Challenges of Intubation in General Anesthesia for Spinal Surgery
General anesthesia with inability to intubate? Hello: My grandfather was scheduled for a spinal decompression surgery recently, but after entering the operating room, it was assessed that his trachea was curved, making intubation impossible. Is intubation necessary for this type ...
Dr. Lin Xiuying reply Anesthesiology
Hello: Spinal surgery typically requires endotracheal intubation under general anesthesia. For surgeries that require anesthesia, an anesthesiologist will conduct a physiological assessment and inform the patient about anesthesia risks (including issues related to intubation) pri...[Read More] Challenges of Intubation in General Anesthesia for Spinal Surgery
Understanding Anesthesia Risks: Can You Safely Undergo General or Regional Anesthesia?
Anesthesia issues If blood pressure is normal, can one undergo general anesthesia or regional anesthesia? Is there a risk associated with general anesthesia, or is it possible to remain unconscious after anesthesia?
Dr. Lin Xiuying reply Anesthesiology
Hello: If blood pressure is slightly elevated but still within the normal range, can one undergo general anesthesia or regional anesthesia? The answer is that there are no absolute contraindications. The key issue is the "risk" involved! The risks associated with anesth...[Read More] Understanding Anesthesia Risks: Can You Safely Undergo General or Regional Anesthesia?
Post-Anesthesia Headaches: Understanding Causes and Concerns
Headache after general anesthesia..? Hello, doctor. Recently, I underwent general anesthesia for a 9-hour surgery. After the procedure, I experienced headaches and eye swelling with soreness, and all I wanted to do was close my eyes and rest. These symptoms gradually decreased bu...
Dr. Lin Xiuying reply Anesthesiology
Hello, based on the information you provided (general anesthesia duration of 9 hours and symptom presentation), it is difficult to fully address your concerns. Generally speaking, postoperative complications may be influenced by the patient's pre-existing physiological condi...[Read More] Post-Anesthesia Headaches: Understanding Causes and Concerns
Effects of Local Anesthesia on Pregnancy: What You Need to Know
Local anesthetic injection Hello, Doctor. My last menstrual period was on June 27. I had unprotected intercourse on July 12, which is during my fertile window, so there is a possibility of pregnancy. I would like to ask you, on July 16, I underwent an aesthetic procedure where a ...
Dr. Lin Xiuying reply Anesthesiology
Hello: Are you inquiring whether topical and injectable local anesthetics, as well as oral antibiotics, may affect fetal growth and development or pose a risk of teratogenicity? Here is the response: Generally, medications are classified according to their pregnancy safety catego...[Read More] Effects of Local Anesthesia on Pregnancy: What You Need to Know
Concerns About General Anesthesia and Heart Rate During Surgery
Slow heart rate anesthesia re-evaluation? Thank you very much, Dr. Lin, for your detailed explanation! Actually, I am scheduled to undergo surgery for a vascular tumor located at the back of my left calf. The doctor recommended general anesthesia because he mentioned that if I we...
Dr. Lin Xiuying reply Anesthesiology
Let me explain: General anesthesia begins with administering medication through an IV to induce sleep (prior to this, a mask will be provided for you to take deep breaths, primarily to supply oxygen). An endotracheal tube will then be inserted through your mouth to ensure the saf...[Read More] Concerns About General Anesthesia and Heart Rate During Surgery
Concerns About Slow Heart Rate During Regional Anesthesia
Bradycardia during anesthesia I would like to ask the doctor, I am scheduled for a surgery with regional anesthesia soon, but when I measure my blood pressure at home, I sometimes record a heart rate of only 40 to 50 beats per minute. Will my heart rate become even slower during ...
Dr. Lin Xiuying reply Anesthesiology
Hello Mr. Zhang: Your question can be answered in two parts. 1. Does spinal anesthesia cause a slower heart rate? Spinal anesthesia involves administering medication into the spinal canal, which blocks sensory nerve transmission while also affecting motor nerve function. Spinal...[Read More] Concerns About Slow Heart Rate During Regional Anesthesia
Managing Post-Dural Puncture Headache: Dietary Tips and Remedies
Post-dural puncture headache (PDPH) Hello, doctor! My father recently underwent a minor surgery, but after receiving spinal and general anesthesia, he developed symptoms related to "post-dural puncture headache." Aside from standard treatment methods, what dietary consi...
Dr. Lin Xiuying reply Anesthesiology
Hello, First, I would like to apologize to Mr. Yu-Chu for the delay in responding to your inquiry letter from November due to a system error. The diagnosis of "post-dural puncture headache" is generally attributed to the leakage of cerebrospinal fluid through the punc...[Read More] Managing Post-Dural Puncture Headache: Dietary Tips and Remedies
Is Local Anesthesia Safe for Pregnant Women During Surgery?
Can pregnant women undergo surgery with local anesthetics? Hello, I would like to inquire about my scheduled appointment in mid-February at National Taiwan University Hospital in Hsinchu for a local lipoma surgery (the lipoma is located on the inner thigh, about 2-3 cm from the r...
Dr. Lin Xiuying reply Anesthesiology
Regarding local anesthetics, the most commonly used is "Lidocaine" (Xylocaine). Therefore, the effects of this medication are as follows: 1. The drug is classified as Category C for use during pregnancy; this means it should only be administered if the benefits outweigh...[Read More] Is Local Anesthesia Safe for Pregnant Women During Surgery?