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?
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?
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 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 5 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.....?
Cobalt Chrome Allergy: This is a difficult situation as removal of the implants does not mean that all of the cobalt has been removed. I am aware of two types of facet replacement and both utilize metal on metal technology that will result in metal and ionic debris that can still persist after the implants have been removed. Given the severity of your symptoms, small amounts of retained cobalt in scar tissue around the implants is likely the source of continued symptoms and there are no reliable methods to eradicate any remaining metal deposits. The lateral thigh symptoms are consistent with compression of the lateral femoral cutaneous nerves and the most common cause is from positioning during lumbar surgery in the prone position. ...Read moreSee 7 more doctor answers
3 to 10: Somewhere between 3 and maybe 10 people will be in and operating room. Typically at least the surgeon, and assistant or scrub nurse, usually an anesthesiologist, and a circulating nurse ( not sterile scrubbed). There may be more assistants and also a nurse or resident helping the anesthesiologist. In addition, there may be x-ray technicians and equipment specialists. ...Read more
Home alone: Try to find someone to help at least a few hours a day. Don't be afraid or shy to ask friends for a little help. Having someone do some minimal shopping or looking into grocery delivery services can eliminate some stress. Just having someone stop by to be able to lift items or at least touch base helps. If this isn't possible try to set up 3-4 days of cooked meals, and do some planning ahead. ...Read more
Post surgery care: Your best post surgery care will come from the team you had surgery with. Okay to call them. Okay to go in and visit with them. Good luck. ...Read more
It Depends: It depends on what type of surgery you are having and where you are having surgery. At a minimum there is usually an anesthesia provider, your surgeon, a scrub tech, and a circulating nurse. Your surgeon may have an assistent. At a teaching hospital there may be medical students, nursing students and residents in the room watching or helping. Others may be present if special equip needed. ...Read more
Helloif you don't have medical ins. And need major surgery what can you do? Where do you get help?
Is it bad that i've been taking airborne for almost 2 weeks now and I have a major surgery tomorrow where i'm getting put out?
Yes: There are instances where individuals have had surgical procedures during a coma, depending upon the cause of the coma. This is a broad answer to a difficult question for which it is hard to make generalizations. On the other hand, some patients in a coma are not surgical candidates, and may not be eligible to receive surgery. ...Read more
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