Anesthesia Reactions: Risks and Precautions for Future Surgeries

Anesthetic reactions

In April, I underwent a surgery under spinal anesthesia due to a leg fracture.
During the anesthesia, I initially experienced shaking in both hands.
The anesthesiologist administered additional medication, which helped temporarily, but soon after, I started shaking again.
This process repeated several times, and eventually, I was shaking my head from side to side.
Additionally, I experienced severe chest pain.
After the surgery, the anesthesiologist informed me that I have a reaction to anesthetic agents and advised me to be cautious in the future.
I am scheduled for another surgery to remove the plates and screws that were placed during the fracture repair.
Given my situation, is there a risk involved? What should I be aware of moving forward? Thank you.

sherry, 40~49 year old female. Ask Date: 2004/09/03

Dr. Li Yuantong reply Anesthesiology

The situation described by the patient is actually quite common.
An anesthesiologist typically administers medications to prevent involuntary tremors of the upper body during anesthesia, followed by sedatives to alleviate the patient's tremors and chest pain.
Each patient reacts differently to anesthetic agents.
Regarding cardiac health, if the patient does not have any cardiovascular issues in their daily life, such as angina, hypertension, or a history of myocardial infarction, and does not experience shortness of breath or palpitations during regular activities, there is generally no significant risk.
The anesthesiologist will determine the appropriate anesthesia method based on preoperative evaluations (such as electrocardiograms, blood tests, biochemical tests, and X-rays) and the patient's physical examination.
When the patient undergoes the next procedure to remove the plates and screws, the anesthesiologist will also assess the situation at that time to decide on the anesthesia approach, so there is no need for concern; just focus on maintaining overall health.

Reply Date: 2004/09/03

More Info

Understanding anesthesia reactions and their implications for future surgeries is crucial, especially given your previous experiences with anesthesia during your surgery for a fractured leg. Your concerns about the reactions you experienced—such as involuntary movements, discomfort, and pain—are valid and warrant careful consideration.

Firstly, it’s important to recognize that individual responses to anesthesia can vary significantly. Factors such as your medical history, the type of anesthesia used, the duration of the surgery, and even your psychological state can influence how you react to anesthetic agents. In your case, the involuntary movements and the need for additional medication during your procedure suggest that you may have a heightened sensitivity to the anesthetic agents administered. This is not uncommon, and anesthesiologists are trained to monitor and adjust dosages accordingly to ensure patient safety and comfort.

Regarding your experience of heart pain during the procedure, it’s essential to communicate this to your anesthesiologist before your next surgery. They will likely conduct a thorough assessment, including reviewing your medical history and possibly performing tests such as an electrocardiogram (ECG) to evaluate your heart health. If you have no prior history of cardiovascular issues, the pain you experienced may have been related to anxiety or the effects of the anesthesia itself. However, it is crucial to rule out any underlying heart conditions that could pose risks during future surgeries.

As for the upcoming surgery to remove the metal plates and screws, it is essential to discuss your previous reactions with your anesthesiologist. They may consider alternative anesthetic techniques or medications that could minimize the risk of adverse reactions. For instance, they might opt for a different type of regional anesthesia or adjust the dosages of the anesthetic agents used. Additionally, premedication with anti-anxiety medications might help reduce your anxiety and improve your overall experience.

In terms of precautions for future surgeries, here are several recommendations:
1. Preoperative Consultation: Ensure you have a detailed preoperative consultation with your anesthesiologist. Discuss your previous experiences, including any discomfort or adverse reactions you had during or after anesthesia.

2. Medical History: Be transparent about your medical history, including any medications you are currently taking, allergies, and any previous reactions to anesthesia. This information is crucial for your anesthesiologist to tailor the anesthetic plan to your needs.

3. Monitoring: During your next surgery, ensure that you are closely monitored throughout the procedure. Continuous monitoring of vital signs, including heart rate and blood pressure, can help detect any issues early.

4. Postoperative Care: After surgery, communicate any discomfort or unusual symptoms to your healthcare team immediately. Early intervention can help manage any potential complications effectively.

5. Follow-Up: Schedule a follow-up appointment with your healthcare provider after your surgery to discuss your recovery and any ongoing concerns you may have.

In summary, while your previous experiences with anesthesia may raise concerns, with proper communication and planning, future surgeries can be conducted safely. Your anesthesiologist will work with you to ensure that your next experience is as comfortable and safe as possible. Remember, your health and safety are the top priorities, so don’t hesitate to voice your concerns and ask questions throughout the process.

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