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Doctor insights on: Twilight Anesthesia Risks

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What types of anesthesia are there?

What types of anesthesia are there?

Excellent question: General anesthesia is being put out completely. Regional anesthesia involves anesthesia only to the area involved such as a leg or an arm. Therevare many wsys to administer this. Local anesthesia is numbing of the nerves in a specific location. Sometimes different combinations are used to get the best results. ...Read more

Dr. Karen Sibert
2,203 Doctors shared insights

Anesthesia (Definition)

Anesthesia is a field of study that involves methods of removing sensation, pain, and consciousness from a person in order to perform surgeries, do other uncomfortable procedures, or relieve his pain/suffering. A doctor specializing in ...Read more


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What is it like to get twilight anesthesia?

What is it like to get twilight anesthesia?

=moderate sedation: We no longer use the term twilight but rather categorize sedation into mild, moderate and deep. To make it more complicated there are no clear lines defining each stage but rather a continuum where mild is where the pt can respond to verbal questions or commands; moderate is when arousable by physical stimuli (shaking a shoulder or moderate pain) and deep is where painful stimuli will not awaken ...Read more

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Is there a difference between general anesthesia and twilight anesthesia?

Is there a difference between general anesthesia and twilight anesthesia?

Effects and depth: Twilight anesthesia is the application of sedatives to help the patient. One of the concerns is that there will be too much anesthesia given and the patient will not be able to breathe. This is for smaller operations. General anesthesia puts the entire body to sleep, and lets the anesthesiologist take over so that a surgeon is able to perform their operation. ...Read more

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Does it take a while to get over the effects of twilight anesthesia for a colonoscopy?

Does it take a while to get over the effects of twilight anesthesia for a colonoscopy?

Depends on type: If the anesthetic is given by an anesthesiologist they would usually use a very short acting anesthetic agent. If the sedation is done by the GI doctor they tend to use a longer lasting agent. In either case you should be clear headed after a few hours. ...Read more

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Is local anesthesia the same thing as IV sedation?

Is local anesthesia the same thing as IV sedation?

Very Different: Local anesthesia involves injection of numbing medication into an area requiring surgery. As the name implies, it is only effective in this local area. Iv sedation describes the intravenous administration of medication to relax and sedate a surgical patient. These two techniques are complementary to one another and often used together. ...Read more

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Can you explain the difference between IV sedation and IV general anesthesia?

Can you explain the difference between IV sedation and IV general anesthesia?

IV vs GA.: There are 4 levels of sedation, the "deepest" is general anesthesia. A very detailed answer is at https://www. Asahq. Org/for-members/clinical-information/~/media/for%20members/documents/standards%20guidelines%20stmts/continuum%20of%20depth%20of%20sedation. Ashx. ...Read more

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Is the medicine used in IV Sedation same as General Anesthesia. Can you please explain the differences between these 2 procedures.

Is the medicine used in IV Sedation same as General Anesthesia. Can you please explain the differences between these 2 procedures.

See below: Moderate Sedation/ Analgesia ("Conscious Sedation")

A drug-induced depression of consciousness during which patients respond purposefully to verbal commands.

General Anesthesia

A drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation. ...Read more

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I read studies that showed General anesthesia can causes amnesia and 35% increase risk of dementia. Is IV Sedation same like General Anesthesia.

I read studies that showed General anesthesia can causes amnesia and 35% increase risk of dementia. Is IV Sedation same like General Anesthesia.

See below: Do not think your statistics reflect real data. Did you find a blog from an online "expert"? IV sedation is not akin to general anesthesia and likely does not really represent any profound risk. Suggest you talk with your doctor regarding your concerns, ...Read more

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Is it possible to do IV sedation (twilight) instead of general anesthesia (unconscious) for impacted wisdom teeth?

Is it possible to do IV sedation (twilight) instead of general anesthesia (unconscious) for impacted wisdom teeth?

Yes: Most oral surgeons I know do use IV sedation instead of general anesthesia for impacted wisdom teeth. Which is the best way to go depends on how many teeth they are removing, how difficult they expect the procedure to be, and your personal preference. Speak to your oral surgeon about which option is best for you. ...Read more

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Is IV sedation the same as general anesthesia in preparation for an involved dental procedure?

Possibly: Anxiolysis is a continuum fm light sedation to general anesthesia. Depending on the technique sedation ranges fm light to moderate to deep to general anesthesia. Some people do very well with light sedation others are more difficult actually having a harder time trying to cooperate thereby requiring more sedation. As sedation requirements increase the likely hood of general anesthesia is greater. ...Read more

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For wisdom teeth removal, is it safer to go under general anesthesia or get an IV sedation?

For wisdom teeth removal, is it safer to go under general anesthesia or get an IV sedation?

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 and pain free with I.V. Sedation, without the need for a breathing tube. General anesthesia for wisdom tooth extraction will require a breathing tube and because of this can be associated with additional risks. ...Read more

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What is the difference between IV sedation and general anesthesia for having wisdom tooth extractions?

What is the difference between IV sedation and general anesthesia for having wisdom tooth extractions?

Depends on situation: Iv sedation can be provided by an oral surgeon, and is often a very good technique for wisdom tooth extraction. For certain high-risk patients (morbid obesity, severe heart or lung problems), general anesthesia with a breathing tube and control of the airway may be a safer alternative. Every case is different, and an individualized care plan with anesthesiology consultation may be in order. ...Read more

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I'm going to have lithotripsy. Do they give you General Anesthesia, or uv sedation bc I have woke up with IV sedation (fentanyl, versed & proprofol) 5x?

I'm going to have lithotripsy. Do they give you General Anesthesia, or uv sedation bc I have woke up with IV sedation (fentanyl, versed & proprofol) 5x?

Lithotripsy: Can be external or endoscopic and be done with local, sedation, or general anesthesia. You will wake up with sedation but generally do not remember it ...Read more

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I might be pregnant but I need my wisdom teeth taken out and I'm going to be under an IV sedation not general anesthesia am I gonna be safe?

I might be pregnant but I need my wisdom teeth taken out and I'm going to be under an IV sedation not general anesthesia am I gonna be safe?

Wisdom teeth: Unless it is an emergency, elective surgery should wait until after the baby is born.
If removal of the wisdom teeth for any reason cannot wait, the safest time is during the 2nd trimester.
In any case always check with both your
ob /gyn and your oral surgeon. ...Read more

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I'm going under gen anesthesia 4 a tonsillectomy. Never had ga. How does ga compare 2 the IV sedation I had 4 my wisdom teeth & colonoscopy/endoscopy?

I'm going under gen anesthesia 4 a tonsillectomy. Never had ga. How does ga compare 2 the IV sedation I had 4 my wisdom teeth & colonoscopy/endoscopy?

General Anes process: Once the IV is in, you will probably be given a small of sedative to help you feel relaxed. In the or, the ekg and other monitors will be applied. You will probably receive oxygen to breathe as other IV medications are given to achieve full anesthesia. You are never left alone while under anesthesia. We stay with you to monitor and adjust the anesthesia to keep you anesthetized and safe. ...Read more

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Does general anesthesia have the same risks as with twilight?

Yes: The risks of any deep sedating agent and technique are generally the same. In twilight sleep the main concern is over-sedation and an inability to protect the airway. In general anesthesia the concern is sore throat from intubation, and waking up at the end of the case. ...Read more

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How much risk if there for a healthy person to have general anesthesia?

How much risk if there for a healthy person to have general anesthesia?

Very little risk: I tell all my healthy patients undergoing general anesthesia that it is without a doubt safer than driving home! For a healthy individual, general anesthesia is extremely safe. The risks of anesthesia for a healthy patient are mostly related to nausea/vomiting and oral trauma (cut lip, dental damage, etc.). Rarely, an otherwise healthy patient can have an allergic reaction to one of the drugs. ...Read more

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Does anesthesia become more risky with repetitive surgeries or is it aging that increases risk?

Does anesthesia become more risky with repetitive surgeries or is it aging that increases risk?

No.: Its more about what we call organ reserve--how much function an organ such as the lungs or heart have. As we age the function decreases or the reserve is less. So someone who smokes or does very little exercise loses a lot of lung function. There are many people who age quite well and do not lose a lot of organ function and can tolerate many anesthetics. ...Read more

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What do you feel like during twilight stage of anesthesia?

What do you feel like during twilight stage of anesthesia?

Very Few Know: With modern anesthetics we try and shut down the memory of the patient before they go to the or. Once they can't remember what happened, it is very hard to find out what they felt as they went to sleep. Without sedatives the very medication that is used to put people to sleep blocks memory formation, so we have the same problem. Same with waking up. Patients come to in the pacu after the op. ...Read more

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What are the risks of general anesthesia?

Many risks: But fortunately they are rare. Among the risks are nausea or vomiting, muscle soreness, a sore throat, constipation, headaches, and very rarely allergic reactions or life threatening reactions to anesthetic agents. Death is rare but can happen. ...Read more

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What are the risks these days of general anesthesia?

What are the risks these days of general anesthesia?

Its very safe!: Efforts by anesthesiologist to improve the safety of anesthesia has made general anesthesia very safe today. Risks can include medication reactions, damage to teeth or eyes, nerve injuries, heart attack, stroke and death, however for most patients this risk is extremely remote. Certain medical conditions make anesthesia more risky such as obesity, heart conditions, diabetes, etc. ...Read more

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What r the risks of general anesthesia in 6 months old baby?

What r the risks of general anesthesia in 6 months old baby?

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

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What is the prep for upper and lower GI for an 8yo child? What anesthesia? What risks?

See below: The prep for the upper GI is merely stopping eating. The GI system will clear the top part naturally. The lower GI depends on the GI doctor. Some recommend clear liquids for 24 hours with a fleets enema to try and clear the colon for the scope. Talk to you GI doctor about their practice. ...Read more

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I had a surgery and they used a twilight anesthesia. I have not felt well since then. What should I do?

I had a surgery and they used a twilight anesthesia. I have not felt well since then. What should I do?

Depends: Depends on the type of anesthetic agents used, your health issues and the procedure performed. Usually after the first day you should have recovered from the anesthesia. See your doctor for an evaluation. You may not be feeling well due to the procedure, your other health issues if any or the medications that you are on. ...Read more

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Will doing rhino and septoplasty at sametime under only local anesthesia pose risks like anesthesia toxicitity?

No but...: Your high blood pressure places you at higher risk for bleeding under a local and should be discussed with your surgeon or anesthesiologist. ...Read more

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Tell me about atelectasis & anesthesia. 7yo bpder/ trach with atelectasis in both bases has scopes on weds. Needs anesthesia. Higher risks?

Tell me about atelectasis & anesthesia. 7yo bpder/ trach with atelectasis in both bases has scopes on weds. Needs anesthesia. Higher risks?

See below: Atelectasis is the partial collapse of some of the lung alveoli (air sacs) usually in the base of the lung. Under anesthesia these lungs will most likely be fully inflated by mechanical ventilation. There is minimal increased risk during anesthesia in a child with bpd. I would suggest discussing your concerns with the anesthesiologist doing the case. Would encourage use of nebulizer before case. ...Read more

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What is anesthesia like?

What is anesthesia like?

Being asleep: A general anesthetic is similar to falling asleep. Once anesthesia is induced, the patient is no longer aware of what is happening in his/her environment. The body responds physiologically as it normally would. The anesthesia provider is there to monitor and control those reponses. Once the patient is awake again he/she will drowsy and tired for a while. ...Read more

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What is m.A.C. Anesthesia?

What is m.A.C. Anesthesia?

MAC anesthesia: Mac is an acronym for monitored anesthesia care. This implies that the patient is monitored by a board certified anesthesiologist, or board cert. Nurse anesthetist under the supervision of an anesthesiologist. There are varying degrees of sedation, from light, to mod. And deep. This will vary with the complexity of the case, and patient pref. Patient is fully monitored, ecg, bp, capnography, pulse ox. ...Read more

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What types of anesthesia are there?

Excellent question: General anesthesia is being put out completely. Regional anesthesia involves anesthesia only to the area involved such as a leg or an arm. Therevare many wsys to administer this. Local anesthesia is numbing of the nerves in a specific location. Sometimes different combinations are used to get the best results. ...Read more

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What is an inhalattional anesthesia?

What is an inhalattional anesthesia?

If anesthesia gas is: Used, whether it is vapor (started with ether, now - sevoflurane or isoflurane) or actual gas ("laughing gas" nitrous oxide or xenone) to induce and maintain state of unconsciousness and insensibility to pain by breathing it in and out, it is called inhalational anesthesia. In pure form it is primarily used for short procedures in kids, in adults usu. As a component of balanced general anesthesia ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Can THC affect anesthesia?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

THC & Anesthesia: It can affect your recovery period after the anesthetic wears off. ...Read more

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What is general anesthesia?

What is general anesthesia?

What normally called: " to put you to sleep" before surgical procedure, is not feel pain, and will not be aware the procedure being done, by anesthetic medications, your breathing is controlled, all your vital functions are closely monitored by highly trained professional (s), relatively very safe considering the magnitude of the undertaking on human body. ...Read more

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Is general anesthesia safe?

Yes.: General anesthesia has a long history with literally millions of people getting anesthetics every year. But there are risks. It is obviously riskier in the very young and very old. It is riskier if you have serious medical problems like congestive heart failure or COPD. It is riskier if you are having a very prolonged or complicated surgical procedure. But yes, general anesthesia is safe. ...Read more

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Does a spinal anesthesia hurt?

Does a spinal anesthesia hurt?

Not usually: A correctly done spinal has very little pain associated with it. The anesthesia care provider will place local anesthesia first and then the needle with the spinal medication. Occasionally if there is difficulty passing the needle between the spinous processes and into the correct space, heavy pressure of pain may be felt. Let the anesthesiologist know and they give more local anesthesia through t. ...Read more

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Is general anesthesia dangerous?

Is general anesthesia dangerous?

Relative to what: I have done anesthesia for 42000 cases, no deaths, mi, wake ups during surgery for generals, no comas, my most frequent problems =16 broken teeth, 22 inhailing vomit giving 3 pneumonias, two nerve damages. Is that safe? When I started the death rate was 1 per 5000 now it is less than 1 per 200, 000 for healthy patients. Is that safe? Not nearly as safe as the airlines and it should be and can be. ...Read more

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How long to get over anesthesia?

Anesthesia: With the modern anesthetics most people are over it within 24hrs. Longer durations are often associated with post op pain meds. ...Read more