Doctor insights on:
Twilight Anesthesia Risks
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 moreSee 1 more doctor answer
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 moreSee 6 more doctor answers
Extremely low risks.: Anesthesiology has become the 'poster child' of improved safety in medicine. The risks directly attributed to anesthesia alone are now so low that they become hard to estimate. Latest estimates put the risk of major morbidity or mortality at one in several hundred thousand. Much lower than the risk of being struck by lightning. ...Read moreSee 1 more doctor answer
Different medication: The word "anesthesia" can be confusing. It applies to many different drugs that prevent responses to pain. Drugs like Lidocaine and novocaine are injected with a needle to numb an area: this is "local" anesthesia. Other drugs that are given through an iv--such as Propofol or sodium pentothal--and anesthesia gases that you breathe produce general anesthesia and complete unconsciousness. ...Read moreSee 2 more doctor answers
You could but why?: I see from your history you have anxiety. Are you really going to want to sit there with someone making incisions, resecting cartilage, making delicate and time consuming changes to the shape of your nose, suctioning blood all while you cannot touch your face or risk infecting your wound? Most surgeons do it under general. It's your surgeon and your call, but most patients would say "no". ...Read moreSee 6 more doctor answers
See below: Probably the general anesthetic would be more expensive, but it depends on where it is done. In an operating room you would also be paying the hospital charges for the or, as well as the nurses. The cost of the actual anesthetic would be on top of this. ...Read moreSee 5 more doctor answers
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Regional: An epidural block refers to either anesthesia or analgesia. The later is used for pain control for labo, after surgery , renal stones or other pain conditions. The former is used for surgery itself. The difference is the strength of the local anesthetic used for the block. The stronger the dose the more numb you become. ...Read moreSee 4 more doctor answers
Not always: There are certainly operations that require general anesthesia that aren't considered major surgery. Examples would be quick laparoscopic procedures such as tubal ligation, or ENT procedures such as tonsillectomy. Also, GA may be needed for babies and small children who can't cooperate, even for small operations. The physician anesthesiologist works with the surgeon to make the best plan. ...Read moreSee 1 more doctor answer
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 moreSee 6 more doctor answers
=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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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
I read studies that showed General anesthesia can causes amnesia and 35% increase risk of dementia. Is IV Sedation same like General Anesthesia.
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Im 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?
Getting rhino and septoplasty done with local anesthesia & only minimal IV sedation. Can i get breathing tube to protect airway still?
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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