Understanding General Anesthesia Risks for Patients with Heart Issues
General anesthesia Hello, doctor. I have mild arrhythmia and am prone to palpitations. I am considering undergoing a painless gastroscopy, but I am concerned about the risks of general anesthesia. I previously had surgery with local anesthesia, and the nurse mentioned that the ef...
Dr. Guan Siqi reply Anesthesiology
There is not a significant correlation between local anesthesia and general anesthesia. However, considering your age, unless there are major health issues, the risk of undergoing a gastroscopy with intravenous sedation is low. Even in the case of an allergic reaction to anesthet...[Read More] Understanding General Anesthesia Risks for Patients with Heart Issues
Understanding Local Anesthesia: When to Worry About Prolonged Numbness
Local anesthesia Hello, Doctor Guan. I have a question I would like to ask you. I had an outpatient surgery at 8 AM today to remove a cyst from the back of my head. I started feeling pain at the wound site around 2 PM (I felt the local anesthesia wearing off), but after nearly 10...
Dr. Guan Siqi reply Anesthesiology
The metabolism time for local anesthetics is approximately 8 hours, so this should be considered a normal phenomenon and there is no need to worry. Even if the effects of the anesthetic take longer to wear off, there is no reason to be anxious, as there are no urgent issues that ...[Read More] Understanding Local Anesthesia: When to Worry About Prolonged Numbness
Understanding Anesthesia Risks: Allergic Reactions and Safety Measures
Anesthesia drug issues? Hello, Doctor! My sister underwent surgery that required general anesthesia half a month ago, but she experienced a severe allergic reaction immediately after inhaling the anesthetic, which required emergency intervention. She was observed in the ICU for o...
Dr. Guan Siqi reply Anesthesiology
The questioner has undergone general anesthesia twice, so the risk of allergy to local anesthesia this time is very low and there is no need for excessive concern. It is recommended to discuss and evaluate with the anesthesiologist before the procedure. Director Kuan Sih-Chi, Dep...[Read More] Understanding Anesthesia Risks: Allergic Reactions and Safety Measures
How Long Should You Wait Between Two General Anesthesias?
How long should be the interval between two anesthetics? Hello, Doctor Guan: I would like to ask how long should the interval be between two general anesthesia procedures? I underwent a surgery with general anesthesia on July 20, and I am scheduled for another surgery with genera...
Dr. Guan Siqi reply Anesthesiology
General endotracheal anesthesia is primarily administered through an endotracheal tube that delivers anesthetic gases. These gases are not easily absorbed by the body and are metabolized quickly, so generally, there is no need to consider interval issues, and there is no cause fo...[Read More] How Long Should You Wait Between Two General Anesthesias?
Awake Intubation: Challenges and Comfort in Anesthesia Procedures
Awake intubation? Due to having a thick neck, after losing consciousness on the operating table, the anesthesiologist was unable to intubate properly. Therefore, the attending surgeon mentioned that next time, it might be necessary to perform nasal intubation while the patient is...
Dr. Guan Siqi reply Anesthesiology
1. The difficulty of nasal intubation varies from person to person. Naturally, if the soft tissue in the throat is thicker (for example, a larger neck circumference), it may increase the difficulty. The purpose of awake intubation is to (1) maintain respiration, ensuring that eve...[Read More] Awake Intubation: Challenges and Comfort in Anesthesia Procedures
Risks of General Anesthesia in Patients with GERD: A Focus on Aspiration Pneumonia
Risks of General Anesthesia in Patients with Gastroesophageal Reflux Disease (GERD) Hello Doctor: I would like to ask, for patients with gastroesophageal reflux disease, after adhering to fasting guidelines before surgery, is there still a significant risk of aspiration pneumonia...
Dr. Guan Siqi reply Anesthesiology
There is not much evidence to suggest that patients with gastroesophageal reflux disease (GERD) have a higher incidence of aspiration pneumonia during general endotracheal anesthesia. Generally, muscle relaxants are used prior to intubation in general anesthesia, which reduces th...[Read More] Risks of General Anesthesia in Patients with GERD: A Focus on Aspiration Pneumonia
Understanding Anesthesia: Who Administers It and Pre-Op Assessments
Please ask questions related to anesthesia? Hello, Doctor! I would like to ask you two questions: 1. Who administers the anesthetic injection during anesthesia? 2. What are the components of the preoperative anesthetic assessment for a dilation and curettage (D&C) procedure? ...
Dr. Guan Siqi reply Anesthesiology
Hello Wendy: 1. The anesthesia assessment includes (1) the patient's medical history, (2) medication usage, (3) anesthesia plan, and (4) patient risk classification. 2. Administration of anesthetic agents: (1) The anesthetic medications and dosages are prescribed by the a...[Read More] Understanding Anesthesia: Who Administers It and Pre-Op Assessments
Does Taking Abilify 20mg/Day Affect Local Anesthesia During Surgery?
Local anesthesia surgery Will taking Abilify 20mg/day have any effects? Thank you.
Dr. Guan Siqi reply Anesthesiology
Hello Miss 123: Typically, local anesthesia is administered by a surgeon. It is recommended to directly consult the physician performing the local anesthesia. Dr. Kuan Sih-Chi, Department of Anesthesiology, Nantou Hospital.[Read More] Does Taking Abilify 20mg/Day Affect Local Anesthesia During Surgery?
Understanding Anesthesia Risks for Breast Tumor Surgery
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 dur...
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 b...[Read More] Understanding Anesthesia Risks for Breast Tumor Surgery
How Long After Sedation or General Anesthesia Can You Try to Conceive?
Is it safe to conceive after undergoing sedation anesthesia or general anesthesia? Due to the need for sedation anesthesia during surgery, I would like to know how long I should wait before trying to conceive.
Dr. Guan Siqi reply Anesthesiology
Hello, Dr. Chung: 1. Sedation anesthesia is used for short-duration surgeries or procedures such as colonoscopies and gastroscopies, where the dosage administered is relatively low due to the brief duration. 2. The medications used in sedation anesthesia are metabolized quick...[Read More] How Long After Sedation or General Anesthesia Can You Try to Conceive?
Understanding Anesthesia Allergies: Risks for Those with Food and Skin Allergies
Is it possible to have an allergic reaction to anesthesia? If someone has food allergies (such as shrimp and mango) and is prone to skin allergies (like eczema and urticaria), as well as patch allergies, does this indicate an allergic constitution? Is there a higher risk of anaph...
Dr. Guan Siqi reply Anesthesiology
Hello Anna: 1. Having food allergies and a tendency for skin allergies indicates that your constitution is indeed more prone to allergies, which means you have an allergic disposition. 2. Generally, individuals with an allergic disposition have a higher likelihood of experiencing...[Read More] Understanding Anesthesia Allergies: Risks for Those with Food and Skin Allergies
Is General Anesthesia Safe for Breast Augmentation with Allergies?
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? Doe...
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 extu...[Read More] Is General Anesthesia Safe for Breast Augmentation with Allergies?
Understanding the Risks of General Anesthesia for Long Surgeries
Risks of General Anesthesia My daughter is scheduled to undergo orthognathic surgery at an aesthetic clinic, which will last for eight hours and will be performed under general anesthesia. The anesthesiologist is a part-time practitioner from a major hospital. I would like to kno...
Dr. Guan Siqi reply Anesthesiology
It is recommended that the patient undergo surgery at a major hospital, as receiving 8 hours of general anesthesia at a clinic poses too high a risk.[Read More] Understanding the Risks of General Anesthesia for Long Surgeries