Doctor insights on:
How Patient With Emphysema Can Recover From General Anesthesia
Under care: The patient with emphysema is sensitive to many of our anesthetic agents, that is they will depress their already damaged pulmonary function. This means that a patient with emphysema is going to spend more time in the post anesthesia care unit to make sure that they can breathe with minimal assistance. Having the patient spend the night after an operation is another way that they can be carefully. ...Read more
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
Is it harder for people with emphysema to get enough oxygen while they're under general anesthesia?
Not usually: Room air contains only 21% oxygen. When a patient is under general anesthesia, we can increase the amount of oxygen breathed to 100% if necessary. So even with emphysema, it is rare to have problems receiving enough oxygen. However, patients with emphysema will have a harder time breathing on their own and recovering after surgery and general anesthesia. ...Read more
General anesthesia in hospital to have a back molar pulled. Is it safe? How long will I be out? I have hypothyroidism. COPD anxiety.
Very safe: You'll be out as long as the procedure takes, but you probably won't remember that day. General anesthesia in a hospital with an anesthesiologist (anesthetist) has never been safer. ...Read more
Can you tell me about a port that gets implanted into the chest of a patient before undergoing chemotherapy? General anesthesia and?
Helps the anesthetic: Maybe I should leave this for an anesthesiologist to answer, but basically it's because benzo's are relatively safe ; help relaxation ; forgetting the procedure, so that less general anesthesia (which is more hazardous) is needed. Often multiple drugs are used in anesthesia to balance the aims ; the medical risks. ...Read more
Nothing: The induction of general anesthesia is designed to prevent the patient forming new memories during surgery. Some patients do dream during light general anesthetics. If a patient does have memories under anesthesia, they either had only IV sedation, or not enough anesthesia was given. ...Read more
What does it mean if a patient can't start breathing again on their own after being under general anesthesia?
Many things: It could be too much pain medicine, other anesthetics, inadequate paralytic reversal, other physiolog abnormality (electrolytes off, hypothermia), or problem with the central nervous system. A review of medications given, clinical evaluation, and possible imaging should reveal the cause. ...Read more
Can any doc explain why are patients shaved after falling asleep or under general anesthesia and not while awake?
Clipping hair: We actually do both some patients are prepped before the operating room and some are after induction of general anesthesia. Actually shaving is not preferred anymore and clipping is the proper term. Electric clippers are recommended to remove hair at the surgical site. Shaving damages the skin and set up for infection at the hair follicle. ...Read more
Which is safer and better for general anesthesia in patients with cardiac disease? Propofol or Ketamine?
Ketofol: Is a mixture of ketamine and propofol. The efficacy, and sedation time are similar, however, sedation depth appeared to be more consistent with ketofol. According to the studies there is the absolute reduction in adverse respiratory events compared with propofol or ketamine alone. ...Read more
Outpatient general anesthesia for hysteroscopy with dilation curettage would the patient receive little anesthesia since the procedure is short?
No "minor" GA: There is such thing as "minor surgery", but there is no such thing as "minor general anesthesia". ...Read more
For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? Can sedative be given before spinal?
C-section: Safety is a priority and regional anesthesia is safer for c-sections. Patient can be sedated with versed if it is nessasary. General anesthesia is rarely done, mostly for emergencies, for failed regionals or debilitated patients, who can not cooperate. Effects of sedatives can be reversed in newborn in rare situations where it becomes nessasary. ...Read more
Hi! I'm a 16 year old going for an endoscopy and colonoscopy at the same time. As a pediatric patient, is it a common to get general anesthesia for both procedures? If not, can I request for a general? I'm absolutely terrified of having something up my **
It all depends: Typically an endoscopy and colonsocpy would be performed by an anesthesiologist. It would be up to the anesthesiologist and the patient to decide what is the safest course of action. There are some co-morbidities that might push anesthesiologist away from general anesthesia. Whether it is deep sedation or general anesthesia, one of the anesthesia jobs is to make the patient feel comfortable ...Read more
A child patient took general anesthesia for filling her teeth, she's still 2 days sleeping but everything's normal what could have happened?
See your doctor:
When you say sleeping a lot- does this mean she is not waking up to eat or drink- if that is the case then you need to take her to your doctor
In some people anesthesia can take a longer time to wear off but she should have been awake and normal prior to leaving the dentist
Staying very sleepy after two days sounds concerning to me ...Read more
Gastroenterology: Does an endoscopic ultrasound of the pancreas usually require general anesthesia of the patient or can there be twilight sleep?
Outside my area!: I'm not an expert on this - but, even if I had a knowledgeable POV - it would mean nothing for your case. The medical team responsible for your procedure will not be moved from the practices they are confident and comfortable with. Really, they're right to make choices they'll be responsible for. If you can find what you want, fine. If you fear GA, try to find help w/ this fear - you can! Best! ...Read more
If General anesthesia is used for a csection how do they know the patient is actually asleep and not feeling? Do they use an eeg to monitor?
Can a doctor postponed stomach endoscopy for a patient 71 years old who arrived with Bp 170 over 70??? because of just Bp. Patient will be having stomach endoscopy with general anesthesia. Thanks.
Just BP?: 37 M from US asks if Dr can postpone endoscopy under general anesthesia in 71 pt with BP 170/70 because of "JUST BP". ANS: It is never "just BP". This level of BP puts the pt at higher risk of anesthesia and unless procedure was being done in an emergency it is rational to protect pt from heart attack, stroke etc. A DR can postpone anytime it seems that pt is at risk. Discuss with team. ...Read more
Anesthetized patients with chronic bronchitis and emphysema and what complications expected to occur during anesthesia and surgical work and what are?
Please tell me how long it takes for to recover from general anesthesia after a wisdom tooth extraction?
Depends: Depends on your body mass, the type of anesthesia used, the length of the procedure, and how your body metabolizes the anesthetic agent. Usually mostly worn off in 30 minutes to 2-3 hours, but may have some residual effects for 24hrs or longer. No 2 people are alike, so get your support system in order, and follow your oral surgeons post-surgical instructions to the letter. ...Read more
Is lymph node biopsy in neck usually done under local or general anesthesia? How long until I recover and go back to normal activities?
I have stage 4 emphysema and high bp, along with cardiomyopathy. How risky is gen., anesthesia? My fev 1 is 27. Advise/recommendations.
Depends on surgery: It's always hard to separate the risks of anesthesia from risks of surgery. Babies have anesthesia every day for procedures like correction of crossed eyes, as my daughter did at that age. She's doing great! If your baby needs surgery, your pediatric anesthesiologist will give the best kind of anesthesia for the surgery. That's why there are doctors who specialize in anesthesia for children. ...Read more
Yes: General anesthesia essentially makes your brain ignore noxious (painful) stimuli. You still "feel" the pain (the painful stimuli get to the brain), but your brain mostly ignores it. With local anesthesia, the brain does not get the signal, since the anesthetics, simply, block the nerve conduction to the areas of the brain that process pain signals. ...Read more
Ga: Going under is very safe. Keep in mind nothing is 100%safe- there always risks. ...Read more
Risk varies: The risks of geeral anesthesia vary depending on your overall health. For the most part, modern general anesthesia is extremely safe. It is best to discuss your specific concerns with your anesthesiologist and/or anesthetist. ...Read more
General Anesthesia: You're totally unconscious and immobilized and you don't feel, sense or remember anything that happens during the anesthesia. Your vital systems are continuously monitored while you're under. The anesthesiologist will turn off the anesthetic drugs and you will gradually wake up. ...Read more
A lot: General anesthesia affects every organ systems in your body. It affect your brain, it depressed your heart, it lower blood pressure, it changes your breathing patterns etc...This is why general anesthesia is administered by a physician anesthesiologist who can compensate for the effects of general anesthesia on all of your organs. Today general anesthesia is very safe. ...Read more
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