Can Anesthesia Allergy Be Tested Before Surgery?

Is it possible to test for anesthesia allergies before surgery?

Hello doctor, may I ask: 1.
Is general anesthesia suitable for a deviated nasal bone? 2.
Is there a way to test for allergies to anesthetics before surgery? 3.
Will arrhythmia have any impact?

Chen Tongxue, 20~29 year old female. Ask Date: 2016/11/30

Dr. Lin Xiuying reply Anesthesiology

Hello! To be honest, aside from having a family history of malignant hyperthermia (as mentioned in the TV series "Anesthesia Storm"), or possibly undergoing preoperative allergy testing (muscle biopsy), very few people actually undergo allergy testing! Regarding the questions raised, here are the answers:
1.
Does nasal bone correction surgery require general anesthesia? This may depend on the requirements of the plastic surgeon or the otolaryngologist (depending on the hospital, both specialties may handle this).
The role of anesthesia is to support the surgeon's needs to ensure the surgery is completed smoothly! There may be cases where only local anesthesia is sufficient depending on the extent of the procedure.
2.
As mentioned above, very few people undergo preoperative allergy testing for anesthetics; the patients I serve have not experienced this situation.
However, there was one patient with malignant hyperthermia who was previously unaware of their severe drug allergy issue.
As for their immediate family members undergoing surgery, would they undergo allergy testing? For most hospitals, it may not necessarily be performed.
The basic approach is to avoid using high-risk medications and to have emergency medications (such as dantrolene and resuscitation drugs) prepared.
3.
Does arrhythmia affect anesthesia safety? Or is it related to allergies? Arrhythmia can certainly increase the risk of anesthesia, but it also depends on the type of arrhythmia and its impact on the patient's daily life.
There are many factors that can affect anesthesia safety, including the anesthetic agents, the patient's condition, and the surgery itself along with any related issues.
Having face-to-face communication with your physician (such as the anesthesiologist) is your right and the best way to ensure safety.

Reply Date: 2016/11/30

More Info

When considering anesthesia for surgery, particularly for procedures like correcting a deviated nasal septum, it's essential to understand the risks associated with anesthesia allergies and the testing options available.
1. Is General Anesthesia Suitable for Deviated Nasal Septum Surgery?
Yes, general anesthesia can be appropriate for surgery to correct a deviated nasal septum, especially if the procedure is expected to be more extensive or if the patient is anxious about the surgery. The choice between general anesthesia and local anesthesia often depends on the complexity of the surgery, the patient's comfort level, and the surgeon's preference. In many cases, general anesthesia allows for a more controlled environment during the procedure, which can be beneficial for both the surgeon and the patient.

2. Can Anesthesia Allergy Be Tested Before Surgery?
Testing for anesthesia allergies is not straightforward. While there are no standardized tests specifically for anesthesia allergies, a thorough preoperative assessment is crucial. This assessment typically includes a detailed medical history, focusing on any previous reactions to medications, including anesthetics. If you have a history of allergies or adverse reactions to medications, it is essential to inform your anesthesiologist. They may consider performing skin tests for certain anesthetic agents, but these tests are not universally available and may not cover all possible anesthetic drugs. If you have had previous surgeries without any allergic reactions to anesthesia, this is a positive indicator, but it does not completely rule out the possibility of a future reaction.

3. Does Arrhythmia Affect Anesthesia?
Yes, arrhythmias can influence anesthesia management. If you have a history of heart rhythm issues, it is crucial to inform your anesthesiologist and surgical team. They may require additional evaluations, such as an EKG or consultation with a cardiologist, to assess your heart's condition before proceeding with anesthesia. Certain anesthetic agents can affect heart rate and rhythm, so the anesthesiologist will choose medications that minimize risks based on your specific cardiac history.
In summary, while general anesthesia is suitable for correcting a deviated nasal septum, it is vital to communicate any medical history, including allergies and heart conditions, to your healthcare team. Although there is no definitive test for anesthesia allergies, a comprehensive preoperative evaluation can help mitigate risks. If you have concerns about potential allergic reactions or the effects of anesthesia on your heart, discussing these with your anesthesiologist will provide clarity and help ensure a safe surgical experience. Always prioritize open communication with your medical team to tailor the anesthesia plan to your individual needs and health status.

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