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Dr. Ernesto Pretto jr.

Anesthesiology
Miami, FL
45 years experience male

Locations

Office

Miami, FL

Address

Post Office Box 016370 (R-370), null, Miami, FL
Directions

University of Miami Medical Group

Miami, FL

Office

Miami, FL

Miami Transplant Institute

Miami, FL

About

Bio

Ernesto A. Pretto, Jr. M.D., M.P.H . (Epidemiology) is Professor of Clinical Anesthesiology and Critical Care Medicine/University of Miami Leonard M. Miller School of Medicine and Jackson Memorial Hospital and Parrish Medical Center, Titusville FL. He is a Board Certified Anesthesiologist with Special Qualifications in Critical Care Medicine. He completed residency training in Anesthesiology with Cardiac Anesthesia Fellowship at the Albert Einstein College of Medicine of Yeshiva University,

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Anesthesiology

Critical Care

Public Health

Licenses

United States: Florida

Doctor Q&A

79 Answers
16 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Any patient with a known heart condition is at risk during surgery and must be thoroughly evaluated with a complete history and physical, electrocardi... Read More
A 40-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Caution: Anesthesia is the safest of medical practices today. Propranolol, a 'beta blocker' slows the heart rate. It is important for you to be evaluated by yo... Read More
A 28-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
YES: Hydrocodone is a narcotic and should never be taken without a prescription. As a general rule, when experiencing pain always try a non-narcotic pain m... Read More
A 37-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Local anesthesia: Depending on the location local anesthesia is the most commonly employed anesthetic for ganglion cyst removal.
A member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Within hours: Depending on the surgical procedure, the local anesthetic used, and whether the epidural is continuous or not, the epidural will usually wear off wit... Read More
A 42-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Prednisolone is a type of corticosteroid drug. It is safe to take Prednisolone before anesthesia. If you have been medicated with Prednisone or simila... Read More
A 36-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
In: In close proximity to someone who sneezes or coughs, it might help to briefly hold your breath.
A 29-year-old female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Unusual: It is highly unusual for oxygen saturation to drop in flight since the ambient oxygen concentration in the cabin is maintained. It is not uncommon, ho... Read More
A 36-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Badly: Badly administered anesthesia can kill; pain does not. Get to know your anesthesia provider!
A female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Maybe not: You may not be pregnant but based on your your complaints you may be having a vaginal yeast infection. You should consult your physician.
A 31-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No: Hypertension is not one of the known side effects of narcotics.
A 33-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Nitrous oxide (n2o) is an anesthetic gas administered during general anesthesia and in dental practice. It is an odorless, colorless gas that is suppl... Read More
A 36-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Narcotics: Narcotics are frequently used as part of the general anesthesia procedure. Narcotics such as morphine as known decrease 'peristalsis', which refers t... Read More
A 37-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Volatile Anesthetics: The most typically or commonly used anesthesia gases today are the derivatives of ether, such as isoflurane, sevoflurane and desflurane. Also, nitrous... Read More
A 42-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No: Neuromuscular blockers are not the same thing as anesthesia. They are adjuncts of general anesthesia (used in conjunction with and in addition to, gen... Read More
A 30-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Sometimes: The placement of an iud may cause some discomfort and may be performed with conscious sedation or general anesthesia, depending on the patient.
A 36-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No complications: Usually there are no complications associated with anesthesia for c-sections. However, depending on the type of anesthetic there can be short term com... Read More
A 34-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Expiration: All people respond to local anesthetics, if properly administered and if the local anesthetic used has not expired. All drugs have an expiration date,... Read More
A 36-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Epidural: For labor a combined spinal-epidural (cse) anesthetic is currently the standard of care. This is best administered by an anesthesia doctor.
A 45-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Extremely rarely: The incidence of death from anesthesia in the usa is ~ 1 in 200, 000 anesthetics. It is among the safest specialties in medicine. However, it is impor... Read More
A 30-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Twilight anesthesia refers to 'conscious sedation', wherein a patient is sedated but arousable and breathing spontaneously. General anesthesia is a st... Read More
A 48-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Analgesia/Anesthesia: Narcotic drugs are classified as analgesics (pain medications). By themselves narcotics do not induce unconsciousness. Therefore, narcotics are used i... Read More
A 44-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Propofol: Diprivan, also known as propofol, can be a dangerous drug in the wrong hands. Only anesthesia providers are qualified to administer Diprivan to patien... Read More
A 37-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Very safe: Anesthesia is among the safest specialties in medicine today. However, it is important for you to get to know your anesthesia doctor, so you can disc... Read More
A 24-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No Handshake: Its safer to avoid shaking hands altogether.
A 36-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
1): 1) get 7-8 hours of sleep every night and; 2) abstain from all mood altering drugs.
A 33-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Bleeding: Coffee ground stools is the classic description of blood in the stool emanating from the upper gastrointestinal track (stomach and small intestines). ... Read More
A 44-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
General: General anesthesia entails a combination of medications such as Midazolam for amnesia/sedation, a sleep medication or 'induction' agent (i.e. Propfol... Read More
A 38-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No: It is advisable to seek medical attention when experiencing even mild symptoms of shortness of breath or wheezing (asthma), prior to having elective s... Read More
A 36-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: During cardiac catheterization the patient is sedated and monitored, which is usually called monitored anesthetic care (mac) with sedation or mac/seda... Read More
A 31-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Maybe: There are three main types of anesthesia for knee surgery: general, regional or neuroaxial. For regional anesthesia you may be given either a nerve bl... Read More
A 18-year-old female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Not advisable: It is not advisable to use any mood altering medications prior to surgery and anesthesia. Xanax (alprazolam) and other anti-anxiety or sedative medica... Read More
A 39-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: However, the common side effects of general anesthesia include nausea and vomiting, headache, soreness of the throat, and muscle aches. In the majorit... Read More
A 29-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Safe: There is always a risk with surgery and anesthesia. However, a children's hospital with anesthesiologists on staff who have received special training ... Read More
A 42-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Local Anesthetics: Local anesthetics are the most commonly used drugs for spinal and epidural anesthesia. You should consult with your anesthesia doctor about the choice... Read More
A 32-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Wrong question: If you received a local anesthetic for extraction of wisdom teeth, you will be numb for 1-2 hours afterwards. General anesthesia (going to sleep) is ... Read More
A 31-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Depends: Patients with emphysema should have their pulmonary function thoroughly evaluated. This includes a history and physical and pulmonary function tests w... Read More
A 36-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Analgesia: If the broken bone is amenable to a 'closed reduction' then analgesia (pain medication) alone may suffice. If open reduction with internal fixation is... Read More
A 36-year-old male asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
If: If you are right handed, try using your left hand to perform simple tasks, and vice-versa.
A 49-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Consult: Please consult your physician to obtain clear instructions on side effects and when to take your medications. Your health status, such as heart diseas... Read More
A 27-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
PONV: The most common side effects are post operative nausea and vomiting (ponv), sore throat, muscle aches and pains, and confusion disorientation and post... Read More
A 38-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
General Anesthesia: Anesthesia is technically not a therapy in that anesthesia is only used to facilitate pain free surgery. For a repair of a lower lumbar herniated disc... Read More
A 38-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
No: Cerebral palsy and other neurological conditions may decrease the requirement for anesthesia. However, the best approach is to schedule a preoperative... Read More
A 37-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Incorrect: There are no changes in stomach function after anesthesia. What is important, however, is that you abstain from food or drink for at least 8-12 hours ... Read More
A 46-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
General anesthesia : In the vast majority of cases when an infant requires surgery the anesthesia administered is general anesthesia by inhalation. After monitors are atta... Read More
A female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Height is a genetic and environmentally determined characteristic of human beings. Proper sleep, exercise and nutrition may have a positive effect on ... Read More
A 42-year-old member asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
I.v. sedation: The best course of action is to discuss the anesthesia plan with your anesthesia doctor prior to surgery. Wisdom tooth extraction can be done safely a... Read More
A 32-year-old female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Synergism: As a general rule you should always try a non-narcotic analgesic first (i.e. Advil) when experiencing pain, even if the doctor has prescribed a narcot... Read More
A 29-year-old female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
NO!: Oxycodone is a potent narcotic with serious side effects, especially when used with alcohol or other sedatives. It is not advisable to take any narcot... Read More
A 33-year-old female asked:
Dr. Ernesto Pretto jr.
Anesthesiology 45 years experience
Yes: Pseudocholinesterase deficiency is a genetic condition affecting the body's ability to get rid of succinylcholine (sux), a muscle relaxant commonly us... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
144
Thank you notes
Aug 24, 2013
Superb, precise, recommend highly.
HealthTap member
Mar 30, 2015
Dr. Pretto is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pretto is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you for the candid answer. I just had a pft with FEV of 27
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

University of Pittsburgh
Graduated 1995MD

Medical/Graduate school

University of Panama Faculty of Medicine
Graduated 1977MD

Residency

JACOBI MEDICAL CENTER
Completed 1982

Awards

Young Investigator, Society of Critical Care Medicine
In-Training, Society of Critical Care Medicine
Provisional Patent United States Patent and Trademark Office: Stable emulsions of volatile general anesthetics

Affiliations

Society of Critical Care Medicine
World Association of Disaster and Emergency Medicine
American Society of Anesthesiologists
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less