| 10. COMMON POST-ANAESTHETIC PROBLEMS << Back to Patient Information List
Hoarse Voice / Dry or Sore Throat
Most patients have either a rubber or plastic airway tube inserted in their throat
during an operation. This is inserted to ensure easy breathing and/or to protect the lungs
from the stomach fluids and acid during the anaesthetic and operation. Although these
tubes are soft and lubricated, they do tend to rub the throat. The effect on your voice or
your throat may last a few hours - the longer the operation, the longer the effect. You
may become aware of this airway tube just as you are waking up. It will be removed as soon
as it is safe to do so usually a matter of moments.
Cold Shivers & Shakes
The feeling of being cold and getting the shakes in the Recovery room is quite common.
Despite things like blankets, warm air blowers and intravenous fluid warmers being used
during the operation, some patients develop these feelings for a short while. They may be
related to an actual drop in body temperature or to the gases used to keep you asleep.
They are easily managed and settle quickly. Of course these effects are more common with
the longer and more major operations.
Nausea & Vomiting
Despite the common inclusion of anti-nauseant medication in the drugs used during your
anaesthetic, you may feel like vomiting after the operation. This feeling, if present,
usually lasts only a short while and settles quickly. Rarely a patient may react to an
operation and anaesthetic for a much longer period of time even up to 24 hours.
Fortunately, with the modern drugs used to prevent/treat this problem, this prolonged
effect is quite rare. It is important, however, to tell your anaesthetist before the
operation if you know from experience that you are one of these worse-affected people as
he or she can take special steps to prevent or at least minimize the problem. Nausea and
vomiting may be more common with certain operations such as hysterectomy and laparoscopy.
Dizziness or Drowsiness
If these occur while you are waking up, they may be related to the length of your
operation, the different drugs used for your anaesthetic and/or how sensitive you are to
the drugs used. Your anaesthetist uses his training and experience to tailor
the drugs and doses for your operation to minimize these effects. Sometimes, however, e.g.
after major operations, he will make you a bit drowsy on purpose by using strong
pain-killers to make you more comfortable.
Headache
This is an occasional complaint and may occur while either waiting for your operation
or after the event. It may be related to worry or fasting (low blood sugar or lack of
fluids). It can be easily managed with simple pain-killers, an intravenous drip of a
sugar-containing solution or, after the operation, something to eat and drink.
Miscellaneous
Occasionally minor problems arise such as bruising or sore vein at the site of the
injections or intravenous drip; skin rashes from the sticky tape used to secure the drip
or the airway tube or the operation wound site; itchiness from the pain-killer drugs used;
dry, split lips (despite lubrication by the anaesthetic staff); muscle aches and pains,
which may be related to positioning on the operating table or be a side-effect of a drug
that is sometimes required. Minor problems like these usually dont require treatment
and settle by themselves.
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