Overview Advantages of Twilight Anaesthesia/TIVA Information SheetsPre and Post Sedation Instructions FAQs
Twilight Anaesthesia is a form of anaesthesia that can be controlled so that you are asleep but still able to breathe by yourself. There is no need for intubation as in General Anaesthetic. The aim is to keep you pain free and comfortable.
You will usually have little, if any recollection of the procedure afterwards. Due to the nature of the sedative drugs given, you wake up quicker and with little of the side effects of a general anaesthetic.
The Twilight Anaesthesia sedation technique involves sedative drugs given as an injection into your arm. It is administered by a Consultant Anaesthetist. An Anaesthetist is a medically qualified doctor who undertakes extensive postgraduate training in the field of anaesthetics and sedation. All our anaesthetists are Consultants with years of experience.
TIVA is the next stage in the continuous spectrum of anaesthesia using exactly the same techniques as Twilight Anaesthesia. You are much deeper in your sleep and will need airway management via a laryngeal tube and a ventilator. This is used only in procedures that require airway protection e.g. Rhinoplasty. Preparation and Recovery for TIVA is similar to Twilight Anaesthesia.
Before your Twilight Anaesthesia / TIVA, you must tell us if you are:
For 24 hours after having Twilight Anaesthesia / TIVA, you must:
Please call the clinic if you experience any issues. All patients are provided with a 24/7 phone number in case of emergency.
Contact UsThere is a small chance that you may become over sedated. To make the procedure as safe and as comfortable for you, the Consultant Anaesthetist is with you throughout. He is constantly adjusting the amount of sedative you receive depending on how you respond.
Occasionally following the procedure, a slight bruise or a small lump may appear at the site of the injection in your hand or arm. This is normally nothing to be concerned about, but should you be concerned or the area is painful please contact the clinic for advice.
On arrival at the clinic/hospital, you will be admitted to your own bay/room and the nurse and anaesthetist will ask questions about your medical and previous anaesthetic history. The procedure and sedation technique will be explained to you and any questions or concerns that you may have will be answered.
You will be given oral paracetamol/co-dydramol for pain relief and asked to change into a gown. You will then be taken to the operating room. Monitoring will be attached and the anaesthetist will insert a small cannula into one of your veins on the back of the hand or arm and commence your sedation.
At the end of the procedure you will be transferred back to your own bay/room. Occasionally, you may be advised to have a pain-killing suppository, diclofenac, at the end of the procedure. If this is the case, consent will be sought beforehand.
You will be able to go home once you have had a drink, something to eat and have been to the bathroom.
This is usually included in your package fee. If your package fee does not include Twilight/TIVA, the additional fee is between £700 to £1000, depending on the length of the surgery.