ANESTHESIA

The MGH Orthopaedic Ambulatory Surgery Center (ASC) is a free-standing outpatient surgical facility, which opened in August 2006. Although we are a satellite facility of the MGH, we are committed to the same standards of excellence for patient care and safety.

The MGH Orthopaedic ASC Anesthesia Department is made up of Anesthesiologists, Certified Registered Nurse Anesthetists and a rotating senior MGH anesthesia resident. Our goal at the MGH Orthopaedic ASC is to make your anesthetic and surgical experience the safest and most enjoyable it can be and to discharge you home in the most comfortable, expeditious manner possible.

During your pre-operative visit with your surgeon you may discuss the different anestheic options for your surgery. During this visit you will also be instructed to fill out your One Medical Passport questionnaire on the computer. This needs to be done prior to your pre-op nursing and anesthesia evaluations. Once completed and your surgery is scheduled you will receive a phone interview from a nurse. You will also receive a call from an anesthesiologist if a regional anesthesia, also known as a nerve block, is an option for your surgery.

There are several different options available for orthopaedic surgical procedures including general anesthesia, MAC (local anesthesia with IV sedation), IV regional anesthesia (Bier Block), regional anesthesia (nerve block) or a combination of the options. The type of anesthesia you will receive for your surgical procedure will be dependent on the several factors: the particular surgical procedure, the surgeon's preference for that procedure, the patient's medical condition, the anesthesiologist's recommendation and the patient's preference.

If a nerve block is a possible option as part of the anesthetic plan for your surgical procedure, you will receive a pre-operative phone call from an anesthesiologist to discuss the nerve block and to see if you are a candidate for the block. If a nerve block is not an option for your procedure, your anesthesia pre-op will be performed the day of surgery at the ASC If you have any questions about your anesthetic plan or wish to speak to an anesthesiologist pre-operatively, please alert the nurse during your pre-operative nursing assessment phone call, which all patients will receive after he/she has completed his/her One Medical Passport.

The surgeon's office will call you with the scheduled time of your procedure usually one to two days before your scheduled date. Remember you must not eat or drink after midnight the night before your surgical date unless instructed otherwise by the nursing or anesthesia staff.

We, the Anesthesia team, look forward to the privilege of taking care of you at the MGH Orthopaedic Ambulatory Surgery Center.