Is is normal to go under anesthesia and than wait 45 minutes for Breast Augmentation surgery?

Question

Is is normal to go under anesthesia and than wait 45 minutes for surgery (breast augmentation) to start?

Leila Kasrai, MD, FRCSC · Answer

It would be best to discuss this issue with your surgeon rather than speculate, as they know the specific details of your surgery.

Zoran Potparic, MD · Answer

From entering the room to starting surgery many small things can happen on anesthesia and surgery preparation side, to delay actual start of surgery, time of incision. Providing that you did well and that you are satisfied with result, this time should not matter. Hope this helps.

Daniel Barrett, MD · Answer

Dear Tasteful727168,
it is not unusual because you spend a lot of time in preparation of surgical field, draping, wtc. If you have any concerns check it with your plastic surgeon. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ram Kalus, MD, FACS · Answer

Thee can be all kinds of explanations for why there can occasionally be delays to the start of surgery. Your overall wellness should always be the primary concern of your surgeon, the anesthesiologists and the entire nursing and support staff. That said, it does seem that 40 minutes between the start of anesthesia and the actual start of the operation is longer than one would expect. You should discuss your concerns with. your surgeon to see if there is an explanation that makes sense. Best of luck to you.

Ronald J. Edelson, MD · Answer

Once you are asleep other things need to be done prior to beginning surgery.  You need to be prepped and drained the scrub tech must wash her hands prior to putting on a gown and that has to be down before the surgeon puts on his down. Then there needs to be a time out to reconfirm the procedure. I will agree that 45 minutes is a bit long. But often the operation can take as much time as the operation.

Camille Cash, MD · Answer

This form may be a little misleading.  Have you spoken with your surgeon about this?  There are many things that go on between the time you enter the operating room to when the surgeon makes her/his first incision.  For example: you are positioned on the table,  you are hooked up to the monitors, you are draped for surgery, your skin is prepped for surgery, etc.  I encourage you to speak with your surgeon for clarification.

Connie Hiers, MD, FACS · Answer

Surgery may need to be delayed for many reasons. Sometimes equipment is not ready, implants have not arrived, the doctor is finishing in another room, or sometimes it takes longer just to get the patient completely ready for surgery.  You might ask your surgeon.  OR surgical time does not start until the surgeon starts.

Mark Eberbach, MD · Answer

First I wonder why you would ask the question. Increased fee or problem?

My delay is usually less than 15 from induction to incision. Much needs to be done between. Many things can increase the time. Off the top of my head. Autoclave run was bad, key instrument dropped, accidental contamination of the field requiring fresh prep and drape, doctor had diarrhea and needed to finish their business.

You see many things can happen. Usually not a big deal.

Darryl J. Blinski, MD · Answer

You are asking a 'what if' question? Why does it matter to you? Just writing anesthesia start time at 12:31pm means the anesthesia provider had you in position to start. Meaning maybe place IV, or inject medications to sedate you, place EKG pads to monitor, place pulse oximeter and bp cuff also to monitor. Then maybe you were more difficult to get stable control of your vital signs or airway? Once the anesthesia provider was sure you were under their control then the circulating nurse could start preping you for surgery. That could take 10 minutes or more. Finally draping you with the sterile drapes, setting the instrument tray also takes time. The chart states surgery started at 13:11pm so the time between anesthesia start and knife on skin was 40 minutes. This is a very acceptable time frame. What should concern you more is the surgery took oNLY 19 minutes! Maybe you need to discuss all your concerns with your chosen surgeon.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
There is a lot of activity in an operating room after induction of anesthesia. The airway must be secured and stabilized. The operating field must be prepped and draped, preoperative sponge counts must be performed and confirmed, sterile instruments must be made available and are laid out in a pattern for easy accessibility. These activities consume time...You weren't waiting!
Best wishes...

Is is normal to go under anesthesia and than wait 45 minutes for Breast Augmentation surgery?

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