Doctor insights on:
Waking Up During Major Surgery
I'm a 22 year old female and getting a tonsilectomy. Are there any major risks during surgery or after?
Yes: Every surgery has risks and tonsillectomy is no different. Main risk is bleeding as it is removed from a very vascular area. There is a very minute risk of injury to the carotid artery that is deeper in the throat muscle than the tonsil. The risk exists for bleeding after surgery also. This should be explained fully by your surgeon. ...Read more
What is patient position during awake craniotomy? Lying down? And feel the patient after waking up during surgery that his head is opened or any pain?
What does "de-sat'd" mean? While heavily sedated with morphine following major surgery, a nurse entered my room and without waking me clamped an oxygen mask over my face. The experience was alarming! her explanation (above) did not satisfy.
The : The saturation of oxygen in your blood is often monitored by a pulse oximeter, a device attached to the surface of your body, usually on the finger tip, toes or earlobe. It measures the content of oxygenated hemoglobin in your red cells. While not as accurate as a blood test, it is readily available. Oxygen saturation is expressed as a percentage, a number ranging from 0 to 100, normally on room air, the oxygen saturation is greater than 98%. The saturation reflects the content in the blood reasonably well in the range of normal range of acid levels and oxygen in most individuals. However, the saturation is affected by the amount of inhaled oxygen, the respiratory drive to pull oxygen into your lungs, changes in acid levels in the blood (such as seen in severe infections or kidney failure), problems with the lungs itself (such as excess fluid or pneumonia). After surgery, the combined effects of anesthesia and narcotics tend to depress the respiratory system, such that oxygen is not being drawn into the lungs (usually because of oversedation). This leads to less oxygen in the lungs and a drop in the oxygen levels and thus a drop in the saturation - thus the term: "de-sat" or desaturation. This can be easily remedied by reducing narcotics, or reversing narotic effect (e.g. Narcan), arousing the individual, and/or adding supplemental oxygen. Thus the use of the oxygen mask, which increases the saturation, but does not address the reason for oversedation. ...Read moreSee 1 more doctor answer
Can you tell me about which drugs are used to relax muscles during major surgery. which of the two chemicals described next would make the best muscle relaxant and why?
Can I stop Prozac (fluoxetine) a few days before major surgery? I'm worried that withdrawal may affect general anesthesia or cause problems during the operation.
No reason to stop: It makes sense to keep taking medications that your system is already used to taking. Stopping Prozac (fluoxetine) might increase your anxiety, which isn't helpful when you're facing major surgery. If you need to be on a clear liquid diet prior to surgery, it still should be ok to take your medicines with a sip if water. However, stopping Prozac (fluoxetine) does not affect general anesthesia in any significant way. ...Read moreSee 2 more doctor answers
A few months ago i had cataract surgery. Now I am feeling pain at the inner corner of the same eye during most of my waking hours. Related?
When a pregnant woman has a c-section, is she able to be awake during a major surgery, and not under anesthesia. Or am i missing something?
The safer way to: Perform an elective non-emergent c-section is by spinal anesthesia. The block will be place just before the surgery start. The obstetrician and anesthesiologist will check spinal is working well. Surgery will start and patient will be awake without feeling pain. Baby deliver and mother will see her baby with the husband at the operating room. ...Read moreSee 1 more doctor answer
After DRESS syndrome felt due to a spinal orthopedic implant, the implant was removed but the patient developed body aches, electrical sensation.....?
Complimentary Medicine: specifically ACUPUNCTURE may be worth a trial. Evaluation by a State Licensed Acupucturist followed by six treatments is the usual trial. It is very valuable for pain and fatigue in a significant # of very frustrating cases. Hope this helps! Z ...Read moreSee 2 more doctor answers
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