How is anesthesia administered prior to Rhinoplasty?

Question

Is it an injection OR does the patient breathe in gas? I am afraid of too little anesthesia and what if I wake up during surgery.

Timothy Osborn, MD · Answer

With a rhinoplasty being done in a hospital setting, you will be completely asleep and intubated. Your vitals are monitored constantly and an anesthesiologist (many years of school to be able to do this) will be in charge of your sedation. Their job is to sedate patients and make sure they stay asleep during the entire procedure.

Caner Kacmaz, MD · Answer

Thank you for your question. We use general anesthesia during rhinoplasty surgery. The medicine is inhaled through a tube. It's inserted into the windpipe to maintain proper breathing during the surgery. You will be monitored constantly during your surgery to ensure you don't wake up suddenly.

Joseph Shvidler, MD · Answer

If you have never had a general anesthesia experience, it is quite remarkable. From the patient's perspective (having been one myself recently) you get an IV and are wheeled off to the operating room and next thing you know is that you are back in recovery room waking up. You will be given several type of medications. One of those medications helps you relax and reduces anxiety. But one less known effect is that it causes retrograde amnesia, a condition where you don't remember things that happened immediately before you are put to sleep. To best describe it is that you travel through a time warp where in one instance you are in the pre-operative area talking with nurses and anesthesia staff and the next moment you wake up in the recovery room. You will not have any recollection of breathing gas though a mask or being put under. Our group partners with board certified anesthesiologists who monitor your level of consciousness continuously so you don't wake up or feel any pain.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Typically, the anesthesia for rhinoplasty is general anesthesia. This means a breathing tube is placed and you're put fully asleep using gas and medications through your IV. Prior to that, depending on how nervous you are, medications can be given which have a calming effect. This often helps patients prior to going fully asleep. In healthy individuals, anesthesia is very safe. Hope this helps!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Administration of general anesthetic for rhinoplasty requires induction (putting the patient "to sleep") with intravenous medication, followed by intubation (insertion of a breathing tube to prevent aspiration), followed by administration of a general anesthetic gas combined with IV medication. 
You will be closely monitored by the anesthesiologist during the procedure to ensure its adequacy. A rising pulse rate, increased breathing,  or a change in blood pressure will signal emergence from anesthesia long before consciousness returns. 
Best wishes...

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