A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, "Will the doctor put me to sleep with a mask over my face?" Which response by the nurse is most appropriate?
a. "A drug may be given to you through your IV line first. I will check with the anesthesia care provider."
b. "Only your surgeon can tell you for sure what method of anesthesia will be used. Should I ask your surgeon?"
c. "General anesthesia is now given by injecting medication into your veins, so you will not need a mask over your face."
d. "Masks are not used anymore for anesthesia. A tube will be inserted into your throat to deliver a gas that will put you to sleep."
ANS: A
Routine general anesthesia is usually induced by the IV route with a hypnotic, anxiolytic, or dissociative agent. However, general anesthesia may be induced by IV or by inhalation. The nurse should consult with the anesthesia care provider to determine the method selected for this patient. The anesthesia care provider will select the method of anesthesia, not the surgeon. Inhalation agents may be given through an endotracheal tube or a laryngeal mask airway.
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