GENERAL ANESTHESIA: alters your awareness of the procedure by producing sedative/amnesic effects, or sleep.
The administration of Oral/IV medication involves certain risks. These include:
- Nausea and vomiting.
- An allergic or unexpected reaction. If severe, allergic reactions might cause more serious respiratory (lung) or cardiovascular (heart) problems which may require treatment.
- Pain, swelling, inflammation or infection of the area of the injection (IV Sedation Only).
- Injury to nerves or blood vessels in the area (IV Sedation Only).
- Disorientation, confusion, or prolonged drowsiness after surgery.
- Cardiovascular or respiratory responses which may lead to heart attack, stroke, or death.
Fortunately, these complications and side effects are not common. Well-monitored anesthesia is generally very safe, comfortable, and well-tolerated. If you have any Questions, PLEASE ASK.
I have read and understand the above and give my consent to surgery. I further state that I HAVE NOT HAD ANY SOLIDS OR LIQUIDS BY MOUTH FOR SIX (6) HOURS PRIOR TO SURGERY. TO DO OTHERWISE MAY BE LIFE-THREATENING! I agree not to drive myself home and to have a responsible adult accompany me until I am recovered from my medications. I have given a complete and truthful medical history, including all medications, drug use, pregnancy, etc. I certify that I speak, read and write English.