You can also find us on Zocdoc.

2. I need a physical examination, how does it work?

If you require a physical examination, Hoopcare will send you a telehealth pack. After scheduling your surgery, complete our online pre-surgery assessment to determine if you can receive your surgical clearance or if you need further preparation.

3. Can you tell me more about the Health Monitoring Surgery Box?

Certainly! Our innovative Health Monitoring Surgery Box is a comprehensive health management solution. It's designed to provide you with the tools needed to monitor your health accurately. This kit is not just a product but a commitment to your optimal evaluation and monitoring. Please note that all medical equipment is loaned, and we provide a free return shipping label.

4. Is Hoopcare legitimate? Will the letter will be accepted?

Absolutely! Hoopcare is a trusted telehealth service with a primary focus on pre-surgery checkups and clearances. Our Chief Medical Officer, Richard Boyer, MD, PhD, is affiliated with Weill Cornell Medicine. Additionally, we have received over 123 Google reviews with an average rating of 4.8, showcasing our commitment to excellence and patient satisfaction.

5. Are there any limitations for outpatient surgery?

While the website doesn't specify all the limitations, it's common for outpatient surgeries to have certain restrictions, such as high BMI or the complexity of the surgery. It's always best to consult with our expert clinicians to determine if you're a suitable candidate for outpatient surgery.

6. My surgeon requested an EKG, how do I proceed?

If your surgeon has requested an EKG or any other tests, Hoopcare can assist. We provide at-home EKG services, among other tests, to ensure you're fully prepared for your surgery.

7. I need to send documents, how do I do that?

You can send your documents to docsend@hoopcare.com or upload them directly in the Hoopcare application for a seamless experience.

8. Are the costs of labs and other paraclinical examinations included?

No, the costs for labs and other ancillary services, such as medical equipment, are not included in our pricing. However, these costs are usually covered by most healthcare plans.

9. How do you determine if I can have a fast track clearance in less than 48 hours?

Fast track clearance in less than 48 hours is determined based on your health assessment and risk factors. If you don't require a physical examination and are deemed a low-risk patient, you might be eligible for this expedited service.