Is General Anesthesia Safe for Breast Augmentation with Allergies? - Anesthesiology

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Can anesthesia be administered in this situation?


I am scheduled for breast augmentation surgery next month.
However, I have a history of nasal allergies, which often cause me to have a runny nose, nasal congestion, and phlegm.
Is it safe for me to undergo general anesthesia? Does this increase the risk? The medical aesthetic clinic uses targeted intravenous anesthesia.
Is this method considered safe? Thank you.

Oli, 30~39 year old female. Ask Date: 2020/04/24

Dr. Guan Siqi reply Anesthesiology


Hello Ms.
Oli: Anesthesia does carry risks.
Traditionally, breast augmentation surgery is performed under general anesthesia, where intravenous medications are administered to induce sleep, and the patient's breathing, blood pressure, and heart rate are monitored before extubation.
The main side effects include throat discomfort for 2-3 days due to intubation and potential postoperative nausea and vomiting.
However, the newer method utilizes target-controlled intravenous anesthesia, which does not require intubation to maintain the airway during the procedure, thus eliminating throat discomfort postoperatively.
Nevertheless, there is a risk of airway complications during the procedure due to nasal congestion or excessive mucus, which could lead to hypoxia.
Nantou Hospital is concerned about your well-being.

Reply Date: 2020/04/24

More Info


When considering general anesthesia for breast augmentation, especially for patients with allergies such as allergic rhinitis, it is essential to understand both the risks and the safety measures in place. General anesthesia, while generally safe, does carry inherent risks that can be influenced by a patient's medical history, including allergies and respiratory conditions.

Allergic rhinitis can lead to nasal congestion, which may complicate the anesthesia process. During general anesthesia, patients are typically intubated, meaning a tube is inserted into the trachea to maintain an open airway. If a patient has significant nasal congestion, it may be more challenging to secure the airway effectively. This is particularly relevant if the patient experiences excessive mucus production or difficulty breathing through the nose, as these factors can increase the risk of airway obstruction during the procedure.

In your case, the use of targeted intravenous anesthesia (also known as TIVA, or Total Intravenous Anesthesia) may be a safer alternative. TIVA avoids the need for intubation, as it can be administered through an intravenous line, allowing for a more controlled and potentially less invasive approach. This method can minimize the risk of airway complications associated with nasal congestion, as it does not require the same level of airway management as traditional general anesthesia.

However, it is crucial to communicate openly with your anesthesiologist about your allergies and any other medical conditions you may have. They will assess your overall health, including your respiratory status, and determine the most appropriate anesthesia plan tailored to your needs. This may include preoperative measures to manage your allergies, such as using antihistamines or nasal sprays to reduce congestion before the surgery.

Moreover, the safety of any anesthesia method is significantly enhanced by the presence of experienced medical professionals. Anesthesia providers are trained to monitor patients closely throughout the procedure, ensuring that any potential complications are addressed promptly. The likelihood of serious complications from anesthesia is low, especially in healthy individuals undergoing elective procedures like breast augmentation.

In summary, while general anesthesia carries some risks, targeted intravenous anesthesia may provide a safer alternative for patients with allergies and nasal congestion. It is vital to have a thorough discussion with your healthcare team to ensure that all your concerns are addressed and that the chosen anesthesia method aligns with your medical history and the specifics of your surgery. By taking these precautions and working closely with your medical team, you can help ensure a safe and successful surgical experience.

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