A member asked:

Any anesthesiologists with experience on what anesthesia is safe if you have had a stroke under general anesthesia and neuro rxn to local?

8 doctors weighed in across 4 answers
Dr. James Marx answered

Specializes in Pain Management

More Info Needed: Selection of anesthesia is a complex process that takes into account the patient's physical status, current and previous medical conditions and reactions as well as the surgeon's preferences. Also, the type of surgery including the length of procedure, the patient's own tolerance to discomfort and anxiety level all factor into the process. Virtually all anesthetics are safe when properly selected.

Answered 9/13/2012

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Dr. Orrin Ailloni-Charas answered

Specializes in Anesthesiology

The right answer : Is that we would need more information before we proceed with anything. You should seek out an anesthesia consultation and be prepared to discuss your full medical history. Have copies of your anesthesia records from your surgeries. You will probably be referred to a neurologist for further work up and clearance. Good luck.

Answered 2/17/2013

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Dr. Richard Pollard answered

Specializes in Anesthesiology

Caution : The parts of your brain around the site of your stroke are much more sensitive to the anesthetics that we use due to the interrupted blood supply. This means that your pressure should be much closely monitored during any future surgery. No specific anesthetics should be ruled out, but remember you will be more sensitive. Hope all goes well.

Answered 4/24/2015

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Its complicated: People recover from strokes and have very different sequelae (fancy term for your condition/recovery). If you are fully recovered or even recovered such that there is little in in neuro deficits (motor or sensory changes) then any anesthesia will be safe. If there are severe deficits than perhaps close (invasive) monitoring will be needed. Overall the body and brain compensates for the injury.

Answered 5/28/2016

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