Book Appointments & Health Checkup Packages
Book Appointments & Health Checkup Packages
Local anesthesia involves numbing a part of your body during procedures such as Biopsy, deep cut stitching, or the repair of broken bones. It is safe and painless, and a one-time administration is performed while the patient is awake. Moreover, procedures that require local anaesthesia usually involve day-care or short-term interventions that do not necessitate hospitalisation. The mechanism of action generally involves blocking sodium receptors or signals transmitted to our brain when a pain stimulus occurs. The effect of local anesthesia manifests a few minutes after administration. When specialists require more long-lasting or invasive procedures, they may administer regional or general anaesthesia.
The Department of Anaesthesiology at Manipal Hospitals, Mukundapur, Kolkata, is highly dedicated to ensuring the safety of the patients and their well-being while administering local anaesthesia. The anaesthesiologists generally collaborate with other departments to provide comprehensive care, including thorough and effective monitoring and management of the patient in all aspects of health.
Some procedures that involve the administration of local anaesthesia include:
Diagnostic procedures, which include Biopsy procedures such as Skin or Breast Biopsy or Spinal Tap
Filling or Removal of wisdom teeth
Minor skin procedures, such as the removal of warts, verrucas, and moles
Eye surgeries, such as Cataract Removal
Major surgeries, such as Brain Surgery, which require the patient to be awake
Pain relief after major surgeries that were performed under general anaesthesia
Used in cancer and joint-related pain
Labour pain, where specialists might administer epidural anaesthesia
Employed in procedures that address poison ivy contact, open sores, and other rashes
Local anaesthesia is administered via several routes, such as:
Skin and airways, which includes spray, injection, or ointment
Subcutaneous, or under the skin
Intravenous (IV), or through the veins
Perineural administration, characterised by injecting the anaesthetic around the nerve or nerve bundle
Epidural is defined as the administration of anaesthetics in epidural space which surrounds the spinal cord
Intrathecal administration, where injection is performed through the spinal cord or subarachnoid space to reach the cerebrospinal fluid (CSF)
The effects of local anaesthesia usually wear off quickly once administered and are usually based on the type of anaesthesia administered. Drugs like lignocaine may last for an hour or two. Depending on the severity of your condition, specialists may combine local anaesthetics with steroids to prolong the effect of anaesthesia, such as lignocaine with epinephrine, which helps the effects of lignocaine to last for two to six hours. Sometimes, patients may have to stay longer on monitoring, especially in Laryngoscopy procedures where specialists examine your throat and vocal cords and monitor until your gag reflex returns to ensure it is safe to eat or drink.
Complications caused by local anaesthesia are usually rare and minor. However, major risks include:
Allergic reactions
Soreness
Anaesthesia toxicity due to overdose
Paraesthesia, characterised by the persistence of anaesthesia symptoms, such as a burning or pricking sensation for a prolonged period
Postoperative soft tissue injury, such as chewing of the lip or accidental biting, especially in young paediatric or disabled patients
Cardiac-related symptoms, such as isolated atrial fibrillation, cardiac arrest, cardiotoxicity, and other conditions
Neuro-toxicity
Other rare complications such as tissue necrosis, needle breakage, osteomyelitis, and facial paralysis, particularly in dental procedures
While there may not be any notable or serious symptoms, it is common to experience some temporary side effects after the administration of local anaesthesia, some of which include:
Headache or dizziness
Blurred vision
Prolonged numbness or sensation of burning or pricking (pins and needles)
Shivering or twitching of muscles
Inability to urinate, especially seen in epidural anaesthesia
Blanching, characterised by a change in skin colour caused by the combination of steroids, such as adrenaline, makes the surrounding blood vessels smaller.
These side effects usually persist for a short period. However, it is important to notify our specialists if you experience any of the symptoms mentioned for an extended period. Moreover, let our specialists know if you have prior experience with allergies or any events that have occurred after the administration of anaesthesia. Our specialist may recommend skin testing to confirm allergies before proceeding with anaesthesia administration.
Since local anaesthetics are administered for normal procedures that don't require hospitalisation and are brief, you can resume normal activities shortly afterwards. Moreover, you can drive yourself to and from the hospital for your procedure. Nevertheless, it is wise to take a family member, especially if you anticipate any discomfort after the procedure. You can also return to work quickly. Our specialists will give you personalised instructions regarding any necessary follow-up care or restrictions.
General pain relief guidelines you should follow at home after a local anaesthesia procedure include:
Consuming paracetamol for mild pain and a combination of paracetamol and anti-inflammatory medications or morphine based pain killers for moderate or severe pain
Consuming plenty of water and foods that contain immense dietary fibres to avoid constipation
Anti-inflammatory medications irritate the stomach and, therefore, should be consumed with or after food
Sticking to the medication schedule tailored by specialists and avoiding excessive medications to prevent any complications, such as overdose
Home Mukundapur Specialities Anesthesiology Local-anesthesia