01170 Anesthesia for open procedures involving symphysis pubis or sacroiliac joint

Name of the Procedure:

Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
Common names: Pelvic surgery anesthesia, Symphysis pubis anesthesia, Sacroiliac joint anesthesia

Summary

Anesthesia for open procedures involving the symphysis pubis or sacroiliac joint involves administering drugs to induce unconsciousness and eliminate pain during pelvic surgeries.

Purpose

This procedure is necessary to ensure patients do not feel pain during surgeries addressing issues in the symphysis pubis or sacroiliac joint. The primary goal is to provide a pain-free experience while allowing surgeons to perform needed repairs or modifications in the pelvic region.

Indications

• Chronic pelvic pain
• Pelvic fractures
• Symphysis pubis dysfunction
• Sacroiliac joint dysfunction
• Injury or damage requiring surgical intervention

Preparation

• Patients may be required to fast for at least 8 hours before the procedure.
• Temporary discontinuation of certain medications (as advised by a physician).
• Pre-surgical assessments including blood tests, ECG, and medical history review.

Procedure Description

1. Pre-operative assessment by the anesthesiologist.
2. Insertion of an intravenous (IV) line to administer medications.
3. Monitoring devices attached to check vital signs.
4. Administration of general anesthesia to put the patient to sleep.
5. Continuous monitoring of anesthesia levels throughout the surgery.
6. Additional regional anesthesia or nerve blocks may be used as needed.

Duration

The length of anesthesia varies depending on the complexity of the surgery but typically lasts from 2 to 4 hours.

Setting

This procedure is performed in a hospital operating room.

Personnel

• Anesthesiologist
• Nurse anesthetist
• Surgical team including surgeons and surgical nurses

Risks and Complications

• Common risks: Nausea, vomiting, sore throat, dizziness, shivering.
• Rare risks: Allergic reactions, respiratory issues, cardiovascular complications, prolonged anesthesia effects.
• Possible complications will be managed by the medical team.

Benefits

• Pain-free surgical experience
• Improved surgical outcomes due to patient immobility
• Rapid onset of anesthesia with controlled levels

Recovery

• Patients will be monitored in a recovery room post-surgery.
• Instructions on pain management and care of surgical site.
• Full recovery from anesthesia typically takes a few hours, with residual effects potentially lasting into the next day.
• Follow-up appointments to monitor recovery and address any concerns.

Alternatives

• Local anesthesia (though not typically sufficient for these procedures)
• Regional anesthesia (such as a spinal or epidural block)
• Risks and recovery times vary compared to general anesthesia, and appropriateness depends on the specific case.

Patient Experience

Patients will be unconscious for the duration of the surgery and not feel pain. Post-procedure, they may experience mild discomfort or soreness, which will be managed with pain relief medications. The health care team will ensure patient comfort and manage any side effects of anesthesia.