. LEARJET ANESTHESIA – THE EARLY DAYS OF HEART TRANSPLANTATION. . TO AVOID ANOXIC BRAIN INJURY, LETHAL EXECUTION USING FENTANYL . ADVICE FOR LAYPEOPLE: HOW TO MAKE YOUR ANESTHETIC SAFER, ADVICE FOR PASSING ANESTHESIA ORAL BOARD EXAMS, ANESTHESIA EXPERT WITNESS CONSULTATION – RICHARD NOVAK, MD, ANESTHESIA FACTS FOR NON-MEDICAL PEOPLE: ANESTHESIA MEDICATIONS. ENCOURAGING DATA FROM ASIA, INFORMATION FROM THE BIOHUB PANEL on COVID-19, UCSF, HOW CORONAVIRUS PRESENTS CLINICALLY . Ask your surgeon if they have an anesthesiologist colleague they recommend for your specific case, and ask whether you can request a specific anesthesiologist prior to the surgery date. Using the Internet, check the roster of anesthesia physicians at the facility where you’re about to have surgery. It is important that you speak with your healthcare provider before starting a sleep aid after having surgery … NEW ANESTHESIOLOGY GRADUATES NEED TO KNOW _______. nothing works as good at these do for me. Yes, you can. Never mix alcohol and sleeping pills. SERIALIZATION OF THE DOCTOR AND MR. DYLAN … CHAPTER THREE, SERIALIZATION OF THE DOCTOR AND MR. DYLAN… CHAPTER TWO, SERIALIZATION OF THE DOCTOR AND MR. DYLAN… CHAPTER ONE. Are the majority of anesthetists MDs or CRNAs, or is the staff a mix of both? The linked websites may contain text, graphics, images or information that you find offensive (e.g., sexually explicit). Rather than taking a sleeping pill, especially if a chronic problem.. Why not find out why. THE CHILD WITH AN OPEN EYE INJURY AND A FULL STOMACH. Some hospitals have an anesthesia preoperative clinic where patients are interviewed and examined one day or more prior to surgery. i want to know, i am 25 years old girl. CATHETER ON A PATIENT WITH DIFFICULT VEINS. Without question, certain individuals are unusually sensitive to normal doses of narcotics, sedatives, and general anesthetics. BLACK MAN DIES AFTER A CONFRONTATION WITH POLICE AND INJECTION OF THE ANESTHETIC KETAMINE BY PARAMEDICS. ANESTHESIA PATIENT QUESTION: HOW DOES MY SLEEP APNEA AFFECT MY RISKS FOR SURGERY? If you have been prescribed it, probably. In contrast, oral sedation means taking a pill or a liquid drug to make you … Sleeping pills : If sleeping tablets have been taken in past or are taken regularly then there's no harm in taking them but if someone has never taken sleeping pill earlier then taking for first time before surgery is not a good time. how safe is it to take an over-the-counter sleeping pill every night? Peruse the list. Medical information changes constantly. Yes. Seek medical help to determine to cause of your lack of sleep quality. Using Sleeping Pills There are many medications and supplements available to enhance sleep. WAS JUSTICE ANTONIN SCALIA’S DEATH FROM OBSTRUCTIVE SLEEP APNEA? INTRAVENOUS ACETAMINOPHEN: AN IMPORTANT NON-OPIOID THERAPY, OR AN EXORBITANTLY PRICED VERSION OF AN OVER-THE-COUNTER MEDICATION? But when I started taking the sleeping tablet zolpidem, I slept for six or seven hours for the first time in my life. If you’re very stressed and need help nodding off the night before an important work or social event, these pills can be a big help. Even a small amount of alcohol combined with sleeping pills can make you … Anesthesiologists in our practice telephone their patients the night before to discuss the anesthesia care. It doesn’t have to be this way. . If you’re an occasional wine drinker, there’s no serious harm to imbibing one glass of wine the night before surgery to help you relax and sleep. Most melatonin supplements are made in a lab.People commonly use melatonin for sleep disorders, such as insomnia and jet lag. Include the ones that you … The information included on this site is for educational purposes only. During your surgery you’ll be unconscious and unable to control your fate. What does my colonoscopy report indicate? Armed with this information, your anesthesiologist will administer adequate doses of drugs, but no more than the minimum necessary. WHEN IS THE END OF THE COVID SURGE IN YOUR STATE? The overwhelming majority of physician anesthesiologists are well trained and excellent. GENERAL ANESTHESIA FOR PEDIATRIC PATIENTS IN DENTAL OFFICES, 13 MAJOR CHANGES IN ANESTHESIOLOGY IN THE LAST TEN YEARS. . IS IT SAFE FOR PATIENTS? . I would let your oral surgeon know at your consultation prior to your appointment to be on the safe side. WHAT HAPPENED? Sometimes I can get back to sleep… PROPOFOL AND MICHAEL JACKSON … IS PROPOFOL SAFE? Sorry, your blog cannot share posts by email. ANESTHESIA FACTS FOR NON-MEDICAL PEOPLE: WHY DO I HAVE TO STOP EATING AND DRINKING AT MIDNIGHT BEFORE SURGERY? The purpose is to keep your stomach empty at the induction of anesthesia. The standard of care is for your anesthesiologist to explain the alternate anesthesia techniques for your surgery, as well to explain the risks and benefits of each alternative. ON BECOMING AN ANESTHESIOLOGIST… WHAT PERSONAL CHARACTERISTICS ARE ESSENTIAL TO BECOME A SUCCESSFUL ANESTHESIOLOGIST? Reliance on any information provided on this Site or any linked websites is solely at your own risk. . Tell your anesthesiologist when you meet him or her. The American Academy of Sleep Medicine advises the following for people taking sleeping pills: Never take a pill without a doctor’s approval. If you vomit or regurgitate stomach contents while you are unconscious, the food can be inhaled into your lungs, and you could acquire a serious pneumonia that could require an Intensive Care Unit stay, a prolonged hospitalization, or even loss of life. Zopiclone(ZOP-i-klone) belongs to the group of medicines called central nervous system (CNS) depressants (medicines that make you drowsy or less alert). HILARIOUS GUFFAW-OUT-LOUD MEDICAL SATIRE BY TWO STANFORD PROFESSORS. 8-YEAR-OLD CONGOESE BOY DIES FROM ANESTHESIA. Novak is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University, the Medical Director at Waverley Surgery Center in Palo Alto, California, and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California. . i have a ccie exam, which is of 8 hours. What can you do to make your anesthesia experience safer? Common sleep medications such as Ambien, Ativan, or Valium taken at 10 pm won’t complicate the anesthetic course which begins 9 hours or more into the future on the following day. THE ACHILLES’ HEEL OF ANESTHESIOLOGY… WHAT IS THE GREATEST THREAT TO OUR SPECIALTY? Planning a visit to your PCP in the month or two prior to surgery is strongly recommended. Answer: Can You Take Ambien the Night Before Surgery with General Anesthesia? Many patients are too wired on their own adrenaline to sleep normally the evening prior to their surgery. WILL YOU HAVE AN ANESTHESIOLOGIST FOR YOUR WISDOM TEETH EXTRACTION SURGERY? Follow your doctor’s directions for taking … Do not shave the surgery site. Post was not sent - check your email addresses! WILL YOU HAVE A BREATHING TUBE DURING YOUR SURGERY? CARTOON FROM THE 1999 AMERICAN SOCIETY OF ANESTHESIOLOGISTS ART CONTEST. It’s rare to be sick enough to require inpatient admission to the hospital the day before surgery. These individuals are often female, petite (under 120 pounds), geriatric, or persons who rarely expose themselves to central nervous system depressants such as alcohol. HOW TO MAKE A BILLION DOLLARS IN HEALTHCARE, ROBOT SURGERY . Will I Be Nauseated After General Anesthesia? LOSING YOUR RELIGION, PREANESTHESIA CLEARANCE: TWO QUESTIONS FOR PRIMARY CARE DOCTORS, THEANESTHESIACONSULTANT HITS ONE MILLION VIEWS – MARCH 2, 2017, 12 TIPS ON BECOMING AN OUTSTANDING ANESTHESIOLOGIST. FENTANYL AND THE OPIOID CRISIS: AN ANESTHESIOLOGIST’S PERSPECTIVE. Melatonin production declines with age.Melatonin is also available as a supplement, typically as an oral tablet. You must stop eating and drinking prior to an elective anesthetic. like if u had to wake up 3 go to the bathroom at night and u took a sleeping pill before u go 2 sleep will u wake up. . Best to consult your physician who prescribed them. IS YOUR GRANDFATHER TOO FRAIL FOR ANESTHESIA? You’re dependent on the anesthesiologist and his or her training and experience. Melatonin is a hormone in your body that plays a role in sleep. A tolerance to sleeping pills can develop very quickly. You can take anti-anxiety medication the night before the appointment, an hour before going to bed. It’s possible that a pilot in his or her 30s is outstanding, but the experience of a midcareer, gray-sideburned pilot is more reassuring to me. In most cases, sleep medicines should be used only for short periods of time, such as 1 or 2 days, and generally for no … It is not intended nor implied to be a substitute for professional medical advice. At an academic/university hospital, the anesthesiologist might be a resident MD in his or her first, second, or third year of anesthesia training, and that resident will then be supervised by a faculty member who is responsible for either one operating room or two. Premium Questions. the night before general anesthesia, can you take a sleeping pill? heart problems, lung problems, high blood pressure, diabetes, neurologic problems, kidney failure, obesity, or sleep apnea) you can expect the surgical/anesthesiologist team to require a clearance note from your primary care physician (PCP) prior to the surgery. EXAMINING THE 1918 SPANISH FLU PANDEMIC. If you are already on a nerve … WILL YOU HAVE A BREATHING TUBE DOWN YOUR THROAT DURING YOUR SURGERY? The Anesthesia Consultant does not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided on the linked websites. . Alcohol increases the sedative effects of the pills. Sleep pills night before colonoscopy . . If you struggle with feeling sleepy, groggy, or dizzy during the … This is what the anesthesia experience is like for most patients: You show up for surgery, and some anesthesia professional you’ve never met or talked to appears 10 minutes before you are to be wheeled into the operating room. Unless there are medical issues that would suggest otherwise, we offer it as an option to anxious patients who feel that without "help" they would not get any sleep the night before surgery. Reading the information on this website does not create a physician-patient relationship. COMMON, SILENT, AND DEADLY. the method recommended for most people is called split dose. Zopiclone helps you get to sleep faster and sleep through the night. The purpose of this clearance is to document that no further diagnostic or treatment interventions are necessary prior to your anesthetic and surgery. If the pill is long-acting, such as restoril, (temazepam) then some daytime sedation is expected the next morning. Dr. Novak is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University, the Medical Director at Waverley Surgery Center in Palo Alto, California, and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California. Will I Have a Breathing Tube During Anesthesia? i want take sleeping pill. HOW LONG WILL IT TAKE ME TO WAKE UP FROM GENERAL ANESTHESIA? “A SPLENDID AND TIMELY NOVEL”, THE FIRST CHAPTER OF DOCTOR VITA BY RICK NOVAK. weight loss . These medications generally should not be taken in the middle of the night… This will help with falling asleep and getting some rest. PATIENTS: IS IT SAFE FOR YOU TO HAVE SURGERY DURING THE COVID PANDEMIC AS OF MAY 2020? https://theanesthesiaconsultant.com/tag/sleeping-pills-the-night-before-surgery Do report side effects to your doctor. 12 THINGS TO KNOW AS YOU NEAR THE END OF YOUR ANESTHESIA TRAINING. The Right Way to Take Every Type of Sleeping Pill Some pills are better for people who have trouble falling asleep, while others should be prescribed for people who wake up throughout the night. WILL YOU BE NAUSEATED AFTER GENERAL ANESTHESIA? Not sure of your age or other medications taken along with these two. Many patients are nervous regarding the impending anesthetic, and a wild array of thoughts and fears swirl through their brain regarding anesthesia and surgery. is it safe to use unisom sleeping pills every night? MD. ANESTHESIA FACTS FOR NON-MEDICAL PEOPLE: WHAT IS MALIGNANT HYPERTHERMIA? Discuss the use of a sleeping pill with your sleep physician well before the testing; prescriptions will not be available if you wait until the night of the study. I have insomnia and rarely sleep for more than three hours a night. DO ANESTHESIOLOGISTS HAVE THE HIGHEST MALPRACTICE INSURANCE RATES? And drive you both ways. Sleep well the night before your surgery. What Are the Common Anesthesia Medications? WOULD YOU GIVE AN NFL QUARTERBACK A PERIPHERAL NERVE BLOCK? The Anesthesia Questions blog is an educational forum, designed to answer common and uncommon anesthesia questions from readers. A QUESTION ABOUT REOPENING SURGERY. Poor Sleep the Night Before Surgery Is Linked with Postoperative Pain Women who sleep poorly the night before they undergo surgery have increased postoperative pain according to … . What can you do to make your anesthetic safer? WHICH ANESTHESIA FELLOWSHIPS ARE MOST POPULAR? NOTES FROM THE 2020 INFECTIOUS DISEASE ASSOCIATION OF CALIFORNIA MEETING. A VIEW FROM THE ANESTHESIOLOGY COCKPIT, ANESTHESIOLOGISTS, DON’T BE AFRAID TO CUT INTO A PATIENT’S NECK, EXTUBATION IS RISKY BUSINESS. HOW COMMON ARE CARDIAC ARRESTS DURING SURGERY AND ANESTHESIA? Yes, they are almost never unsafe. Richard Novak, MD is a Stanford physician board-certified in anesthesiology and internal medicine.Dr. In general, when sleep medicines are used every night for a long time, they may lose their effectiveness. . Read theanesthesiaconsultant.com as well as other reputable anesthesia sources on the Internet, such as the. Most nights I get to sleep easily but wake up too early. FOR HEALTHCARE WORKERS ON THE FRONT LINES AGAINST COVID-19, THE ELEPHANT AND THE HOUSE CAT . If you usually take a medication at night, bring it with you to the sleep … Do not take any supplements, herbs, vitamins, or minerals before surgery unless your provider said it is OK. Bring a list of all your medicines to the hospital. . Yes that is fine. the night before your colonoscopy you’ll take strong laxatives to clear your digestive tract. . WHAT WENT WRONG? 6 hours before the scheduled arrival time you may give formula. no. . If you find you are nervous or anxious the night before, you can take an over-the-counter sleep aid. WILL ATUL GAWANDE CHANGE THE FUTURE FOR ANESTHESIOLOGISTS? You should also ask your physician or other healthcare provider to assist you in interpreting any information in this Site or in the linked websites, or in applying the information to your individual case. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Are you unusually sensitive to drugs, sedatives, or alcohol? What about sleeping pills? Is there a phone number you can call if you wish to speak to an anesthesiologist prior to your week of surgery if you have a special concern? The rare but serious malady. it can interfere with the anesthesia. What Personal Characteristics are Necessary to Become a Successful Anesthesiologist? I understand the desire to take it, as you are probably quite nervous about the procedure and want to just get to sleep so you can stop thinking about it. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Never rely on information on this website in place of seeking professional medical advice. . Calm yourself and trust your doctor. If you have chronic health issues (e.g. i worked during night and sleep at day. is it safe to take a sleeping pill the night before wisdom teeth extraction? Draw their attention to it specifically, even if you have already given them a list of all your medication is. I am 76 years old and 5'5" tall. CHECK OUT BLOCHEALTH.COM, AVOIDING PREVENTABLE ERRORS IN ANESTHESIA – 14 TIPS, 11 MEDICAL INACCURACIES IN FAMOUS MOVIE SCENES . . HOW DO YOU START A PEDIATRIC ANESTHETIC WITHOUT A SECOND ANESTHESIOLOGIST? I’d advise you to listen, ask questions, and consider, If you have a family history of a blood relative who died under anesthesia, share this information with your anesthesiologist. For the majority of surgeries in the United States, a patient sleeps at home in their own bed the night before surgery. Let’s say you’re going to have surgery six weeks from now. dont put anything in your body 24 hours before surgery....... Is it safe to take a pill of Ambien before a surgery … is it more difficult to wake up in the morning if you took a sleeping pill the previous night? Don’t choose to schedule your surgery at a teaching hospital in July or August. What Are the Anesthesia Risks For Children? I am unable to understand your question, please re-write your question.Thanks. 4 hours before the scheduled arrival time you may give breastmilk. This is important. Patient questions are answered at such a clinic, but it’s uncommon for you to meet the person who actually anesthetize you at such a clinic visit. THE TOP 10 MOST STRESSFUL JOBS IN AMERICA versus THE TOP 10 MOST STRESSFUL SITUATIONS IN ANESTHESIOLOGY PRACTICE, CALIFORNIA SOCIETY OF ANESTHESIOLOGISTS ONLINE FIRST: BOOK REVIEW OF THE DOCTOR AND MR. DYLAN AND INTERVIEW WITH THE AUTHOR. THE MOST SIGNIFICANT ANESTHESIOLOGIST OF THE 20TH CENTURY. Continue to take any prescribed medications that you usually take (unless otherwise instructed by your doctor). The most popular posts for laypeople on The Anesthesia Consultant include: How Long Will It Take To Wake Up From General Anesthesia? Advice For Passing the Anesthesia Oral Board Exams. are sleeping pills good for you? BLOOD PRESSURE DROPS TO 85/45 FOLLOWING THE INDUCTION OF ANESTHESIA: WHAT DO YOU DO? CAN ANESTHESIA MACHINES BE USED FOR ICU VENTILATORS? 11 THINGS YOU CAN DO TO MAKE YOUR ANESTHETIC SAFER, Associated Anesthesiologists Medical Group, THE PHYSICIAN ANESTHESIOLOGIST JOB MARKET LOOKS EXCELLENT, THE TEN MOST SIGNIFICANT ADVANCES IN ANESTHESIOLOGY IN THE PAST DECADE, the KISS principle (Keep It Simple Stupid), American Society of Anesthesiologists guidelines, American Society of Anesthesiologists website. the night before general anesthesia, can you take a sleeping pill? Why Did Take Me So Long To Wake From General Anesthesia? email rjnov@yahoo.com HOW DO PANDEMICS END? Whether you have been prescribed a sleep medication or have bought an over-the-counter option, it’s generally recommended that you should take them for 2-4 weeks and a maximum of three months, depending on the type of medication and severity of your sleep … . DR. JOHN IOANNIDIS: WE NEED RELIABLE DATA ON THE CORONAVIRUS, VIDEO FROM AN ITALIAN HOSPITAL COVID-19 WARD, WORLDOMETER CORONAVIRUS . This medicine is used to treat insomnia (trouble in sleeping). ARE DOCTORS THE CULPRITS IN THE RISING COST OF HEALTHCARE? Check with your oral surgeon. Never disregard medical or professional advice, or delay seeking it, because of something you read on this site or a linked website. You MUST let your surgeon and anaesthetist know all about this. Or you may want some help in the hours immediately before an appointment. Should You Cancel Surgery For a Blood Pressure = 178/108? By using our website, you consent to our use of cookies. I took a few diazepam to calm my nerves pre surgery date but was told no zopiclone (sleeping tabs) after surgery....pain in the ar$e because I have to be comfortable to fall asleep (I'm very … Your surgeon may prescribe sleep meds when he or she examines you. Points to consider before taking a sleeping aid before your sleep study: 1. Business as usual. Most doctors and sleep professionals suggest that you only turn to sleeping pills when you can’t get relief by any other means, and even then, it should only be on a temporary basis – think the night before having surgery … Virtually every medical center has a list of staff anesthesiologists posted on their website, and most websites will provide a summary of each physician’s academic training. . The Anesthesia Consultant website is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. Don't take a new sleeping pill the night before an important appointment or activity because you won't know how it affects you. i can't sleep over the night. dont put anything in your body 24 hours before surgery. They must know the medications in your system. Additional instructions. phone 650-465-5997. WHAT HAPPENS TO ANESTHESIOLOGISTS WHEN THEIR HOSPITAL CLOSES? The Doctor and Mr. Dylan available on Amazon. It is important that you get a good night's sleep before your surgery. Taking a sedative the night before an important test may make the brain less able to function at its peak during the test. AN ANESTHESIA PATIENT QUESTION: “WHY DID IT TAKE ME SO LONG TO WAKE UP AFTER ANESTHESIA?”. Trust your anesthesiologist as you would your airline pilot. It could be anxiety, an early sign of depression, a sleep ... can i take unisom sleep pills the night before plastic surgery? I do. is it okay to take a sleeping pill when you having a hard time sleeping?. Guidelines for babies. THE PERIOPERATIVE SURGICAL HOME HAS EXISTED FOR YEARS, HOW TO PREPARE TO SAFELY INDUCE GENERAL ANESTHESIA IN TWO MINUTES, TEN REASONS NURSE ANESTHETISTS (CRNAs) WILL BE A MAJOR FACTOR IN ANESTHESIA CARE IN THE 21ST CENTURY. MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY . On June 30. What can you do to otherwise optimize the anesthesia care you’re about to receive? Take your medicines as directed with a small sip of water. If you're confused about which medicines to take the night before or the day of surgery, call your doctor. Do not drink alcohol before using the … UNDEREMPLOYED: AMERICAN SURGEONS, ANESTHESIOLOGISTS AND NURSES, LIFE AFTER THE PANDEMIC: 14 PREDICTED TRENDS. A CAUTIONARY TALE, LOOKING FOR A NEW ANESTHESIA JOB? Depends on the pill. Dr. David Sherer answered 36 years experience Anesthesiology Usually, yes: Usually, it is safe to do so, but check with the anesthesia dept … INEXPERIENCED DOCTORS, OVERCONFIDENT DOCTORS, AND YOU. MAKING YOUR OWN REUSABLE N95 MASK . Als, be sure someone can wake you for your appt. What about a glass of wine or an alcoholic beverage to aid sleepiness? Avoid alcohol. … I’m reassured to see a touch of gray. . WHAT CAN WE DO? ZDoggMD MUSIC VIDEO TRASHES ELECTRONIC MEDICAL RECORDS, SERIALIZATION OF THE DOCTOR AND MR. DYLAN… CHAPTER SIX, SERIALIZATION OF THE DOCTOR AND MR. DYLAN… CHAPTER FIVE, SERIALIZATION OF THE DOCTOR AND MR. DYLAN… CHAPTER FOUR. . But check with the anesthesiologist to be certain. NUMBER OF HOSPITALIZED CORONAVIRUS PATIENTS IN SANTA CLARA COUNTY CALIFORNIA. Because your anesthesiologist hasn’t personally met you and examined you, they cannot prescribe these medicines the night before for you. I think this would be a ver ... Usually, it is safe to do so, but check with the anesthesia dept or surgeon beforhand. Through this site and linkages to other sites, The Anesthesia Consultant provides general information for educational purposes only. The most popular posts for anesthesia professionals on The Anesthesia Consultant  include: Should You Cancel Anesthesia for a Potassium Level of 3.6? How Safe is Anesthesia in the 21st Century? . please suggest me which pill suitable for me. WHY THE CONCLUSION OF GENERAL ANESTHESIA CAN BE A CRITICAL EVENT, REGARDING THE FRENCH ANESTHESIOLOGIST ACCUSED OF MURDER, INTRAVENOUS CAFFEINE FOLLOWING GENERAL ANESTHESIA, SURGICAL CASES IN FOREIGN LANDS—INTERPLAST, GRADY HARP REVIEWS DOCTOR VITA. However, I would not say it is worth it.-no. The production and release of melatonin in the brain is connected to time of day, increasing when it's dark and decreasing when it's light. can i take sleeping pill in the night before exam at about 7 pm to give maximum output in exam? . To learn more, please visit our. Coming in 2019, from All Things That Matter Press: DOCTOR VITA, Rick Novak’s second novel, FIVE MINUTES . CODE BLUE – WHEN AN ANESTHESIOLOGIST PREMATURELY DEPARTS A FREESTANDING SURGERY CENTER, THE MINI-COG: COGNITIVE IMPAIRMENT AND SURGICAL OUTCOME, ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE . AUTISM AND EPIDURAL ANESTHESIA FOR CHILDBIRTH, WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC.