Anesthesia Risks for Breast Tumor Surgery - Anesthesiology

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Anesthesia issues?


Hello, doctor.
I have a question! Due to a tumor in my breast, my doctor recommended minimally invasive surgery using Anker for tumor removal, but it will be done under general anesthesia.
I have anemia and palpitations, and I'm worried about the risks during the anesthesia process.
I'm very scared and even more afraid that I might not wake up from it...
😣

Xiao Ru, 30~39 year old female. Ask Date: 2020/12/27

Dr. Guan Siqi reply Anesthesiology


Hello, Xiaoru: There are risks involved in any procedure, but with the advancements in medicine, the likelihood of not waking up from general anesthesia is very low when under the care of medical professionals.
It is advisable to communicate thoroughly with the anesthesiologist before the surgery to receive comprehensive information and care related to anesthesia.
Dr.
Guan Siqi, Department of Anesthesiology, Nantou Hospital.

Reply Date: 2020/12/27

More Info


When considering anesthesia risks for breast tumor surgery, particularly in the context of your specific health concerns such as anemia and palpitations, it is essential to understand both the general risks associated with anesthesia and the specific considerations that apply to your situation.

Anesthesia, whether general or local, carries inherent risks. General anesthesia involves the use of medications that induce a state of unconsciousness and lack of sensation throughout the body. While it is generally safe for most patients, there are specific risks that can be heightened in individuals with pre-existing conditions like anemia and heart issues.

1. Anemia: Anemia can lead to decreased oxygen-carrying capacity in the blood, which may pose a risk during surgery. If your hemoglobin levels are significantly low, it can increase the risk of complications during anesthesia, such as inadequate oxygenation. Anesthesiologists often monitor blood oxygen levels closely and may take additional precautions, such as administering oxygen or fluids, to mitigate these risks.

2. Palpitations and Heart Issues: If you have a history of palpitations or other heart-related issues, it is crucial to inform your anesthesiologist. They will assess your cardiovascular health before the procedure and may perform an electrocardiogram (ECG) or other tests to evaluate your heart's function. Depending on the severity of your heart condition, the anesthesiologist may choose a different anesthetic technique or take extra precautions to ensure your heart is stable throughout the surgery.

3. Anesthesia Awareness: Your concern about waking up during surgery, known as intraoperative awareness, is a valid fear for many patients. However, this is extremely rare, especially with modern anesthetic techniques and monitoring. Anesthesiologists are trained to ensure that patients remain unconscious and pain-free during procedures.

4. Preoperative Assessment: Prior to your surgery, you will undergo a thorough preoperative assessment, which includes a review of your medical history, a physical examination, and possibly some laboratory tests. This assessment helps the anesthesia team tailor the anesthetic plan to your specific needs and risks.

5. Communication: It is vital to communicate openly with your healthcare team about your fears and concerns. They can provide reassurance and explain the steps they will take to ensure your safety during the procedure. Understanding the process can help alleviate anxiety.

6. Postoperative Care: After surgery, you will be monitored in a recovery area until the effects of anesthesia wear off. Anesthesia teams are trained to manage any complications that may arise during the recovery phase, including issues related to your anemia or heart condition.

In summary, while there are risks associated with general anesthesia, especially for individuals with anemia and heart issues, these risks can be effectively managed with careful planning and monitoring. It is essential to have a thorough discussion with your anesthesiologist and surgical team about your specific health concerns. They will work with you to ensure that you are as safe and comfortable as possible during your breast tumor surgery. Remember, your healthcare team is there to support you and address any fears you may have.

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