{"id":362,"date":"2019-03-22T18:25:37","date_gmt":"2019-03-22T18:25:37","guid":{"rendered":"https:\/\/macanesthesiaservices.com\/?page_id=362"},"modified":"2019-08-19T15:30:55","modified_gmt":"2019-08-19T15:30:55","slug":"resources","status":"publish","type":"page","link":"https:\/\/macanesthesiaservices.com\/resources\/","title":{"rendered":"Resources"},"content":{"rendered":"\t\t
CRNAs are not physicians. CRNAs (certified registered nurse anesthetists) are highly skilled advanced practice nurses that have been administering anesthesia in the United States for over 150 years. According to the American Association of Nurse Anesthetists (AANA) 2018 Member Profile Survey, CRNAs administer <\/span>more than 45 million anesthetics<\/span><\/i> to patients each year in the United States.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t There are 4 main types of anesthesia. The anesthesia you are given is based on your health, history, the procedure, and your choices.<\/span><\/p> Local Anesthesia: <\/b>produces a loss of feeling to a small, specific area of the body. A shot is given to numb the area. Local anesthesia is sometimes combined with sedation anesthesia.<\/span><\/p> Regional Anesthesia<\/b>: produces a loss of feeling to a specific region of the body. A shot is given to numb the area that requires surgery. Examples of regional anesthesia include spinal and epidural anesthesia as well as peripheral nerve blocks. Regional anesthesia is sometimes combined with general or sedation anesthesia. Other times, like during labor or cesarean section, no sedation is used with regional anesthesia.<\/span><\/p> General Anesthesia: <\/b>affects the entire body. You have no awareness or feeling. General anesthesia may be achieved by breathing anesthetic gases through a mask or a breathing tube, by total IV infusion, or by a combination of both IV medications and anesthetic gases.<\/span><\/p> Sedation\/IV Sedation Anesthesia:<\/b><\/p> Minimal Sedation: <\/b>Relaxed and awake. This may include oral medications only. You can answer questions and follow directions.<\/span><\/p> Moderate Sedation:<\/b> Relaxed and drowsy. You will likely sleep through much of the procedure and may not remember interacting with your treatment team. You may remember hearing sounds and voices around you. You can be easily awakened when spoken to or touched<\/span>. <\/span>You will be able to maintain your own airway without assistance. There are usually only minimal effects on your cardiovascular system. Moderate sedation can be achieved with intravenous medications. <\/span><\/p> Deep Sedation:<\/b> Sleeping; only arousable with repeated or painful stimulation. You may have little or no memory of the procedure. Your breathing slows and you may be given oxygen. You may require intervention to maintain your breathing adequately. Cardiovascular function is usually maintained but can be impaired. Deep sedation is usually achieved with intravenous medications.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t It was estimated in 2009 that as many as 9 million office based procedures were performed in the United States. Many factors in health care delivery have contributed to patients and physicians seeking the office setting as an alternative for minimally invasive procedures. The large demand for office procedures coupled with the ultimate goal of ensuring patient safety has prompted 30 states to either formally regulate, provide policy or recommend guidelines for office based surgery. Ohio, Kentucky and Indiana are among those states. These state regulations require that the physician\u2019s office receive accreditation by an outside agency such as the AAAHC, The Joint Commission or AAAASF. These agencies inspect the facility and look at each practitioner\u2019s role in providing safe surgical care in the office (with or without anesthesia). One of the most important factors in ensuring patient safety is making sure the right patients are selected for the right procedures. With each scheduled procedure, your anesthesia provider and surgeon will collaborate to ensure that it is safe for you to receive anesthesia in the convenience of the office. Other safety measures include exceeding minimum standards regarding monitoring, medications, infection control, resuscitation equipment, resuscitation certification, continuing education and practicing crisis management. <\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Anesthesia is achieved with traditional FDA approved medications. However, we recognize the benefits of some complimentary adjuncts to the delivery of our services. We often utilize aromatherapy in addition to traditional medications to alleviate some of the untoward effects of sedation. <\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t We contract and are in network with most insurance companies. We also offer a reasonable self pay option.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t The avoidance of eating and drinking before receiving anesthesia is done to protect you from aspiration of stomach contents into your lungs. \u00a0Your individualized plan will be based on your history, procedure and planned anesthetic. As a general rule, however, most people should avoid solid foods for 8 hours, while clear liquids may be allowed up to 2 hours before your scheduled procedure. \u00a0Always follow the advice of your anesthesia provider before consuming any solids or liquids less than 8 hours before a procedure requiring anesthesia.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Any time you receive sedation or anesthesia it is required that a responsible adult accompany you to receive important discharge instructions, drive you home and assist you with pain, nausea and medications.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t A pre-anesthesia screening is usually performed within a week of your procedure. You will be asked about your height, weight, allergies, previous surgeries, anesthesia complications, current medications and health history.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Always inform your anesthesia provider regarding any over the counter, herbal, complementary or alternative supplements as they may affect your response to sedation or surgery. There are certain supplements that should be stopped up to two weeks before surgery. If you have any questions regarding supplements, be sure to inform your surgeon or dentist and follow their recommendations prior to scheduling your procedure.<\/span><\/b><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t No, we do not have a case minimum. <\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t We bill for our anesthesia services directly to patient\u2019s and their insurer. <\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Accreditation is usually a requirement of the state medical board while dental board requirements vary by state. Contact us for more information on how we can assist you with obtaining accreditation.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t A registered nurse can be provided along with your experienced anesthesia provider.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t Certified Registered Nurse Anesthetists are advanced practice registered nurses (APRN) who have been long recognized as safe and cost effective anesthesia providers in the United States. CRNAs practice both autonomously and in collaboration with a variety of health providers on the interprofessional team. They consistently deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, dental, obstetrical, diagnostic, therapeutic, and pain management.<\/span> Nurse anesthetists have been trusted to provide anesthesia care to patients in the United States for more than 150 years.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\tsurgeon faq<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t