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Services

R.A. offers traditional general anesthesia services for a full range of all surgical and obstetrical procedures. Our anesthesiologists receive training in all areas including: obstetric, cardiovascular, thoracic, neurosurgical, and outpatient anesthesia care. We pride ourselves on working closely with health care professionals from all specialties including: internal medicine, physical therapy, orthopedics and neurosurgery, ensuring that patients receive the best possible care.

Surgical Anesthesia Service Ramapo

R.A. provides anesthesia for many different surgeries. We take the time to accommodate every patient’s needs in any situation before surgery. Three basic types of anesthesia are explained below. Visit our Frequently Asked Questions for more information.

General Anesthesia Ramapo

This is a treatment that puts a patient "to sleep" during medical procedures, so that they have no awareness of the surgical procedure or other sensations.

General anesthesia is commonly produced by intravenous drugs or inhaled gasses. The "sleep" you experience under general anesthesia is different from regular sleep. The anesthetized brain doesn't form memories or respond to pain signals. A patient may need the assistance of a ventilator or breathing machine during the procedure. Usually, this is because of the effects of the drugs, or due to the type of surgery.

When they wake up, patients are usually breathing without any assistance and are comfortable. Any pain they may feel is quickly treatable. Side effects of general anesthesia may include nausea and vomiting. Any type of surgery can be performed under general anesthesia.

Regional Anesthesia Ramapo

The patient is usually awake during surgery and the area of the body that would feel pain is numbed with a local anesthetic (like Novacaine).

However, one benefit of a regional anesthetic is that the patient can be sedated or be fully conscious. A Cesarean-section is an example of a procedure performed with the patient awake, with regional anesthesia (epidural) used to control the pain of the surgery. Epidurals and other types of regional anesthesia are provided by an anesthesiologist who may be assisted by a nurse anesthetist (CRNA).

Local anesthesia can last up to 24 hours, providing long-lasting relief for painful procedures. It also reduces the risk of nausea and temporary cognitive dysfunction (confusion), a potential problem with the elderly. There are some risks involved with regional anesthesia, including injury to the nerves and toxicity. These complications are rare.

Regional anesthesia is typically used in Obstetrical procedures.

Anesthesia for Obstetrics Ramapo

R.A. provides anesthesia for labor and delivery and Cesarean sections.

Regional anesthesia (spinal or epidural) is typically used for obstetrics. Obstetrics is a case when regional anesthesia is slightly safer than general anesthesia for cesarean sections, for most patients.

Regional anesthesia allows the mother to be awake for the entire birthing process without any pain. The epidural shouldn’t affect the labor process. For rare patients who are not candidates for regional anesthesia, such as ones with bleeding disorders, we offer alternative pain management.

Sedation, or Monitored Anesthesia Care (MAC) Ramapo

This sedation is administered through an IV to make a patient sleepy and calm during a surgical procedure.

The patient is typically awake, but groggy, and able to follow instructions as needed from the anesthesiologist and other physicians and staff. The level of sedation provided with this type of anesthesia can range from light, where the patient just feels very relaxed, to heavy, where the patient is unaware of what is happening.

Because the level of sedation varies, the process is carefully monitored, with an anesthesiologist present. The doctor continuously monitors the patient's vital signs and maintains or adjusts the level of sedation as needed. This type of sedation is frequently used with minor surgical procedures and dental procedures and can be combined with local or regional anesthesia. Sedation may be monitored by a CRNA.

Depending on the medications used and the doses given, the patient may or may not remember the procedure.

Pediatric Anesthesia Ramapo

General and Regional Anesthesia services are safely delivered to pediatric patients by

R.A.’s highly trained and Board Certified anesthesiologists.

While a catheter may be used to administer anesthesia in some instances for older children, anesthesia is commonly delivered to children through a mask with oxygen and anesthesia gases flowing through it.

The risks for children are similar to those an adult faces, although the nature of the complications from anesthesia may be different. We encourage you to visit our Frequently Asked Questions section and discuss your concerns about the risks associated with anesthesia in your child’s case with your R.A. anesthesiologist.

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