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General anaesthesia

General anaesthesia is a state of controlled unconsciousness. During a general anaesthetic, medications are used to send you to sleep, so you're unaware of surgery and don't move or feel pain while it's carried out.

General anaesthesia is essential for some surgical procedures where it may be safer or more comfortable for you to be unconscious. It's usually used for long operations or those that would otherwise be very painful.

It's not clear exactly how it works, but it's known that all anaesthetics interrupt the passage of signals along the nerves. This means that any stimulation to the body doesn't get processed or recognised by the brain.

How general anaesthetics are given

Before having an operation, you'll meet a specialist doctor called an anaesthetist to discuss which anaesthetic is most suitable for you.

Your anaesthetist will look at your medical history and will ask whether anyone in your family has had problems with anaesthesia. They'll also ask about your general health and lifestyle, including whether you:

Your anaesthetist can answer any questions you have. Let them know if you're unsure about any part of the procedure or if you have any concerns. You should be given clear instructions to follow before the operation, including whether you can eat or drink anything in the hours leading up to it.

Before and during your operation

Just before you have surgery, you'll usually be taken to a room where your anaesthetist will give you the general anaesthetic. 

It will either be given as a:

The anaesthetic should take effect very quickly. You'll start feeling light-headed, before becoming unconscious within a minute or so.

Your anaesthetist will stay with you throughout the procedure. They'll make sure you continue to receive the anaesthetic and that you stay in a controlled state of unconsciousness. They'll also give you painkilling medicine into your veins, so that you're comfortable when you wake up.

Recovery

After your operation, the anaesthetist will stop the anaesthetic and you'll gradually wake up. You'll usually be in a recovery room at first, before being transferred to a ward.

Depending on your circumstances, you'll usually need to stay in hospital for a few hours to a few days after your operation.

General anaesthetics can affect your memory, concentration and reflexes for a day or two, so it's important for a responsible adult to stay with you for at least 24 hours after your operation, if you're allowed to go home. You'll also be advised to avoid driving, drinking alcohol and signing any legal documents for 24 to 48 hours.

Side effects

General anaesthetics have some common side effects. Your anaesthetist should discuss these with you before your surgery.

Most side effects occur immediately after your operation and don't last long. Possible side effects include:

Complications and risks

A number of more serious complications are associated with general anaesthetics, but these are rare.

Possible serious complications and risks include:

Serious problems are more likely to occur if you're having major or emergency surgery, you have any other illnesses, you smoke, or you're overweight.

Your anaesthetist will discuss the risks with you before your operation. You should try to stop smoking or drinking alcohol in the weeks before surgery, as doing so will reduce your risk of developing complications.

You may also be advised to lose weight, and if you can you should increase your activity levels in the weeks before surgery, as this is likely to reduce your risk as well.

In most cases, the benefits of being pain-free during an operation outweigh the risks.

Other types of anaesthetic

As well as general anaesthetic, there are several other types of anaesthetic, which can be used for certain procedures. They include: