Anesthesia Services in Granville County

At Granville Medical Center, your anesthesia care will be provided using the Anesthesia Care Team (ACT) Model. This team, led by physician anesthesiologists, includes both physician anesthesiologists and nurse anesthetists. The ACT Model is a safe and efficient way to deliver anesthesia care.

Anesthesia at Granville Medical Center

Physician anesthesiologists at Granville Medical Center have significantly modernized anesthesia care in Granville County. Alongside CRNAs, this skilled team provides top-quality anesthesia care comparable to that of larger facilities. However, they offer the personalized attention and care that only a community hospital like Granville Medical Center can provide.

Surgeon in surgical gear preparing for operation | Granville Health System
Healthcare professionals stand in operating room with patient on operating table in front of them | Granville Health System
Man drawing medicine out of a vial with a syringe | Granville Health System

Meet the Team

Headshot of Sherman Lee, MD | Granville Health System

Sherman C. Lee, MD

Anesthesiology

Phone:
919-690-3000

Fax:
919-690-3400

Headshot of Sean Selig, MD | Granville Health System

Sean C. Selig, MD

Anesthesiology

Phone:
919-690-3000

Fax:
919-690-3400

 

Certified Registered Nurse Anesthetists

What Are CRNAs?

Certified Registered Nurse Anesthetists (CRNAs) are highly trained nursing professionals who specialize in administering anesthesia. Here’s a breakdown of what CRNAs are and what they do:

  1. Education and Training:
    • CRNAs start with a bachelor’s degree in nursing.
    • They gain experience by working at least one year in an intensive care unit (ICU).
    • They then pursue advanced education, earning at least a master’s degree from an accredited nurse anesthesia program.
  2. Role and Responsibilities:
    • CRNAs have been providing anesthesia in the U.S. for over 150 years, ensuring safe, high-quality, and cost-effective care.
    • They work in collaboration with various healthcare professionals, including physician anesthesiologists, surgeons, dentists, and podiatrists.
    • The administration of anesthesia by a CRNA is considered a nursing practice, whereas, for a physician anesthesiologist, it is considered a medical practice.
  3. Anesthesia Care Team:
    • When CRNAs and physician anesthesiologists work together, they form an Anesthesia Care Team, combining their expertise to provide the best patient care.

CRNAs are essential members of the healthcare team, known for their dedication and specialized skills in anesthesia care.

Types of Anesthesia

Monitored Anesthesia Care/Sedation Anesthesia

Sedation anesthesia or twilight anesthesia is often used to supplement local anesthesia or regional anesthesia to increase patient comfort. Medication is delivered through an IV and the goal is to make you comfortable/relaxed while being able to breathe on your own. While receiving sedation anesthesia, it is possible to remember parts of the operating room (not the surgery) and the CRNA or surgeon speaking to you, but most often, you won’t remember anything at all. However, if you do, this is not considered “awareness” or “awakening” under anesthesia.

Regional Anesthesia

Regional anesthesia is when a certain region of your body needs to be anesthetized in order to perform an operation. The specific region of your body will be anesthetized by placing local anesthetics near the nerves that provide sensation to that region of the body. Frequently, regional anesthesia is accompanied by sedation anesthesia to help make you comfortable throughout the operation.

  • Peripheral Nerve Blocks (PNB’s)- PNB’s can be used as a primary anesthetic to numb an entire limb of the body or PNB’s can be used as an adjunct to a general anesthetic in order to significantly reduce the amount of pain you experience pre-operatively, intra-operatively, and post-operatively.
  • Epidural Anesthesia- Epidural Anesthesia is the placement of a very small epidural catheter into a space in your back called the epidural space. Medications are given through this catheter to provide numbness for the surgery or pain relief in the post-operative period.
  • Spinal Anesthesia- Spinal Anesthesia involves injecting numbing medication into the fluid surrounding the nerves in your back. This numbing medication will block sensation, pain, and movement in your lower extremities for a period. Spinal anesthesia usually works quickly and can last up to 4 hours after the procedure before it gradually wears off.

General Anesthesia

General anesthesia involves the induction of a complete loss of consciousness. Complete loss of consciousness occurs by administering medication through an IV or by breathing anesthesia gas through a mask. Once loss of consciousness occurs, a breathing device is inserted into your mouth to assist with breathing. Throughout the surgery, medication will be administered to keep you comfortable and to prevent you from becoming nauseous. At the end of your operation, the breathing device will be removed.

It is common for patients to be nervous about pain in relation to their medical condition and their surgery. Making your pain tolerable is a high priority to us. We can help control your pain before, during, and after surgery. We can help control your pain through the use of nerve blocks and/or IV medication throughout the entire peri-operative period and will work diligently to develop a pain management plan that will keep you safe and comfortable.

Obstetric Anesthesia

Anesthesia providers at Granville Medical Center provide 24-hour Obstetrics anesthesia service and epidural placement/management for laboring mothers to keep you and your baby comfortable and safe.

Types of Anesthesia for Obstetrics

Epidural Anesthesia

Around 70% of laboring mothers in the United States receive an epidural to help manage the pain of contractions and delivery during labor. Epidural Anesthesia is the placement of a very small epidural catheter into a space in your back called the epidural space. Medications are continuously given through this catheter to provide numbness and pain relief during your labor and delivery.

Spinal Anesthesia

Spinal Anesthesia for laboring mothers is usually used during C-sections and involves injecting numbing medication into the fluid surrounding the nerves in your back. This numbing medication will block sensation, pain, and movement in your lower extremities for a period. Spinal anesthesia usually works quickly and can last up to 4 hours after the procedure before it gradually wears off.

General Anesthesia

General anesthesia in obstetrics is normally used only in emergency situations when there is insufficient time to perform spinal anesthesia, your epidural is not adequate, or if you have a condition that prevents use of a spinal or epidural anesthetic. General anesthesia involves the induction of a complete loss of consciousness. Complete loss of consciousness for C-sections occurs by administering medication through an IV. Once loss of consciousness occurs, a breathing tube is inserted into your mouth to assist with breathing. Throughout the surgery, medication will be administered to keep you comfortable and to prevent you from becoming nauseous. At the end of your operation, the breathing device will be removed.

Nerve Block

For mothers who have undergone C-section and have required a surgical incision, we offer an injection of numbing medication into the abdomen that will provide pain relief after surgery. This injection will provide you pain relief for many hours and will reduce the amount of pain medicine needed after surgery.

Anesthesia for C-section

There are multiple factors that influence the choice of anesthesia for a C-section, but they are usually done under epidural or spinal anesthesia. You are numb from the level of the nipple line down but will remain awake during the birth of your baby and your partner may be present.

If your baby needs to be delivered quickly due to an emergency or if epidural/spinal anesthesia is not adequate, general anesthesia will be required.

Anesthesia: What to Expect

Before Surgery

You will undergo Pre-Anesthesia Testing (PAT) prior to the date of your procedure. This testing will involve obtaining your health history and your home medication list. It’s possible depending on the complexity of your health history that you may need to have additional testing such as: blood tests, EKG’s, or x-rays. It is important for us to complete a thorough examination in order to provide the best possible care for you.

Day of Surgery

The morning of your surgery, you will meet your pre-op nurse and your anesthesia team. Your anesthesia team will consist of a Physician Anesthesiologist and CRNA. Your health history will be reviewed, and the appropriate anesthetic plan will be made at this time. The risks, benefits, and alternatives of the anesthetic plan will be discussed with you. Any and all your questions regarding your anesthetic plan will be answered.

There are multiple factors that are considered when choosing your plan for anesthesia. Your health history, the type of surgery, and the plan for management of pain will all be considered while developing the best plan to keep you safe and comfortable.

During Surgery

You will be closely monitored and cared for throughout the surgery. You will have either a CRNA or Physician Anesthesiologist or both throughout the entire procedure monitoring your heart rate, blood pressure, and breathing in order to keep you safe.

After Surgery

After surgery you will be accompanied by an anesthesia provider to the Post Anesthesia Care Unit (PACU) where you will be monitored and cared for by a PACU nurse. During this time, the PACU nurse and an anesthesia provider will work together to ensure that your needs are met. You will spend 30 minutes- 2 hours in recovery before you are discharged home or to another location in the hospital if you are in inpatient.