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Autograph veterinary surgical consent

introduce yourself and the discussion topic hi good afternoon I'm monkeys I'm doctor Donny today we're going to be talking about spinal anesthesia and I want to give you an idea about what that's about describe the indications for the procedure the indications for spinal anesthetic is that surgery can either be performed with general or regional anesthesia we prefer to use a spinal anesthetic because it gives better pain control we can talk about that in just a second describe the benefits of the procedure the benefits of a surgical anesthesia with spinal is that you can get better post-op pain control you'll be able to get decreased blood loss during the surgery and you can actually have less general anesthesia during the case describe the procedure itself in clear simple language so sunako when we do the spinal procedure there was a couple steps we're going to ask you to follow first you're gonna have to sit up at the edge of the bed in the operating room and curve the back of your spine out for me I will put some monitors on to make sure we're monitoring all your vital signs and we might give you some medicine to help you feel a little relaxed I will go and clean your back to make it sterile and then you're gonna feel me give you a little bit of numbing medicine around the area in your lower back once we give you that medicine we're gonna start working a little more with the spinal needle and you might feel some pressure in your back if you're feeling any pain at that time let me know we'll give you some more love with numbing medicine and we'll start we'll start again okay once I give you the the anesthetic medicine in your back your legs are gonna feel very warm and you're going to start feeling numb and then we'll lay back flat on the bed and get started up until this point do you have any questions for me about the procedure and how it's done well I'm going to tell you about that right now but there is an incidence of having some back pain around the area it's more of a pain that'll go away just as if you were having any sort of needle and you're in your body so it should go away within a day or so okay describe the minor risks of the procedure procedure is very safe we do it all the time as anesthesiologists the most common side effect is that you may have developed a headache one to two days after the procedure it's a special type of headache and we're gonna be monitoring you that monitoring you for that if it occurs we'll be able to take care of you okay you might develop a bruise or tenderness also on the back I think that was your question this is rare but it might occur and it'll go away in a few days sometimes we can also during the procedure touch a nerve with our needle and you might feel a sensation from that it's a very transient feeling and will go away after a while this medicine made also that we put in the back might also cause your bladder to be a little tight we might need to put in the catheter to help you drain your urine if we need to and then you might also develop some itching from the medicines that we put in in the spinal anesthetic but those are some of the common but describe the risks of serious complications emphasized that these are rare there are some serious found complications with this procedure what sometimes there can be some bleeding around your spinal cord due to this this procedure in which case you might feel your legs going numb and certain things happening that you're that are foreign to you after surgery is over and we're going to be monitoring you for that and we'll we'll take care of it if it happens again I'll emphasize it's very very rare again anytime there's a needle that's inserted in your back there's a chance that there might be an infection again very very rare but might be proposed I need to make sure it doesn't happen okay describe alternatives to the procedure this procedure and the decision to proceed with this procedure is yours one of the alternatives as we can do what's called an epidural anesthetic or we can do a general anesthetic and both of those have their own risks and benefits and if that's what you would like to do we can talk about that in a little bit do you have any questions at this point about the risks of this procedure have you feel my legs yeah with this procedure the spinal anesthetic are our goal is to give you very good pain control at the point of surgery below the point of our spinal so you shouldn't feel any aspect of the surgery at all teach back ask the patient to repeat key items in the discussion tell me what you understood from our conversation and teach back the methods of what we're going to be doing in the operating room okay and we talked a little bit about the risks and are you comfortable knowing the risks of the headache and the back pain that you've that question you raise are you okay with that I know okay because it you told me easier hair excellent so this is perfect I'll take this as an agreement that you would like to proceed with the spinal anesthesia is that correct great from here is I'm gonna go set up the room in the operating room and we'll see when we're ready to go but it should be another 15 or 20 minutes okay okay there's a pleasure meeting you they look forward to taking care of you