Now that you are asleep or sedated and properly numb, it is time for the surgery to take place. During this time, your anesthesia personnel will be with you constantly maintaining your level of anesthesia. This includes carefully monitoring your vital signs and measuring the level of the anesthetic you are receiving. Once the anesthesiologist is satisfied with the level of the anesthesia it is now time for the surgeon to start the case. For a general anesthetic, it usually takes 10 to 15 minutes from the time a patient gets in the room until the surgery starts.
As soon as the patient is completely asleep or sedated the circulating nurse will begin prepping the patient for surgery. The surgeon is usually in the room and often assist in positioning the patient. Once this task is completed the surgery will begin. Throughout the surgery, it is important the anesthesia keeps the patient sedated, relaxed and unaware of the procedure. They will rely on the multiple monitoring devices to accomplish this task but the most important factor is constant attention on the part of the anesthesia provider.