Anesthesia loco-regional

Any anesthesia planned for a non-urgent and scheduled surgical procedure, whether general (GA) or local-regional (LRA), requires a medical consultation in the days leading up to the procedure, and a visit by the anesthesiologist on the day of the procedure. This first consultation, distant from the operation, allows the anaesthetist, thanks to the information gathered during the interview, the analysis of the documents in your possession (blood tests, X-rays, ECG...), and the clinical examination performed, to choose, with you, the type of anaesthesia that is best suited to the planned operation. You will then be able to tell him about any allergies (iodine, antibiotics, etc.) and bring him a list of the medications you take regularly (in particular anticoagulants or aspirin). You will also tell him if you regularly smoke. Additional tests (blood tests, X-rays, cardiological consultation) may be prescribed depending on your state of health, your history and current treatments. They are neither obligatory nor systematic, and their sole purpose is to reduce any foreseeable risk and to better prepare you for both the anesthesia and the surgery. During this consultation, the anesthesiologist will be able to give you oral information to complement the various written documents in your possession. In order to dispel any doubts or concerns you may have, we strongly recommend that you ask him/her any questions that come to mind. To ensure that your foot surgery is performed in the best possible conditions, the anesthesiologist will most often offer you a local-regional anesthesia (LRA). Different LRA techniques allow you to numb only the part of your body that is to be operated on, and the injection of an anesthetic near the nerves suppresses the painful sensation in that part of your body. In the case of foot surgery, the ALR will only involve the leg and foot. A pneumatic tourniquet is placed on the leg to prevent bleeding during the procedure and to facilitate minimally invasive surgery techniques. It will be removed at the end of the procedure: you will then feel a tingling sensation in the foot for a few minutes. This type of anesthesia allows you to retain your consciousness and intellectual faculties. To help you relax, you should "forget" your entire leg and not try to move your lower limbs. In anesthesia, as in any medical or surgical procedure, there is no such thing as zero risk. Exceptionally, complications such as convulsions, cardiac or respiratory arrest have been described for local anaesthesia. Bruises around the puncture sites should not worry you because they usually disappear in 3 to 6 weeks. The persistence of pain or local irritation in the area where the anesthetic was injected, or abnormal sensations in the area of the nerve, such as tingling, are not exceptional, and generally fade away and disappear in a few weeks. These disorders correspond, in general, to a loss of the sliding of the nerve with the neighbouring tissues (skin, tendons, muscles). Allergy and secondary infection are extremely rare. Only a few cases of residual nerve damage have been described, whereas hundreds of thousands of loco-regional anesthesias are performed each year throughout the world.
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