Dr Pr. D’Agostino, MD, PhD

Hand Clinic Brussels - Lasne

LOUISE +32 2 534 29 99 LASNE +32 2 653 11 11

Anaesthetist

To ensure your operation goes smoothly, the Anaesthetist and your surgeon will work closely and communicate on all aspects of your case.

The choice of anaesthesia will depend on the planned procedure, your state of health, the result of any supplementary examinations and your preferences discussed with the anaesthetist.

The term "anaesthesia" means insensitivity to pain caused by medical or surgical procedures.

There are various types of anaesthesia:

Anesthésiste QT (EN)

Administered by the surgeon and used only for short operations. The anaesthetic is injected close to the area of the operation. The tourniquet applied to the arm must be kept in place throughout the operation (around ten minutes).

This method has several advantages (simpler procedure, no side effects, conscious patients are able to indicate any abnormal sensations).

Uses different techniques to numb only the part of your body in which the operation will take place. The principle is to block the nerves in this region by injecting a local anaesthetic nearby.

The injection may be administered by an endovenous line (endo IV) in the forearm, or at the junction between the branches of the brachial plexus (plexus) which are located using ultrasound and neurostimulation at the base of the limb (axillary crease).

The arm will "wake up" after several hours with plexus anaesthesia and within an hour of removing the tourniquet with endo IV anaesthesia.

Sedation may be used in addition to RLA or LA. This consists of an IV injection (small catheter placed in the forearm) of anxiolytic drugs which allow a state of deep relaxation to be induced, thereby ensuring your physical and psychological comfort while facilitating the surgical procedure.

These techniques offer the advantage of avoiding general anaesthesia and the feeling of difficulty in waking up which sometimes follows. However, general anaesthesia may be added or become necessary, particularly if LRA is insufficient.

Sleep-like state produced by administering IV and/or inhaled drugs using an appropriate device.

The main objective is to temporarily and reversibly suspend consciousness and sensitivity to pain.

If you have a tendency to be anxious or stressed, the anaesthetist will suggest a calming premedication in addition to your LA or LRA.
The team is specially trained in these various types of anaesthesia. Working with the anaesthetist, your surgeon will favour LRA or LA for the vast majority of procedures.