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General Information

Instructions for patients on Chronic Medication

To be taken on the day of surgery as usual

 

  • All cardiac or blood pressure drugs except ACE inhibitors and AT2 blockers (see below)
  • Epilepsy or Parkinson’s drugs
  • Asthma drugs or inhalers (and patient must please bring inhalers to hospital)
  • Tablets which reduce gastric acid (H2 receptor antagonists or PPIs)
  • Tranquilisers which are regularly taken at home
  • Antidepressants
  • Nicotine patches
  • Steroids
  • Immunosuppressants and cancer drugs
  • Antiretrovirals
  • Antibiotics
  • Analgesics except NSAIDs

To be omitted on the day of surgery

 

  • ACE inhibitors (enalapril, perindopril, captopril)
  • Angiotensin 2 Receptor Antagonists (candersartan, losartan)
  • Oral diabetic medication
  • Anticoagulants as per surgical requirements
  • All herbal or homeopathic remedies
  • Lithium
  • NSAIDs

Note: Insulin-dependent diabetics should be seen by their physicians / endocrinologist to tailor their perioperative glycaemic management for all but very minor surgery.

Discharged with a nerve block

If you are discharged from hospital with an active nerve block, you will be given the following instructions:

 

Whilst your limb is numb, it is important to protect it from extreme hot or cold, pressure or awkward positions which may injure you without your knowledge.

If you have weak or numb leg, do not try to walk on it until the feeling and strength have come back. Only walk when there is somebody to assist you to make sure that you do not fall.

 

Whilst complications related to nerve blocks and catheters are generally not severe and rare, please be vigilant for the following signs that there may be a problem and contact your anaesthesiologist at the emergency number above immediately should you notice any of the following:

 

  • Major Bruising (minor bruising is common at the site of the nerve block but if you notice a rapidly expanding swelling at the site of the block, please contact your anaesthesiologist)
  • Signs of infection (redness, swelling, tenderness and heat to the touch at the block site)
  • Shortness of breath
  • Numbness of the face, visual disturbances or hoarseness of the voice
  • Dizziness, ringing in the ears, numbness or strange sensations around your mouth
  • Palpitations, chest pain, feinting

 

As the block starts wearing off, you may feel pins-and-needles in the affected area. Be sure to take some pain medication before the block wears off totally to prevent the pain coming back suddenly. Your anaesthesiologist will discuss with you what pain medication to take.

Your anaesthesiologist will contact you telephonically to find out how you are until your block has resolved.

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Discharged with catheter

WHAT TO EXPECT

 

Medication called local anaesthetic will be injected around a nerve to the site of your operation, making the area numb. A narrow plastic catheter will be left in place so that local anaesthetic can be given continuously for a few days after surgery to assist with pain relief.

After 8 – 12 hours the initial block will start wearing off and you may feel pins-and-needles in the affected area.

Be sure to take some pain medication before the block wears off totally to prevent the pain coming back suddenly. Your anaesthetist will give clear instructions on what medication to take.

You will have some numbness and weakness of the blocked area until the pain pump is empty.

Thereafter the sensation and power will slowly return to normal over the next few hours.

Do

  • Take pain medication as discribed
  • Check skin around catheter for redness, pain and swelling
  • Protect the blocked limb from extreme heat or cold, pressure or awkward positions
  • Take care not to pull on the catheter

Don’t

  • Use the blocked limb
  • Walk on the blocked leg
  • Hang the medication balloon much higher or lower than the catheter insertion
  • Take immersive bath
  • Re-insert in skin
  • Re-connect catheter tubing if disconnected
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We are fully qualified doctors with years of training exclusively in the practice of anaesthesia, intensive care and pain management, resuscitation and advanced life support.

Contact Us

044 630 0660
info@synceruscare.co.za
Postnet Suite 204
Private bag x 6590
George
6530