Advice for Patients Having MRI Investigation Under Sedation or General Anaesthetic Information for patients, relatives and friends
|
|
- Lorraine Goodman
- 7 years ago
- Views:
Transcription
1 Sheffield Teaching Hospitals NHS Foundation Trust Advice for Patients Having MRI Investigation Under Sedation or General Anaesthetic Information for patients, relatives and friends
2
3 Contents How to contact us page 4 About Anaesthetics page 5 Having Sedation page 8 Having a General Anaesthetic page 10 What to do after the Scan page 15 Understanding Risks of Sedation and Anaesthesia page 17 3
4 You are coming to hospital for an MRI Scan for which you may need sedation or an anaesthetic. There may be questions you would like to ask about your anaesthetic or sedation. This booklet aims to answer most of the common questions. However, if after reading it you still have some questions please ask your anaesthetist on the day; or Telephone Mrs Julie Elliott in the Radiology Department at The Royal Hallamshire Hospital between 10am and 4pm on normal working days 4
5 About Anaesthetics What is an anaesthetic? An Anaesthetic is a mixture of drugs that will help you feel relaxed, or make you unconscious so that you can have your scan safely and without any awareness of the procedure. Because everyone is different, the anaesthetic you have will be designed to suit you, and your particular scan. Why do I need an anaesthetic? You need an anaesthetic to make sure that you are comfortable, relaxed and unaware during your scan. The most common reason to require anaesthesia or sedation for MRI scanning is claustrophobia, which occurs in 1-5% of patients. Some patients need anaesthesia for movement disorders or because they are unable to lie flat or very still during the scan. Are all anaesthetics the same? No, there are two types of anaesthetics available for MRI scanning: Sedation - this relaxes you. You will be very sleepy and you will not be aware of or remember the procedure or scan. Sedation is only really suitable for patients needing scans of the lower and mid spine, as it can sometimes cause snoring and minor movements, making it difficult to get good pictures of the brain or neck. 5
6 Occasionally very light sedation may be all that is needed and you may feel that this is all you require. You will have the opportunity to discuss this with your anaesthetist on the day. General - this makes you unconscious. Under a general anaesthetic you will not be aware of what is happening to you and you will need an airway inserted when you are asleep, through which the anaesthetic will be given. At the end of the scan the anaesthetist will stop giving the anaesthetic drugs and you will regain consciousness quite quickly. Who are anaesthetists? Giving anaesthetics is a highly skilled and responsible job. Your anaesthetist is a doctor who has trained for at least six extra years to become a specialist in anaesthetics and is particularly experienced in providing you with appropriate sedation or anaesthesia for your scan. An anaesthetist gives all general anaesthetics and sedation in the MRI Unit. This hospital is a teaching hospital so you may be seen and cared for by a trainee anaesthetist who is already a qualified doctor. However, a consultant anaesthetist always supervises them. 6
7 What does my anaesthetist do? Your anaesthetist cares for you before, during and after your scan. They: Decide which is the best anaesthetic or sedation for you. Keep you safe through your scan. Monitor your pulse, ECG, blood pressure, oxygen levels in the blood and levels of anaesthetic agents. Make sure you are kept as healthy as possible through out your scan. What happens before I have an anaesthetic or sedation? Before being given an anaesthetic or sedation, your anaesthetist will talk to you and ask you questions about: Your previous health Your general health Any medicines you are taking Whether you smoke or drink alcohol Whether you are allergic to any medicines, or substances Whether you have had anaesthetic before and if so how it affected you 7
8 Your anaesthetist will have assessed your questionnaire which you completed and may have decided which technique will be best for you and which will enable the radiographers to obtain the best images which your doctor has asked for. You will also be asked to complete an MRI safety questionnaire prior to your scan. Having sedation How is sedation given? Sedation is given by injection into a vein. To do this, we put a needle covered in a tight fitting plastic tube into the vein. The needle is removed leaving the soft and bendy plastic tube, called a cannula in the vein. The cannula is taped in place and the sedative is then injected through this. Sedation works in a similar way to general anaesthetic and causes your breathing to become shallow. To ensure you get enough oxygen you will be given oxygen using a nasal cannula which is a fine tube placed under your nose. Will it hurt? Although sedative drugs themselves do not hurt, placing the cannula may hurt a little, but no more than having any other kind of injection. How will I feel? While you are sedated, you should feel comfortable, relaxed and very drowsy. Most people do not remember the scan. Occasionally the sedation gets a bit lighter and 8
9 people wake up during the scan. The anaesthetist will be monitoring you throughout the procedure and will increase the sedation to make you sleepy again. This is entirely normal. Most patients find that sedation works well for them and are happy to have it again if they need it. However, if you feel uncomfortable during the scan done under sedation we may: Give further drugs Be able to change to a general anaesthetic Is sedation safe? All anaesthetics have some risks. However, a trained doctor gives the sedation and you will be cared for in just the same way as if you were having a general anaesthetic (see page 10). Are any special preparations necessary? Sedation is treated just the same as general anaesthesia so we use the same fasting principles. We ask you to stop eating and drinking for at least 6 hours before the scan. This includes food and non-clear, pulpy and sugary drinks such as tea/coffee with milk or Lucozade. You can have water, diluted juice and tea/coffee without milk up to 2 hours before (and we encourage you to do so). It is ok to take some of your normal medications with a small amount of water. Chewing gum should be avoided up to an hour before your scan. What should I do after having sedation? If you have had sedation, you should: Have someone to take you home by car, or accompany you home in a taxi 9
10 Have a responsible adult to look after you overnight Have easy access to a telephone Not drink alcohol, take other sedatives or tranquillisers for 24 hours Not drive or operate machinery for 24 hours after your scan Avoid signing any important/legal documents for 24 hours Having a General Anaesthetic Is having a general anaesthetic safe? Yes it is. Of course, any anaesthetic carries a small risk but it is very slight. A survey in the United Kingdom showed that there were less than 5 deaths in every million anaesthetics given. Obviously people who are ill or have medical problems are at more risk than those who are fit and well. If you are concerned about this, talk to your anaesthetist who is an important member of the team of people that carry out your scan or discuss it with the doctor who has asked you to have the scan. When will I meet my anaesthetist? Everybody will meet their anaesthetist before their scan. Your anaesthetist will already have looked carefully at the questionnaire, which you have completed. You will normally meet your anaesthetist on the day of your scan, but it may be necessary for you to be seen in a 10
11 special clinic, arranged before your scan, to discuss your medical condition. The anaesthetist may ask you to have extra tests such as an ECG, chest Xray or blood tests, depending on your general fitness. Do I have any say in what happens to me? Your anaesthetist will talk to you about options for your care. Nothing will be done until you understand what is going to happen and agree with it. Are any special preparations necessary? You should follow preoperative fasting guidelines which are: No food, milk or pulpy drinks up to 6 hours prior to your scan Water, dilute clear juice and tea or coffee without milk can be consumed up to 2 hours before your scan and may make you feel less dehydrated. Most normal medications can be taken with a small amount of water Before your scan you will also be asked to remove your dentures, glasses or contact lenses, watch, and any jewellery. Make up and cosmetics are best left off. You may need to change into an operation gown if you are wearing anything with metal parts and before your scan you will need to complete a questionnaire about metal implants or objects in your body. 11
12 Why do I have to stop eating and drinking? This is because it takes this long for food and drink to pass through your system and having food in your stomach during your anaesthetic can be dangerous. Anaesthetics can make you sick. If you are sick when you are unconscious, your body cannot get rid of the vomit safely and you may choke, or drown because liquid has got into your lungs. Why do I have to take off my personal effects? You have to take your dentures out because general anaesthesia and sedation help you relax your whole body as well as making you unconscious. This includes your mouth and neck, which could make it difficult for you to breathe. To make sure you can breathe easily, your jaw may be supported or tubes used. Dentures or loose teeth can make it difficult to give you this help. We ask you to take off your glasses and contact lenses because during your scan you may need to have a mask on your face (usually to give you oxygen or an anaesthetic gas). Your glasses or contact lenses may get damaged or be in the way and make it difficult to do this properly. You need to remove your watch, jewellery and any other metallic objects to stop them getting damaged. If you have a pierced tongue or lip you will need to remove the metalwork because they may become loose and get stuck in your airway and they can cause interference with the scan. 12
13 Make-up, cosmetics and moisturisers can make it difficult to stick the monitors we use to the skin so they are best left off. How should I use prescribed drugs, tobacco, alcohol and other substances before the scan? Most prescribed drugs should be taken as normal. Your anaesthetist will give advice about any changes that are necessary around the time of the scan. Standard medical advice is to give up smoking. Tobacco smoke makes the lining of the lungs irritable, and contains carbon monoxide, which makes the blood less well able to carry oxygen. It is best to try to stop smoking 4 weeks before the scan, as this will let the lung lining return to normal. If you cannot do this it is helpful to reduce or stop smoking from 4 days before your scan so that any effects from carbon monoxide will be reduced. If you continue smoking you increase the risks from the anaesthetic or sedation, you may notice that you cough and produce more phlegm than usual in the first few days afterwards. Alcohol should not be used from 4 days before the scan. Alcohol will increase the effect of the anaesthetics used, adding to the risks of the anaesthetic. Patients used to high levels of alcohol can be resistant to anaesthetics and may require more anaesthetic drugs, which may add further to the risks. It is best to discuss these problems frankly and confidentially with your anaesthetist as early as possible. 13
14 Herbal remedies can affect anaesthetics. It is best to seek advice, or not to take them for 4 days before your scan. Occasional users of street drugs should abstain for 4 days before their scan. Regular users of street drugs can be resistant to anaesthetics and may have withdrawal problems after the anaesthetic, though as it is usually a relatively short procedure it is not usually a great problem. It is best to discuss these problems frankly and confidentially with your anaesthetist as early as possible. What happens during my scan? Once it is decided whether you will be having sedation or anaesthesia, the anaesthetist will give you drugs to make you sedated or unconscious. Your vital signs will be monitored throughout the procedure using highly specialised anaesthetic and monitoring equipment. Where will I wake up? After the scan you will wake up in the recovery bay where you will be looked after by a specially trained nurse. Your vital signs will be monitored for a short time and you will be given oxygen through a facemask. Your anaesthetist may not be with you when you wake up, but will be nearby if the nurse wants to check anything. Once you are recovered you will be taken back to your ward or discharged home. 14
15 How will I feel when I wake up? All anaesthetics and sedative drugs leave people needing some time to recover afterwards. Whilst you are waking up, you may feel muzzy and not remember much. In most cases you will be able to drink within 30 minutes of the end of the scan. It is very unlikely that you will feel sick, but if you do feel sick please tell the nurse, who will be able to give you drugs to make you feel less sick. Is there anything I should do after having a general anaesthetic? If you are gong home on the same day as having your general anaesthetic, you should: If you have had sedation, you should: Have someone to take you home by car, or accompany you home in a taxi Have a responsible adult to look after you overnight Have easy access to a telephone Not drink alcohol, take other sedatives or tranquillisers for 24 hours Not drive or operate machinery for 24 hours after your scan Avoid signing any important/legal documents for 24 hours 15
16 What if I need any help or information once I go home? If after you have gone home you are worried about anything to do with your procedure or anaesthetic, you should contact the: The MRI Unit on Or The Anaesthetic Department on
17 Appendix Understanding Risk In modern anaesthesia serious problems are uncommon. Risk cannot be completely removed, but modern equipment, training and drugs have made it a much safer procedure in recent years. To understand a risk, you must know: how likely it is to happen how serious it could be how it can be treated The risk to you as an individual will depend on: whether you have any other illnesses personal factors such as smoking or being overweight procedures which are long or done in an emergency People vary in how they interpret words and numbers; this scale is provided to help Very Common Common Uncommon Rare Very Rare 1 in 10 1 in in in 10,000 1 in 100,000 17
18 Very Common and Common Side Effects GA Feeling sick and vomiting GA Sore Throat GA Sedation Dizziness, blurred vision GA Headache GA Discomfort during injection of drugs GA Sedation Memory loss Uncommon side effects and complications GA Chest Infection GA Slow breathing (depressed respiration) GA Damage to teeth lips or tongue GA Sedation An existing medical condition getting worse GA Sedation Confusion GA Sedation Awareness (becoming conscious during your scan) GA Muscle pains Rare or very rare complications GA Sedation Damage to the eyes GA Sedation Serious allergy to drugs GA Sedation Equipment failure GA Burns from ECG electrodes GA Sedation Death Deaths caused by anaesthesia are very rare, and are usually caused by a combination of complications occurring together. There are probably about five deaths for every million anaesthetics in the UK. 18
19 We welcome any suggestions to improve this leaflet. You should send them to: Mrs Julie Elliott Radiology Department C Floor Royal Hallamshire Hospital Glossop Rd Sheffield S10 2JF 18
20 PD2957-PIL805 v4 Issue date: December Review date: December 2018
Your child s general anaesthetic for dental treatment. Information for parents and guardians of children
Your child s general anaesthetic for dental treatment Information for parents and guardians of children This booklet explains what to expect when your child has a general anaesthetic for dental treatment.
More informationYour child s general anaesthetic for dental treatment
Questions you may like to ask your anaesthetist Q Who will give my child s anaesthetic? Q Is this the only type of anaesthetic possible for dental treatment? Q Have you often used this type of anaesthetic?
More informationYOU AND YOUR ANAESTHETIC
YOU AND YOUR ANAESTHETIC Information Leaflet Your Health. Our Priority. Page 2 of 8 This leaflet aims to answer some of the questions you may have about your anaesthetic and contains fasting instructions.
More informationName of procedure: Squint Surgery (Child)
Eye Surgery Surgical procedure information leaflet Name of procedure: Squint Surgery (Child) This leaflet is for parents whose child has a squint that may be helped by an operation. In this leaflet we
More informationUndergoing an Oesophageal Endoscopic Resection (ER)
Contact Information If you have an enquiry about your appointment time/date please contact the Booking Office on 0300 422 6350. For medication enquiries please call 0300 422 8232, this is an answer machine
More informationYour spinal Anaesthetic
Your spinal Anaesthetic Information for patients Your spinal anaesthetic This information leaflet explains what to expect when you have an operation with a spinal anaesthetic. It has been written by patients,
More informationHaving denervation of the renal arteries for treatment of high blood pressure
Having denervation of the renal arteries for treatment of high blood pressure The aim of this information sheet is to help answer some of the questions you may have about having denervation of the renal
More informationEpidurals for pain relief after surgery
Epidurals for pain relief after surgery This information leaflet is for anyone who may benefit from an epidural for pain relief after surgery. We hope it will help you to ask questions and direct you to
More informationLocal anaesthesia for your eye operation
Local anaesthesia for your eye operation Information for patients and families. www.anaesthesia.ie 1 This information leaflet is for anyone expecting to have an eye operation with a local anaesthetic.
More informationUniversity College Hospital. Your child is having an MRI scan under sedation. Imaging Department
University College Hospital Your child is having an MRI scan under sedation Imaging Department If you would like this document in another language or format, or require the services of an interpreter,
More informationYou have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy.
Gastroscopy (OGD) The Procedure Explained You have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy. This procedure requires your formal consent. If you are unable
More informationANESTHESIA. Anesthesia for Ambulatory Surgery
ANESTHESIA & YOU Anesthesia for Ambulatory Surgery T oday the majority of patients who undergo surgery or diagnostic tests do not need to stay overnight in the hospital. In most cases, you will be well
More informationLocal anaesthesia for your eye operation
Local anaesthesia for your eye operation A short guide for patients and families. This is for anyone expecting to have an eye operation with a local anaesthetic. It does not give detailed information about
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationUNDERGOING OESOPHAGEAL STENT INSERTION
UNDERGOING OESOPHAGEAL STENT INSERTION Information Leaflet Your Health. Our Priority. Page 2 of 5 Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains
More informationOxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients
Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients This leaflet tells you about the bronchial-artery embolisation procedure. It explains what is involved and
More informationStapedectomy / Stapedotomy / Surgery for Otosclerosis
Patient information Stapedectomy / Stapedotomy / Surgery for Otosclerosis Ear, Nose and Throat Directorate PIF 230 V6 Your Consultant / Doctor has advised you to have a Stapedectomy / Stapedotomy / Surgery
More informationElective Laparoscopic Cholecystectomy
General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the
More informationWhat is a mastoidectomy and why do I need this operation? What is the benefit of having a mastoidectomy?
Mastoidectomy What is a mastoidectomy and why do I need this operation? A mastoidectomy is performed to remove infected mastoid air cells situated behind the middle ear and the removal of infected structures
More informationParathyroidectomy An operation to remove overactive parathyroid glands Information for patients
Oxford University Hospitals NHS Trust Parathyroidectomy An operation to remove overactive parathyroid glands Information for patients What are the parathyroid glands? There are four parathyroid glands
More informationElectroconvulsive Therapy - ECT
Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts
More informationMeatoplasty/Canalplasty
Meatoplasty/Canalplasty What is a meatoplasty/canalplasty and why do I need this operation? This operation is performed to widen your ear canals so that they do not get blocked with wax and debris. It
More informationX-Plain Preparing For Surgery Reference Summary
X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding
More informationHaving a RIG tube inserted
Having a RIG tube inserted Information for patients and carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationWhat you Need to Know about Sleep Apnea and Surgery
What you Need to Know about Sleep Apnea and Surgery UHN For patients with sleep apnea who are going to have surgery Read this brochure to learn: What sleep apnea is Risks of having sleep apnea when going
More informationENDOSCOPY UNIT. Duodenum Stomach. Having an oesophageal stent. Patient information leaflet
Trafford Hospitals ENDOSCOPY UNIT Gastroscope Oesophagus Lungs Duodenum Stomach Having an oesophageal stent Patient information leaflet If you are unable to keep your appointment, please telephone the
More informationName of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary)
For staff use only: Patient Details: Surname: First names: Date of birth: Hospital no: Female: (Use hospital identification label) Gynaecology Patient agreement to treatment Name of procedure: Laparoscopic
More informationGet the Facts About Tuberculosis Disease
TB Get the Facts About Tuberculosis Disease What s Inside: Read this brochure today to learn how to protect your family and friends from TB. Then share it with people in your life. 2 Contents Get the facts,
More informationYour admission for day surgery
Royal Berkshire NHS Foundation Trust London Road Reading Berkshire RG1 5AN 0118 322 5111 (switchboard) West Berkshire Community Hospital London Road, Benham Hill Thatcham Berkshire RG18 3AS 01635 273300
More informationHeadache after an epidural or spinal injection What you need to know. Patient information Leaflet
Headache after an epidural or spinal injection What you need to know Patient information Leaflet April 2015 We have produced this leaflet to give you general information about the headache that may develop
More informationEnhanced recovery programme (ERP) for patients undergoing bowel surgery
Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare
More informationHaving a PEG tube inserted?
Having a PEG tube inserted? Information for Patients and Carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationOGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity
Liver, Renal & Surgery OGD (Gastroscopy) Information for patients This leaflet answers some of the questions you may have about having an OGD. It explains the risks and the benefits of the test and what
More informationInferior Vena Cava filter and removal
Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)
More informationHaving a Trans-Arterial Embolisation
Having a Trans-Arterial Embolisation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPercutaneous Endoscopic Gastrostomy (PEG) removal
Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service
More informationFemoral artery bypass graft (Including femoral crossover graft)
Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to
More informationWho can have an MRI scan?
i MRI Scan Contents What is an MRI scan? 1 Why am I having an MRI scan? 1 Who can have an MRI scan? 1 What preparation will I need? 2 What happens when I come for the scan? 2 Who will I see when I have
More informationBefore and After Your Cardioversion
2013 Before and After Your Cardioversion Before and After Your Cardioversion Preparing for your cardioversion Your doctor has recommended cardioversion to treat your heart rhythm problem. This booklet
More informationInformation for adult patients. Common questions about tonsil surgery. Why do we have tonsils? How is the operation performed? What happens now?
Information for adult patients The purpose of this information is to help everyone who undergoes tonsil surgery to feel as good as possible after the operation and to return to normal food and normal activities
More informationPneumonia. Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid.
Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at
More informationHysteroscopy (Out Patient, Day Case or In Patient)
Hysteroscopy (Out Patient, Day Case or In Patient) Exceptional healthcare, personally delivered Introduction This leaflet explains the procedure of hysteroscopy. If you have any other questions do not
More informationGastroscopy the procedure explained
Gastroscopy the procedure explained Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an investigation known as a gastroscopy (OGD).
More informationHaving a Percutaneous Endoscopic Gastrostomy (PEG)
Having a Percutaneous Endoscopic Gastrostomy (PEG) Patient Information Author ID: L Dowle and N Prasad Leaflet Number: End 009 Name of Leaflet: Having a Percutaneous Endoscopic Gastrostomy (PEG) Date Produced:
More informationTreating Sleep Apnea A Review of the Research for Adults
Treating Sleep Apnea A Review of the Research for Adults Is This Information Right for Me? Yes, if: A doctor said you have mild, moderate, or severe obstructive sleep apnea, or OSA. People with OSA may
More informationDepartment of Neurosciences Dorsal Root Ganglion (DRG) Stimulation Information for patients
Oxford University Hospitals NHS Trust Department of Neurosciences Dorsal Root Ganglion (DRG) Stimulation Information for patients We have recently seen you in clinic as you have had pain for a long period
More informationElectrophysiology study (EPS)
Patient information factsheet Electrophysiology study (EPS) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationFirst aid for seizures
First aid for seizures What is epilepsy? Epilepsy is a tendency to have repeated seizures that begin in the brain. For most people with epilepsy their seizures will be controlled by medication. Around
More informationOesophageal Balloon Dilatation
Oesophageal Balloon Dilatation Patient Information Author ID: N Prasad Leaflet Number: End 008 Name of Leaflet: Oesophageal Balloon Dilation Date Produced: March 2014 Review Date: March 2016 Oesophageal
More informationEpilepsy. What is Epilepsy? Epilepsy is a common brain condition. About 1 person in every 200 has epilepsy. Epilepsy is when you keep having seizures.
Epilepsy What is Epilepsy? Epilepsy is a common brain condition. About 1 person in every 200 has epilepsy. Epilepsy is when you keep having seizures. A seizure is a sudden burst of electrical activity
More informationElectroconvulsive Therapy ECT and Your Mental Health
Electroconvulsive Therapy ECT and Your Mental Health Mental Health and Addictions Program St. Joseph s Healthcare Hamilton Charlton Campus 50 Charlton Avenue East Hamilton, Ontario 905-522-1155 ext. 33684
More informationMedications to help you quit smoking
Medications to help you quit smoking How can medication help me quit smoking? Using medications can increase your chances of quitting smoking 2 to 3 times more than quitting without using medications.
More informationRemoval of the Submandibular Salivary Gland
Department of Oral and Maxillofacial Surgery Removal of the Submandibular Salivary Gland Information for patients This leaflet will help you understand your treatment and should answer many of the questions
More informationAn operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
More informationMesenteric Angiography
Information for patients Mesenteric Angiography Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as a Mesenteric Angiogram. This
More informationColon Cancer Surgery and Recovery. A Guide for Patients and Families
Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationEndoscopic Mucosal Resection Endoscopy Unit
Manchester Royal Infirmary Endoscopic Mucosal Resection Endoscopy Unit Information For Patients 2 You have been advised to have an endoscopic mucosal resection to your oesophagus (gullet) or stomach. This
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationTotal hip replacement
Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic
More informationThe science of medicine. The compassion to heal.
A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.
More informationHaving a Gastroscopy (OGD)
Having a Gastroscopy (OGD) Endoscopy Department Page 16 Patient Information Having a Gastroscopy (OGD) You have been advised to have a gastroscopy to help find the cause of your symptoms. The test is sometimes
More informationHow To Prepare For A Ct Scan
Oxford University Hospitals NHS Trust Radiology Department Information for patients having a CT scan page 2 The radiology department has received a request for you to have a CT scan. This leaflet tells
More informationFurther information about having an anaesthetic
Further information about having an anaesthetic This information is for adults expecting to have an operation that needs an anaesthetic. It explains what an anaesthetic is, how to prepare for one and what
More informationPatient Information. Lumbar Spine Segmental Decompression. Royal Devon and Exeter NHS Foundation Trust
Lumbar Spine Segmental Decompression Royal Devon and Exeter NHS Foundation Trust Patient Information Lumbar Spine Segmental Decompression Reference Number: TO 05 004 004 (version date: June 2015) Introduction
More informationInformation for patients Breast Screening
Information for patients Breast Screening Easy Read Easy Read 2 What is breast screening? Breast screening is how we check your breasts are healthy. It is an X-ray that can take pictures of inside your
More informationInguinal (Groin) Hernia Repair
Information for patients Inguinal (Groin) Hernia Repair General Surgery Tel: 01473 712233 DMI ref: 11582-09.indd(RP) Issue 1: February 2010 The Ipswich Hospital NHS Trust, 2010. All rights reserved. Not
More informationA Message for Parents & Carers
My Operation A Message for Parents & Carers This book has been compiled by the Hospital Play Coordinators and Theatre Staff to help explain admission and surgery to parents and their patients. Every year
More informationAtrioventricular (AV) node ablation
Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
More informationOesophageal Stent Insertion
Oesophageal Stent Insertion Endoscopy Department Central Operations Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries
More informationInformation for adults having an MRI scan of the gallbladder and biliary tree (an MRCP scan)
South Tyneside NHS Foundation Trust Information for adults having an MRI scan of the gallbladder and biliary tree (an MRCP scan) Department: Radiology Providing a range of NHS services in Gateshead, South
More informationSquints and squint surgery/ophthalmology/sdhcnhsft/ 06.13/Review date 06.15. Squints and Squint Surgery
Squints and squint surgery/ophthalmology/sdhcnhsft/ 06.13/Review date 06.15 Squints and Squint Surgery Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Squints and squint surgery Your Outpatient
More informationElectroconvulsive Therapy (ECT)
Electroconvulsive Therapy (ECT) What is ECT? Electroconvulsive therapy (ECT) is a physical therapy in which a patient under general anesthetic will have an electrical current passed through his or her
More informationWhat is Obstructive Sleep Apnoea?
Patient Information Leaflet: Obstructive Sleep Apnoea Greenlane Respiratory Services, Auckland City Hospital & Greenlane Clinical Centre Auckland District Health Board What is Obstructive Sleep Apnoea?
More informationLiver Resection. Patient Information Booklet. Delivering the best in care. UHB is a no smoking Trust
Liver Resection Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationOesophageal stent insertion
Oesophageal stent insertion Exceptional healthcare, personally delivered Oesophageal Stent Insertion Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains
More informationIVC Filter Insertion PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Procedure. C. Risks of the procedure
DO NOT WRITE IN THIS BINDING MARGIN V4.00-03/2011 SW9264 Facility: A. Interpreter / cultural needs An Interpreter Service is required? Yes No If Yes, is a qualified Interpreter present? Yes No A Cultural
More information& WHEN SHOULD I WORRY?
WHEN SHOULD I WORRY? - Your guide to Coughs, Colds, Earache & Sore Throats Information For:- Who is this booklet for? Having an ill child can be a very scary experience for parents. If you understand more
More informationYoung Person s Guide to CFS/ME
Young Person s Guide to CFS/ME The Royal College of Paediatrics and Child Health This leaflet has been developed as part of the Evidence based guideline for management of CFS/ME (Chronic Fatigue Syndrome
More informationLevel 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865
Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Revision Total Hip Replacement Further Information and Feedback: Tell us how
More informationRemoval of impacted wisdom teeth
Ambulatory Care & Local Networks Removal of impacted wisdom teeth Information for patients This leaflet aims to help you understand the treatment you are going to have and contains answers to many commonly
More informationHead Injury in Infants, Children and Adults: Triage, Assessment, Investigation and Early Management
Head Injury in Infants, Children and Adults: Triage, Assessment, Investigation and Early Management Information for people who have injured their head, their families and carers NICE Guideline (Patient
More informationTreating Mesothelioma - A Quick Guide
Treating Mesothelioma - A Quick Guide Contents This is a brief summary of the information on Treating mesothelioma from CancerHelp UK. You will find more detailed information on the website. In this information
More informationRecovery plan: radical cystectomy Information for patients
Recovery plan: radical cystectomy Information for patients Help for you following a bereavement 5 This leaflet will help you know what to expect during your time with us. Please take some time to read
More informationTotal knee replacement
Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage
More informationUniversity College Hospital at Westmoreland Street. Lithotripsy. Urology Directorate
University College Hospital at Westmoreland Street Lithotripsy Urology Directorate 2 3 If you require a large print, audio or translated version of this leaflet, please contact us on 020 3447 9179. We
More informationIt is important that you tell your family and the people closest to you of this increased sensitivity to opioids and the risk of overdose.
MEDICATION GUIDE VIVITROL (viv-i-trol) (naltrexone for extended-release injectable suspension) Read this Medication Guide before you start receiving VIVITROL injections and each time you receive an injection.
More informationFlexible sigmoidoscopy the procedure explained Please bring this booklet with you
Flexible sigmoidoscopy the procedure explained Please bring this booklet with you Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an
More informationLong Term Tube Feeding. Sunnybrook. A Guide for Patients and Substitute Decision Makers VETERANS & COMMUNITY
Long Term Tube Feeding A Guide for Patients and Substitute Decision Makers Sunnybrook VETERANS & COMMUNITY Sunnybrook VETERANS & COMMUNITY This brochure has been produced by: Sunnybrook Health Sciences
More informationTooth Decay. What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth.
Tooth Decay What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth. When you eat food and drink, it is broken down into acid. This acid helps to make plaque (a sticky substance).
More informationInsomnia affects 1 in 3 adults every year in the U.S. and Canada.
Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia
More informationUniversity College Hospital. Contrast agent for radiotherapy CT (computed tomography) scans. Radiotherapy Department Patient information series
University College Hospital Contrast agent for radiotherapy CT (computed tomography) scans Radiotherapy Department Patient information series 11 2 If you need a large print, audio or translated copy of
More informationInformation for patients What is an EMG/Nerve Conduction Study?
Information for patients What is an EMG/Nerve Conduction Study? Department of Neurophysiology We must obtain your consent for any procedure beforehand. Staff will explain all the risks, benefits and alternatives
More informationDRUG INTERACTIONS: WHAT YOU SHOULD KNOW. Council on Family Health
DRUG INTERACTIONS: WHAT YOU SHOULD KNOW Council on Family Health Drug Interactions There are more opportunities today than ever before to learn about your health and to take better care of yourself. It
More informationHowever, each person may be managed in a different way as bowel pattern is different in each person.
Department of colorectal surgery Reversal of ileostomy A guide for patients Introduction This booklet is designed to tell you about your reversal of ileostomy operation and how your bowels might work after
More informationTuberculosis: FAQs. What is the difference between latent TB infection and TB disease?
Tuberculosis: FAQs What is TB disease? Tuberculosis (TB) is a disease caused by bacteria (germs) that are spread from person to person through the air. TB usually affects the lungs, but it can also affect
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2
This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery
More informationShare the important information in this Medication Guide with members of your household.
MEDICATION GUIDE BUPRENORPHINE (BUE-pre-NOR-feen) Sublingual Tablets, CIII IMPORTANT: Keep buprenorphine sublingual tablets in a secure place away from children. Accidental use by a child is a medical
More informationDiuretics: You may get diuretic medicine to help decrease swelling in your brain. This may help your brain get better blood flow.
Hemorrhagic Stroke GENERAL INFORMATION: What is a hemorrhagic stroke? A hemorrhagic stroke happens when a blood vessel in the brain bursts. This may happen if the blood vessel wall is weak, or sometimes
More informationIf you have any questions or concerns about your illness or your treatment, please contact your medical team.
This booklet is designed to give you information about your operation. We hope it will answer some of the questions that you or those who care for you may have at this time. This booklet is not meant to
More information