Your nurse will give you some advice about caring for your wounds before you go home. In the meantime, don’t drive, drink alcohol, operate machinery or sign anything important. This feeling should go away within 24 hours. You may find that you’re not so coordinated or that it’s difficult to think clearly. Having a general anaesthetic or sedative affects everyone differently. If you live alone, you must have a responsible adult to stay with you for the first 24 hours. But you'll need to arrange for someone to drive you home. You’ll usually be able to go home when you feel ready. Do tell your nurse so you can have the pain relief you need. You may have some discomfort as the anaesthetic wears off. You’ll need to rest until the effects of the anaesthetic have worn off. This is for your own safety while you’re under anaesthetic so it’s important to follow your anaesthetist’s advice. If you’re having a general anaesthetic, you’ll be given instructions about not eating or drinking for a certain number of hours before your surgery. Ask your surgeon if you’d like something to make you drowsy and help you relax. You won’t feel anything during the procedure but you’ll be awake. You’ll have an injection of local anaesthetic around the nerves that control your shoulder. If you can’t have a general anaesthetic for any reason, your surgeon may be able to do your arthroscopy using a nerve block. This helps to control pain in your shoulder afterwards. The anaesthetic is injected into the nerves that give you movement and sensation in your shoulder. You have the procedure under general anaesthetic, but your surgeon injects a local anaesthetic before you wake up. Sometimes, your surgeon may use a combination of both local and general anaesthetics. This means you’ll be asleep during the operation. You’ll usually have a general anaesthetic for a shoulder arthroscopy. You’ll be asked to do this by signing a consent form. It’s important that you feel fully informed and are happy to give your consent for the operation to go ahead. If you’re unsure about anything, don’t be afraid to ask. Your surgeon will discuss with you what will happen before, during and after your procedure, including any pain you may have. This means you have the procedure and go home on the same day. Shoulder arthroscopy is usually done as a day-case procedure in hospital. It can also make your surgery less effective and lead to complications. Smoking makes you more likely to get a chest or wound infection after surgery. If you smoke, you’ll be asked to stop smoking before your surgery. Your surgeon will explain how to get ready for your procedure.
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