Can I Request General Anesthesia for Hemorrhoid Surgery?
Anesthesia Hello, Doctor: I have a question to ask you. I need surgery for my hemorrhoids, but I have been informed that the procedure is done under regional anesthesia, and I am afraid of being on the operating table with regional anesthesia. Can I request the doctor to use gene...
Dr. Cheng Shuren reply Anesthesiology
Thank you for your letter. The hemorrhoid surgery here is also performed under regional anesthesia for two reasons: (1) The surgical position is a modified lithotomy position, where the patient is in a semi-kneeling and prone position on the operating table. The patient needs to ...[Read More] Can I Request General Anesthesia for Hemorrhoid Surgery?
Understanding RSD and CRPS: Seeking Relief from Chronic Pain
Pain, RSD (Reflex Sympathetic Dystrophy), CRPS (Complex Regional Pain Syndrome) RSD and CRPS refer to the same medical condition. Since 1985, I have visited numerous hospitals and consulted countless specialists. All invasive treatments for my trauma have been attempted, but noth...
Dr. Cheng Shuren reply Anesthesiology
To Amy: I apologize, but regarding the R.S.D. and C.R.P.S. you mentioned, the current classification definitions in pain medicine categorize them into three types: R.S.D. and C.R.P.S. I and C.R.P.S. II. I believe CRPS might be a typographical error? All three are classified as sy...[Read More] Understanding RSD and CRPS: Seeking Relief from Chronic Pain
Understanding Contraindications for General Anesthesia in Surgery
Contraindications for General Anesthesia Before performing an incision and drainage of an anal abscess under general anesthesia, is it necessary to check the patient's "pulmonary function"? What does it indicate if the patient is unable to awaken from the anestheti...
Dr. Cheng Shuren reply Anesthesiology
Dear Miss Yun-Zhen, Thank you for your letter. The anesthesia assessment is based on the patient's age, gender, work environment, lifestyle habits such as smoking, alcohol consumption, betel nut use, as well as physiological and pathological conditions, in addition to psych...[Read More] Understanding Contraindications for General Anesthesia in Surgery
Understanding the Aftereffects of General Anesthesia on Memory and Communication
Complications of acupuncture? I would like to ask if there are any effects on the body after undergoing general anesthesia for surgery, such as on expressive abilities or memory. If there are effects, will there be a complete recovery, or could there be other outcomes?
Dr. Cheng Shuren reply Anesthesiology
Due to the unclear conditions you mentioned, individuals may have different responses based on factors such as age and pre-existing medical conditions. Therefore, I recommend referring to the MGH Clinical Anesthesia Manual published by Kyushu Book Company. Thank you for your inqu...[Read More] Understanding the Aftereffects of General Anesthesia on Memory and Communication
Post-Anesthesia Sleep Issues: Understanding Insomnia After Surgery
Inability to sleep after general anesthesia surgery? My father, 65 years old, underwent debridement surgery for osteomyelitis in the cheek area near the ear ten days ago, under general anesthesia. The surgery lasted approximately 10 hours (including vascular grafting). The follow...
Dr. Cheng Shuren reply Anesthesiology
Thank you for your letter. The information provided is quite limited; I only know that the patient is a 65-year-old male, and there is no other information available, making it difficult to assess your father's condition. I recommend checking with Kyushu Publishing Company a...[Read More] Post-Anesthesia Sleep Issues: Understanding Insomnia After Surgery
Understanding Complications of Epidural Anesthesia in Cesarean Deliveries
Postoperative complications of "epidural anesthesia" in cesarean section patients? 1. The numbness, pain, and weakness in your sister's palms, backs of her hands, and fingers may be related to the anesthesia used during the cesarean section. It is possible that the...
Dr. Cheng Shuren reply Anesthesiology
1. I apologize for being unable to answer your question due to unclear clinical conditions. 2. Kyushu Publishing Company has published the MGH Clinical Anesthesia Manual, which should be helpful.[Read More] Understanding Complications of Epidural Anesthesia in Cesarean Deliveries
Understanding Side Effects and Complications of General Anesthesia
What are the side effects or complications that may occur after general anesthesia? Hello, Doctor Cheng! I would like to ask a question. My father underwent surgery last month with general anesthesia. The recovery of his surgical wound is normal, but he seems to be experiencing s...
Dr. Cheng Shuren reply Anesthesiology
1. Due to the lack of patient information, I am unable to answer your question. 2. The bookstore sells a book on anesthesia; Kyushu Publishing has published a clinical anesthesia book priced at 1150 NTD. 3. My knowledge is limited, please forgive me! Thank you for your inquiry![Read More] Understanding Side Effects and Complications of General Anesthesia
Anesthesia Options for Shoulder Arthroscopy: Local vs. General
Shoulder arthroscopy In general, shoulder arthroscopy can be performed using either regional anesthesia or general anesthesia. If general anesthesia is used, there are indeed several types, including inhalational anesthesia and intravenous anesthesia. The choice of anesthesia oft...
Dr. Cheng Shuren reply Anesthesiology
(1) The choice of anesthesia depends on the needs of the surgeon and the patient. If the patient wishes to view the arthroscopic procedure, only regional anesthesia can be used. If the patient prefers not to be aware of the surgical process due to anxiety, then general anesthesia...[Read More] Anesthesia Options for Shoulder Arthroscopy: Local vs. General