Doctor insights on:
Side Effects Of Too Much Anesthesia
Regional anesthesia: Regional anesthesia is extremely safe and commonly used during labor and delivery. At my institution the epidural rate is nearly 90%. We are careful to use as low doses of local anesthetic and opioid combinations. The common effects seen are decreased sensation and motor strength in the lower extremities (expected) and occasionally a decreased blood pressure (also expected) which we treat prn.See 3 more doctor answers
Many side effects: The side effects are many but fortunately short lived. Probably the most significant is post operative nausea in the immediate period after surgery, this is treatable. Prolonged "grogginess", confusion in the elderly, sleepiness, sore throat (transient) are other side effects. It is important to know that these are typically absent on day two.See 3 more doctor answers
Many (small): Anesthesia complications such as airway complications (dental trauma, sore throat);, pulmonary complications (pneumonia, aspiration of gastric juices), cardiovascular complications (heart attack), neurological complications (nerve injuries, etc;), awake under anesthesia, IV issues, nausea. This risks are low with a heathy patient, they increase with each patient's disease.
Subtle but present: While research is ongoing, there is an increasing body of evidence showing long term exposure to even small amounts of any of the inhaled anesthetics, which includes Isoflourane, has temporary or potentially permanent side effects. They include miscarriages and cognitive impairment such as memory, learning and behavioral deficiency. They are mostly subtle in young, healthy patients though.
Varied: When we discuss possible side effects we may group them into "more likely", "less likely", and "rare" and personalize the information for the patient's health issues and procedure. Example list: nausea, vomiting, sore throat, tooth damage, inadequate post-op pain relief, allergies or other reaction to medication ranging from minor to severe, heart rhythm problems, urinary retention, etc.See 1 more doctor answer
Isoflurane Exposure: This is usually an academic question as the use of this medication is with an anesthesia machine with a scavenging system which eliminates/reduces the occupational exposure risk (niosh recommendation below 2 ppm).
Short-lived: General anesthesia that a mother receives passes through her system into the baby's system. However, it goes away quickly too. If the baby were born right away, it might be sleepy or need help with breathing. But assuming that the baby is not born yet, the anesthesia meds will be gone within a few hours. At 30 weeks, all the baby's organs and limbs are formed, so there is no risk of birth defects.See 4 more doctor answers
Usually none: There are rarely psychological effects from anesthesia. Some people do have a phobia of needles, or losing control, but usually this is not a problem. The drugs themselves do not cause psychological effects. Some concerns do exist, in the extremes of age, of effects on the brain, but these are not clear at this time.See 2 more doctor answers
Safe anesthesia: Anesthesia carries with it several serious risks, which can include death and disability. Millions of anesthetics are delivered every year in north america alone and the margin of safety is phenomenal. A patient's risks are determined during work up and there is an asa ps classification system used to categorize patients. In-office oral surgery sedation is extremely well tolerated and safe.See 1 more doctor answer
I have an endoscopy this month and am concerned about being "put under". What are the risks/side effects of general anesthesia. I've never had it.
Possible: Very rare but I have seen patients where this has happened - get a consult with aneurologistSee 1 more doctor answer
What possible side effects could radiofrequency ablation have when done on lower back nerves without anesthesia?
Radiofrequency Ablat: More side effects from anethesia. The main side effect of radiofrequency ablation is some discomfort, including swelling & bruising at the treatment site that usually goes away after a few days. Leg numbness may develop due to the local anesthesia given during the procedure. It should only last a few hours. Mild back discomfort can occur as the local anesthetic wears off & typically lasts 2-3 days
What are the off label uses for lexapro (escitalopram)? Is premature ejaculation included? Does lexapro (escitalopram) have many sexual side effects like genital anesthesia?
See below: Premature ejaculation (PE) is one of the most common sexual dysfunctions in men with prevalence rates ranging from 21–31%. Lexapro (escitalopram) is in the class of drugs known as selective serotonin reuptake inhibitors (SSRIs) which have been shown to be effective in "some" men with PE. Higher doses of SSRIs "may" be associated with loss of libido and/or ED. Lexapro starting dose for PE 10 mg.
My wife is due for a c section tomorrow and uses marijuana for therapeutic reasons, ie. Stress, anxiety, nausea and appetite. She is scared to smoke marijuana due to possible side effects during general anaesthesia. I think if it calms her nerves now it'
She's right; smoking: marijuana before surgery can cause lung hyperreactivity, low blood pressure, ^ed carboxyhemoglobin, decreased oxyhemoglobin, ^ed risk of strokes in her & the fetus & interactions with pre-op meds & anesthesia. She needs to disclose her chronic antenatal anxiety & THC use to the anesthesiologist & the baby's pediatrician. Both can have long-term adverse effects on a baby's development & behavior.
Beriberi: Beriberi is the vitamin b1 deficiency disease that has affected millions over thousands of years. A recent paper from japan reported 17 adolescents with cardiac beriberi from drinking sodas. Fragments of the disease are "alive and well" in the U.S.
Depends on age: Excess oxygen delivered to the term infant or older child for long periods will irritate the lung tissue. In the short term it is well tolerated. In the womb, eyes form with lower oxygen amounts supplied by the placenta, if born premi, the higher o2 amounts needed to keep them alive can cause abnormal blood vessel growth in the retinas & vision pbs. Monitoring & treatment helps reduce pbs.See 1 more doctor answer
Varies: Most side effects are temporary if one stops, these are usually insomnia, jitteriness, palpitations, nervousness, hyperactivity and diarrhea. But oftentimes if one has been a heavy caffeine user then one would probably get significant withdrawal symptoms like irritability, and headaches as well as fatigue--usually this last about 1-2 weeks then fades.
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