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Informed Consent

Sleep Well Anesthesia Services Informed Consent Information

The practice of anesthesia and medicine is not an exact science. The reactions of each person can vary. Even when performed correctly, an anesthetic procedure can be associated with an extreme risk of serious bodily injury or death.

The following is a brief description of the anesthesia which will be available to you.
Please read carefully and discuss in detail with your anesthesia provider.

  • Moderate Sedation or conscious sedation, commonly known as “twilight sleep”

    Intravenous medications will be administered. You should not feel pain, you will be very relaxed, and you will sleep through the procedure. You are monitored closely and continuously during the procedure. You may be easily aroused and will recover quickly.

  • General Anesthesia

    General anesthesia is a drug-induced loss of consciousness during which you are not arousable, even by painful stimulation. Your ability to independently maintain ventilatory function is often impaired. You will require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Your cardiovascular function may be impaired. Constant monitoring and alterations in your anesthetic will be modified as needed during your anesthetic to maintain a safe continuum of anesthesia during your procedure.

  • Deep Sedation

    Intravenous medications will be administered. You should not feel pain, you will be unconscious, and you will sleep through the procedure. You are monitored closely and continuously during the procedure. You will not be easily aroused but will respond to repeated stimuli.

Patient Statement

Prior to your procedure, your Anesthetic Plan will be discussed with you, and you will be asked to sign a form attesting to the following:

  • That you understand that this information is provided so that you can make an informed choice about the type of anesthesia you will be given for this elective surgery.

  • That you understand and give consent to the anesthetic planned, and further understand that your Anesthesia provider may need to change anesthetic choices or certain aspects of the anesthetic plan due to circumstances that may arise during surgery.

  • That you have read this from, and understand that you have the opportunity to ask questions and discuss the anesthetic plan with the Nurse Anesthesiologists responsible for my care.