Different kinds of anesthesia

Narkos is a Swedish synonym for anesthesia and means without feeling. Different types of anesthetic can be used depending on the operation or examination that is planned. The choice of anesthetic is based on the childs age, the operation being undertaken as well as the patients health status. The anesthesiologist is responsible for this decision.

General anesthesia

General anesthesia is quite common and means that the patient is deeply asleep and receives pain relief. Induction of this form of anesthesia occurs most commonly by injection of anesthetic intravenously or by inhalation of anesthetic agent via a mask. Anesthesia is maintained by continuous administration of gas or infusion intravenously, together with pain medication.

Regional anesthesia

Regional anesthesia implies administering local anesthetic near a richly innervated area. This achieves numbing of the area supplied by the nerve. This form of anesthetic is administered almost exclusively in children during general anesthesia. It is used preferentially as a complement to general anesthesia to provide pain relief during and after surgery. Epidural or spinal anesthesia are examples of regional anesthesia.

Local anesthesia

Local anesthesia implies that a local anesthetic is applied to or under the skin. Regardless of how it is administered, local anesthesia blocks transmission of pain sensation in the nerve fibers which come in contact with the anesthetic agent so that a given area is anesthetized. EMLA-cream is a local anesthetic which is applied to the skin prior to placing the iv cannula into a vein. Local anesthetic can also be applied in combination with general anesthetic to decrease pain sensation during and after surgery.


Short versions (SE)

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Astrid Lindgren Children´s Hospital | Karolinska University Hospital 171 76 Stockholm

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