Understanding Post-Anesthesia Symptoms: Numbness and Sensation Loss
What are the side effects of general anesthesia during surgery? Hello, I underwent orthognathic surgery under general anesthesia on September 3, 2019, which lasted for 12 hours. I would like to ask why, nearly five months after the surgery, the top of my left foot still feels num...
Dr. Lin Xiuying reply Anesthesiology
Dear Ms. Li: Whether administered as a gas or intravenously, the primary action of general anesthetics is limited to the central arousal system in the brain, essentially inducing sleep. General anesthetics themselves do not cause any abnormalities in sensory nerves. Furthermore...[Read More] Understanding Post-Anesthesia Symptoms: Numbness and Sensation Loss
Understanding Anesthesia Concerns for Spinal Fusion Surgery
Anesthesia issues Scheduled for December 9, I will undergo internal fixation lumbar spinal fusion surgery due to L5-S1 vertebral fracture complicated by nerve traction. The anesthesia method will be GA-TUBE. I would like to ask a few questions. During my last knee arthroscopy, I ...
Dr. Lin Xiuying reply Anesthesiology
Hello: First, I would like to know if you are an athlete. Athletes can experience "bradycardia" (a heart rate of less than 60 beats per minute). However, if the heart rate drops below 30 beats per minute, it is still necessary to have a cardiologist confirm the physiolo...[Read More] Understanding Anesthesia Concerns for Spinal Fusion Surgery
Understanding Local Anesthesia: Is Numbness and Skin Color Change Normal?
Local anesthesia Hello, doctor. I am 17 years old and I just had a skin tumor biopsy this afternoon. I received local anesthesia during the procedure, and it has been about 8 hours since then. The surgical site still has no sensation, and the skin color at the site has darkened. ...
Dr. Lin Xiuying reply Anesthesiology
Hello, 1. The medical procedure you mentioned should be performed by a surgeon and does not involve anesthesia expertise, so it is inappropriate to respond. 2. Generally speaking, your local sensation should have returned; if there has been no improvement, it is advisable to retu...[Read More] Understanding Local Anesthesia: Is Numbness and Skin Color Change Normal?
Can Anesthesia Affect the Efficacy of the HPV Vaccine After Procedure?
Anesthesia issues Hello doctor, I have been experiencing gastrointestinal discomfort and may arrange for a painless gastroscopy soon. However, I just received the second dose of the nine-valent HPV vaccine a few days ago. I would like to know if there will be any interactions bet...
Dr. Lin Xiuying reply Anesthesiology
Hello, there is currently no literature discussing the interaction between anesthesia effects and vaccine efficacy, as both have different influencing factors. However, the pharmacological action of the cervical cancer vaccine (which involves the removal of viral DNA through caps...[Read More] Can Anesthesia Affect the Efficacy of the HPV Vaccine After Procedure?
Is Propofol Anesthesia Safe for Seniors Over 60? Key Considerations
Propofol anesthesia Dr. Lin: Hello, I would like to continue asking if propofol anesthesia is suitable for seniors aged 60 and above? Are there any specific considerations for patients? Thank you!
Dr. Lin Xiuying reply Anesthesiology
Hello: Generally, the health status of the general population often does not align with their age due to underlying medical conditions, so age alone should not be the sole criterion. However, it is important to note that propofol has physiological effects, and the following preca...[Read More] Is Propofol Anesthesia Safe for Seniors Over 60? Key Considerations
Understanding Propofol Anesthesia and Allergic Reactions
Propofol anesthesia Hello Dr. Lin: I previously inquired about the allergy issues related to propofol anesthesia (case number 144503). Thank you very much for your detailed and prompt response. I originally intended to rate it 5 stars, but I accidentally pressed 1 star due to my ...
Dr. Lin Xiuying reply Anesthesiology
Thank you for your kind words. I hope you have successfully managed everything![Read More] Understanding Propofol Anesthesia and Allergic Reactions
Understanding Risks and Safety Measures of Propofol Anesthesia
Propofol anesthesia Doctor: Hello, I would like to inquire about the risks associated with propofol anesthesia. How can patients assess whether the hospital or clinic is equipped to handle these risks? What can patients do before anesthesia to minimize these risks? Thank you!
Dr. Lin Xiuying reply Anesthesiology
Hello: Propofol, commonly known as "milk," is a formulation that contains soybean oil. It is not recommended for patients with a history of allergies to soy, peanuts, eggs, etc. Additionally, propofol can have cardiovascular and respiratory effects. Caution should be ex...[Read More] Understanding Risks and Safety Measures of Propofol Anesthesia
Understanding Allergic Reactions to Propofol Anesthesia: Risks and Considerations
Propofol anesthesia allergy Hello, doctor: I am a young individual who has undergone abdominal surgeries (two cesarean sections, one with general anesthesia and one with spinal anesthesia, and a hysterectomy), neurosurgery (elbow nerve surgery), and three painless colonoscopies, ...
Dr. Lin Xiuying reply Anesthesiology
Hello: Propofol, commonly known as "milk," is a formulation that contains soybean oil. Therefore, it is generally not recommended for patients with a history of allergies to legumes, peanuts, eggs, etc. Even though literature indicates that there may not be any signific...[Read More] Understanding Allergic Reactions to Propofol Anesthesia: Risks and Considerations
Post-Surgery Discomfort: When to Seek Medical Advice After Anesthesia
Anesthesia intubation for surgery? Hello doctor, after undergoing surgery to remove the steel pin from my left shoulder on December 17th, I was intubated due to general anesthesia. After waking up from the surgery, I have been experiencing discomfort from my throat to my chest, e...
Dr. Lin Xiuying reply Anesthesiology
Hello, based on your statement regarding the "removal of the left shoulder screw" surgery, it indicates that you previously underwent "left shoulder screw insertion" surgery. Typically, both procedures would require general anesthesia, and the likelihood of in...[Read More] Post-Surgery Discomfort: When to Seek Medical Advice After Anesthesia
Ensuring Safe Anesthesia: How to Verify Qualified Anesthesia Providers
Anesthesia care team Director Lin: May I ask: Anesthesia must be performed by qualified anesthesia personnel, correct? How can patients know if the anesthesia staff at a clinic are qualified? One of my family members underwent a minor surgery at a clinic this year and ended up in...
Dr. Lin Xiuying reply Anesthesiology
Hello, I am sorry to hear that your family member may have been admitted to the intensive care unit due to anesthesia issues. I would like to inform you that according to current medical regulations, except for general anesthesia, healthcare personnel can "assist" in an...[Read More] Ensuring Safe Anesthesia: How to Verify Qualified Anesthesia Providers
Understanding Post-Anesthesia Heart Rate Changes After Hernia Surgery
Post-anesthesia hernia surgery? Hello Doctor, I underwent laparoscopic extraperitoneal surgery for a hernia at another hospital on November 5th. After the surgery, while in the recovery room, my heart rate inexplicably jumped to 180, which made me very scared, and I didn't e...
Dr. Lin Xiuying reply Anesthesiology
Hello, due to incomplete information regarding the on-site conditions, medication status, and your hyperthyroidism control, it is not possible to determine the exact cause. However, congratulations on successfully completing your surgery! In the future, I recommend that you under...[Read More] Understanding Post-Anesthesia Heart Rate Changes After Hernia Surgery
Understanding Anesthesia Risks: Heart Rate Concerns After Surgery
Supplementary content on anesthesia risks? Hello doctor, I apologize for not being clear earlier. I underwent an anesthesia assessment and consulted with an endocrinologist; my hyperthyroidism levels were normal before the surgery. After the surgery, my body temperature remained ...
Dr. Lin Xiuying reply Anesthesiology
Hello, there are indeed overlapping symptoms between thyroid storm and anesthetic storm; both can cause tachycardia and elevated body temperature. However, the mechanisms of action are quite different. One involves excessive secretion of thyroid hormones and increased metabolic r...[Read More] Understanding Anesthesia Risks: Heart Rate Concerns After Surgery
Should You Stop Aspirin Before Uterine D&C Surgery?
Should aspirin be discontinued before a hysteroscopy? Hello, Director Lin: Recently, my doctor informed me that I have endometrial hyperplasia and a small polyp (1 small one). The doctor said I need to undergo a dilation and curettage (D&C) procedure to remove tissue for canc...
Dr. Lin Xiuying reply Anesthesiology
Hello, in general, surgeries will avoid complications from bleeding due to coagulation disorders. Therefore, patients taking aspirin or those who are expected to have significant blood loss during surgery should discontinue the medication 5-7 days prior. However, regarding the ty...[Read More] Should You Stop Aspirin Before Uterine D&C Surgery?
Understanding Nerve Blocks for Single-Leg Arthroscopy: Key Questions Answered
Nerve block If only one leg requires arthroscopic surgery, I have heard that there is a type of nerve block that can be used for a single limb. Since the arthroscopy is performed under regional anesthesia, can the anesthesiologist switch to this method? 1. Is it also administered...
Dr. Lin Xiuying reply Anesthesiology
Hello, nerve blocks can be categorized into simple spinal anesthesia or regional anesthesia. Generally, for knee arthroscopy, a spinal anesthesia technique can be used. Here are the responses to your questions: 1. The needle is inserted at the lumbar spine area, and it is very t...[Read More] Understanding Nerve Blocks for Single-Leg Arthroscopy: Key Questions Answered
Understanding Pain Relief Medications and Their Impact on Sexual Function
Could you please provide more details or specify your question regarding anesthetics and pain medications? I have been taking pain medication prescribed by the pain management department, which contains Tramadol 37.5 mg and Acetaminophen (Paracetamol) 325 mg. However, I have noti...
Dr. Lin Xiuying reply Anesthesiology
Hello: Regarding the side effects of Tramadol and Buprenorphine (as well as acetaminophen), there is no mention of any impact on sexual function. It is recommended that you consult a urologist to understand any potential issues! Thank you![Read More] Understanding Pain Relief Medications and Their Impact on Sexual Function
Understanding Anesthesia Risks: Insights on OSA Surgery and Recovery
Potential harm from anesthesia, persistence? Hello Doctor, 1. I have undergone general anesthesia multiple times for OSA surgeries, and my experiences have varied. On two occasions, I heard people calling my name postoperatively, but I found it difficult to wake up and felt a b...
Dr. Lin Xiuying reply Anesthesiology
Hello, I would like to respond to your questions as follows: 1. The awakening from anesthesia is related to the type of anesthesia you experienced, the surgery performed, and your individual physiological state at that moment; none of these factors are "completely" th...[Read More] Understanding Anesthesia Risks: Insights on OSA Surgery and Recovery
Anesthesia Risks for Patients with Kidney Disease and Heart Issues
Anesthesia issues Hello, doctor: I would like to ask if a person with kidney disease and issues such as palpitations and angina is suitable for undergoing general anesthesia surgery. Are there risks of shock or death associated with this?
Dr. Lin Xiuying reply Anesthesiology
Hello, surgical anesthesia carries its own risks, which vary in severity. However, risks indicate potential occurrences that may not necessarily happen; with proper precautions, the likelihood or impact of these risks can be reduced. For patients with kidney disease and symptoms ...[Read More] Anesthesia Risks for Patients with Kidney Disease and Heart Issues
Should Surgery Be Delayed If You Have Tonsillitis Before the Procedure?
Should the surgery be postponed if there is a fever and tonsillitis a few days before the procedure? Dear Director Lin: I was scheduled to be hospitalized on Thursday and undergo surgery on Friday for gallbladder removal due to gallbladder polyps. However, I developed a fever on ...
Dr. Lin Xiuying reply Anesthesiology
Hello, generally, academic evidence only suggests delaying surgery based on the patient's recent onset of stroke or myocardial infarction (though the urgency of the surgery must still be considered; for example, in cases of significant hemorrhage, emergency hemostasis is req...[Read More] Should Surgery Be Delayed If You Have Tonsillitis Before the Procedure?
Understanding IV Anesthesia: Is Arm Injection Still Intravenous?
Intravenous anesthesia I recently underwent a suturing surgery, but because I was scared, I was given intravenous sedation to take a nap. Is it correct that the injection was administered in my arm, which is also a type of intravenous access?
Dr. Lin Xiuying reply Anesthesiology
Hello, are you referring to an intramuscular injection when you mention the injection in the arm? Some anesthetic agents can be absorbed through intravenous or intramuscular routes, so administering it in the arm is also feasible. Of course, if we define it by the route of admini...[Read More] Understanding IV Anesthesia: Is Arm Injection Still Intravenous?
Post-Anesthesia Edema: Understanding Causes and Recovery Time
Post-anesthesia edema Hello, doctor! I recently underwent surgery on my armpit at a dermatology clinic, where local anesthesia was administered before the procedure. The method used by the physician involved injecting anesthetic fluid into the treatment area with a relatively thi...
Dr. Lin Xiuying reply Anesthesiology
Hello: The procedure you underwent was a local anesthesia performed by the surgeon during the operation, which differs from the brachial plexus block typically administered by an anesthesiologist. The specific techniques, dosages, medication types, and administration areas involv...[Read More] Post-Anesthesia Edema: Understanding Causes and Recovery Time