Anesthesia Options for Colonoscopy and Gastroscopy: What Parents Should Know
Anesthesia methods for colonoscopy and gastroscopy? Dr. Huang, is intravenous sedation the only option for anesthesia during colonoscopy and gastroscopy? My child is afraid of needles; can we request the doctor to use mask inhalation anesthesia instead?
Dr. Huang Baiqing reply Anesthesiology
Each hospital has different anesthesia equipment and staffing configurations, so the handling methods and processes may vary. It is recommended to schedule an endoscopy with a gastroenterologist or pediatrician at the hospital you plan to visit, and then consult with the pre-anes...[Read More] Anesthesia Options for Colonoscopy and Gastroscopy: What Parents Should Know
Postpartum Headaches: Understanding Treatment Options and Coverage
Postpartum headache Hello Doctor: A year ago, I had a natural delivery with pain relief, and since then, I have been experiencing severe headaches that can only be alleviated by lying flat. I searched the frequently asked questions on this website and found that it could be a cer...
Dr. Huang Baiqing reply Anesthesiology
1. If a "chronic headache" is suspected to be caused by cerebrospinal fluid leakage, it is recommended to directly schedule an appointment with a neurologist for further examination, as this is necessary to provide an accurate diagnosis and management. Numerous studies ...[Read More] Postpartum Headaches: Understanding Treatment Options and Coverage
Do You Need an Anesthesiologist for Short Sedation Anesthesia?
Does sedation anesthesia require the execution by an anesthesiologist regardless of the duration? If the anesthesia method involves 10 minutes of sedation followed by local anesthesia at the surgical site, is it necessary to have an anesthesiologist present throughout the procedu...
Dr. Huang Baiqing reply Anesthesiology
According to the current regulations under the Special Medical Practices Act, there are eight types of high-risk cosmetic medical procedures, including: bone shaving, mid-facial and neck lifting, rhinoplasty, breast augmentation with implants, liposuction involving the extraction...[Read More] Do You Need an Anesthesiologist for Short Sedation Anesthesia?
Gas vs. IV Anesthesia for Kids: Safety, Benefits, and Risks Explained
What are the effects of gas anesthesia and intravenous anesthesia on the body? Hello Doctor: My child is currently 6 and a half years old and needs to undergo a tooth extraction surgery that requires general anesthesia. We have already assessed the situation, and my child prefers...
Dr. Huang Baiqing reply Anesthesiology
Currently, in Taiwan, the majority of general anesthesia procedures in operating rooms utilize endotracheal intubation with inhalational anesthetics to maintain anesthesia depth during surgery. However, the initial transition from "awake to asleep" can be achieved throu...[Read More] Gas vs. IV Anesthesia for Kids: Safety, Benefits, and Risks Explained
Impact of Emergency Contraceptive Pills on Sedation Anesthesia Safety
Emergency contraceptive pills and sedation anesthesia? Hello, doctor. I would like to ask about my upcoming facial surgery scheduled for the 24th, which requires sedation anesthesia. I took emergency contraception on the 12th, and I am concerned about how this might affect the an...
Dr. Huang Baiqing reply Anesthesiology
Whether it is first-generation or second-generation emergency contraceptive pills, they generally do not directly affect the efficacy of commonly used general anesthetics in Taiwan. The term "sedation anesthesia" you mentioned is actually a term commonly used in aesthet...[Read More] Impact of Emergency Contraceptive Pills on Sedation Anesthesia Safety
Understanding Anesthesia Recovery: Will You Reveal Secrets?
During the recovery from anesthesia? I have heard that during the recovery from general anesthesia, some people may talk incoherently and reveal things they shouldn't, only to forget them afterward. Two years ago, I had a pregnancy termination, and only my ex-boyfriend and I...
Dr. Huang Baiqing reply Anesthesiology
Some individuals may experience involuntary speech, vocalizations, and movements during the recovery period a few hours after general anesthesia, a condition commonly referred to as "delirium." The speech in this state can include responses to questions from others or s...[Read More] Understanding Anesthesia Recovery: Will You Reveal Secrets?
Post-Cesarean Section Right Leg Pain: Understanding Anesthesia Aftereffects
Pain in the right leg after a cesarean section? Hello, doctor. I was diagnosed with an emergency cesarean section over eight months ago. During the spinal anesthesia, I experienced significant discomfort in my right leg. After the surgery, while in the isolation room, I was shaki...
Dr. Huang Baiqing reply Anesthesiology
According to statistics from abroad, the incidence of postpartum neuropathies or symptoms is approximately 1%. The majority of these neuropathies or symptoms are caused by non-anesthetic factors. Common causes include direct compression of maternal pelvic nerves by the fetus, com...[Read More] Post-Cesarean Section Right Leg Pain: Understanding Anesthesia Aftereffects
Is It Anesthesia Allergy? Understanding Reactions After Dental Procedures
Is it an allergic reaction to anesthesia? Hello, doctor. During my previous tooth extraction, I received Ubistesin Forte as anesthesia. After the extraction, I suddenly felt dizzy and fainted for about 5 seconds. When I came to, I had no idea what had happened. I would like to as...
Dr. Huang Baiqing reply Anesthesiology
1. The literature indicates that allergic reactions to Ubistesin forte are very rare, with an incidence rate of less than 0.01%. 2. Common drug allergic reactions typically manifest as skin symptoms, including rashes and itching. In cases of more severe anaphylactic shock leading...[Read More] Is It Anesthesia Allergy? Understanding Reactions After Dental Procedures
Understanding the Components of +E Anesthesia and Its Effects
+E anesthetic components I would like to know the components of +E anesthetic (it is said that it causes less bleeding). I previously experienced increased heart rate and cold sweats about an hour after receiving it, but the clinic from years ago is unclear about it. Therefore, I...
Dr. Huang Baiqing reply Anesthesiology
Hello Ms. B: I assume that your "+E anesthetic" refers to a local anesthetic that contains "epinephrine." This is widely used by physicians across various specialties in clinical practice to prolong the duration of the local anesthetic's effect. This allo...[Read More] Understanding the Components of +E Anesthesia and Its Effects
Can Patients with Favism Safely Undergo General Anesthesia?
Can patients with favism undergo general anesthesia? Is the risk greater compared to individuals without favism? Hello, Doctor. Over the past six months, I have been experiencing recurrent tonsillitis, which has caused severe fever, and my ENT specialist is considering a tonsille...
Dr. Huang Baiqing reply Anesthesiology
Hello Hank: 1. Tonsillectomy can only be performed under general anesthesia. 2. Patients with G6PD deficiency should try to avoid exposure to potential triggering factors in their daily lives, such as infections, fever, acidosis, hyperglycemia, and various triggering medications...[Read More] Can Patients with Favism Safely Undergo General Anesthesia?
Understanding Prolonged Effects of Dental Local Anesthesia: What to Expect
Dental local anesthesia Hello Doctor: I went to the dentist to get a filling on the upper left side due to a deep cavity, and the doctor administered anesthesia. I found out that the anesthetic usually wears off in about 3-4 hours. However, even after more than five hours post-in...
Dr. Huang Baiqing reply Anesthesiology
The commonly used local anesthetics do not typically have such a long duration of action; however, many factors can influence the duration, including the type of local anesthetic, the dosage administered, the method of administration, the injection site, and the condition of the ...[Read More] Understanding Prolonged Effects of Dental Local Anesthesia: What to Expect
Is It Safe to Undergo Colonoscopy After COVID Vaccine?
Colonoscopy, COVID-19 vaccine I received the fourth dose of the Moderna bivalent vaccine on October 25, and I am scheduled for a colonoscopy and gastroscopy under general anesthesia on November 9. Is there any concern regarding this timeline? Thank you.
Dr. Huang Baiqing reply Anesthesiology
Hello, the official recommendation from the American Society of Anesthesiologists is to wait two weeks after receiving the COVID-19 vaccine before undergoing anesthesia. Therefore, if any related symptoms you experienced after receiving the vaccine on October 25 have resolved by ...[Read More] Is It Safe to Undergo Colonoscopy After COVID Vaccine?
Risks of Taking Flunitrazepam Before General Anesthesia and Surgery
Preoperative Preparation I would like to ask about the risks associated with undergoing surgery (under general anesthesia) after taking 20 tablets of Flunitrazepam.
Dr. Huang Baiqing reply Anesthesiology
This abnormal and unreasonable medication behavior, involving the use of such a large dose of Flunitrazepam at once, poses a potential risk of fatality, especially when surgery/anesthesia is required. If you find yourself in this situation and must undergo surgery/anesthesia imme...[Read More] Risks of Taking Flunitrazepam Before General Anesthesia and Surgery
Do Anesthesiologists Need to Be Present for Intubation in ICU?
General anesthesia in the ICU? In the ICU, the insertion and removal of endotracheal tubes, as well as general anesthesia, should be performed by an anesthesiologist present on-site. Thank you for your inquiry.
Dr. Huang Baiqing reply Anesthesiology
1. In the intensive care unit, intubation and extubation of the endotracheal tube do not require the presence of an anesthesiologist, as these procedures are not exclusive to anesthesiology (any physician can perform endotracheal intubation and extubation). 2. The following sit...[Read More] Do Anesthesiologists Need to Be Present for Intubation in ICU?
Understanding Post-Anesthesia Complications: Incontinence and Recovery
Anesthesia aftereffects Hello Doctor: I have been experiencing issues with irritable bowel syndrome, especially during the summer when I have frequent diarrhea and abdominal pain. I often feel like I need to pass gas, but it feels like I might have an accident. I only pass a smal...
Dr. Huang Baiqing reply Anesthesiology
One of the side effects of regional anesthesia is urinary retention (inability to urinate), which typically resolves on its own within a few hours to a couple of days without the need for special treatment. Less common side effects include urinary incontinence and fecal incontine...[Read More] Understanding Post-Anesthesia Complications: Incontinence and Recovery
Overcoming Fear of General Anesthesia: Guidance for Patients Facing Surgery
General anesthesia Hello, Dr. Huang. I am scheduled to undergo general anesthesia for surgery, but I am extremely afraid of it, which has prevented the surgery from taking place. The fear of general anesthesia has caused me significant psychological stress, and I have already con...
Dr. Huang Baiqing reply Anesthesiology
Anesthesia medications and related equipment have advanced significantly. If you do not have any chronic illnesses or underlying health conditions, the mortality rate associated with anesthesia is very low, and you can generally trust the anesthesia care team. If you still have c...[Read More] Overcoming Fear of General Anesthesia: Guidance for Patients Facing Surgery
Understanding Severe Pain Management in Patients with Cerebral Palsy
Severe pain I have moderate congenital cerebral palsy and scoliosis. Six years ago, I fell due to stiffness in my back, but after being taken to the hospital, it was determined that I only had minor muscle contusions in my back, with no other issues. Since then, I have experience...
Dr. Huang Baiqing reply Anesthesiology
Hello, this is not my area of expertise, and I am concerned about providing incorrect information. I recommend first searching online for major medical centers' pain management and neurosurgery departments to confirm that the physician is performing "interventional pain...[Read More] Understanding Severe Pain Management in Patients with Cerebral Palsy
Timing for General Anesthesia After Moderna Vaccine: What You Need to Know
General anesthesia for surgery? Dr. Huang, if I receive the Moderna vaccine, how long after the vaccination can I undergo general anesthesia for surgery? I have only received one dose six months ago, and due to the pandemic, I am anxious about the timing of my surgery. Thank you.
Dr. Huang Baiqing reply Anesthesiology
Hello, the official recommendation from the American Society of Anesthesiologists is to wait two weeks after receiving the COVID-19 vaccine before undergoing anesthesia and surgery. This is to reduce the potential cross-effects of the immune response triggered by the vaccination ...[Read More] Timing for General Anesthesia After Moderna Vaccine: What You Need to Know
Can I Complete Anesthesia Consultation Alone Before Surgery?
Anesthesia consultation I am scheduled to undergo an endometrial polyp removal surgery, and I have an appointment for anesthesia consultation next week. However, I do not have any relatives to accompany me. Will this prevent me from completing the anesthesia consultation process?...
Dr. Huang Baiqing reply Anesthesiology
Adults without specific mental illnesses can independently decide and sign the anesthesia consent form without any issues. Typically, physicians in Taiwan prefer to have a family member accompany the patient to hear the medical explanations and discussions. This is because if the...[Read More] Can I Complete Anesthesia Consultation Alone Before Surgery?
How Long After General Anesthesia Can You Get Your COVID Booster?
How long after general anesthesia can one receive the third dose of the COVID-19 vaccine? Hello, doctor. How long do you recommend waiting after general anesthesia before receiving the third dose of the COVID-19 vaccine? The first two doses were BNT, and I plan to receive the thi...
Dr. Huang Baiqing reply Anesthesiology
Hello, currently there is no evidence suggesting how long after general anesthesia one should wait to receive the third dose of the COVID-19 vaccine. The medications related to general anesthesia are generally very short-acting. If there is an urgent need to receive the COVID-19 ...[Read More] How Long After General Anesthesia Can You Get Your COVID Booster?