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Can you choose your anaesthetist ?
It is sometimes possible to choose your anaesthetist, but there are factors which may make this difficult.
The anaesthetist you want may not have hospital privileges, which means that the anaesthetist is not legally entitled to practise medicine in a particular institution. This does not imply any lack of skill but rather indicates that the anaesthetist does not normally practise at that institution. (This may apply to surgeons as well.)
Some anaesthetists and surgeons often work as a team and develop a close working relationship. A particular anaesthetist may therefore not work regularly with a particular surgeon.
Other anaesthetists may choose to practise anaesthesia only for certain types of operations – for example, cardiac anaesthetists may not look after women undergoing labour and delivery, and paediatric anaesthetists may not provide anaesthetic care for adults.
Although an anaesthetist may work with a particular surgeon or provide care for a patient undergoing a particular operation, the anaesthetist may not regularly use a particular type of anaesthetic – for example, regional anaesthesia.
The anaesthetist might not be available, having been on call the night before, on holiday, or otherwise engaged.
Nevertheless, you are entitled to ask if you may have a particular anaesthetist look after you.
You have every right to ask questions, to receive information, and to participate in choosing the care you will receive. Asking questions and receiving information are the basis of giving informed consent for any medical procedure, including anaesthesia.
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