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:
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:
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?
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:
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
Can Patients on Warfarin Safely Undergo Spinal Anesthesia?
Anticoagulation and Regional Anesthesia Hello Dr. Huang, My family member is considering undergoing a total knee arthroplasty, but due to a history of heart surgery and long-term use of Warfarin, the local hospital advised that Warfarin cannot be used with regional anesthesia d...
Dr. Huang Baiqing Reply:
The use of anticoagulants and antiplatelet medications can indeed lead to a decrease in coagulation function, making it one of the contraindications for regional anesthesia. In such cases, it is not advisable to administer regional anesthesia to the patient. However, not all anti...[Read More] Can Patients on Warfarin Safely Undergo Spinal Anesthesia?
Anesthesia Considerations for Patients with a History of Epilepsy
Can a patient with a history of epilepsy undergo general anesthesia or sedation anesthesia? According to the literature, there have been reports of inappropriate administration of anesthetics to patients with a history of epilepsy, leading to an inability to breathe independently...
Dr. Huang Baiqing Reply:
All general anesthetics have a respiratory depressant effect, which may cause the patient's breathing to become shallow, slow, or even cease altogether. Even patients without a history of epilepsy may be unable to breathe independently under general anesthesia; therefore, al...[Read More] Anesthesia Considerations for Patients with a History of Epilepsy
Understanding Post-Anesthesia Swelling and Pain: When to Seek Help
Post-anesthesia swelling and pain? I had a toenail extraction in mid-July this year. The doctor administered two injections of anesthesia (I don't know the dosage), but I still felt pain when the procedure started, so they gave me another injection. The doctor mentioned that...
Dr. Peng Guocheng Reply:
Hello! If you are still experiencing discomfort, it is advisable to consult your primary care physician. Thank you.[Read More] Understanding Post-Anesthesia Swelling and Pain: When to Seek Help
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:
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
Is Delayed Local Anesthesia Recovery a Cause for Concern?
Is it a side effect if local anesthesia takes a day to wear off? Hello, doctor: I would like to ask, I had an injury to the front part of my left calf due to external force, which caused inflammation and required debridement surgery. During the surgery, I received local anesthesi...
Dr. Peng Guocheng Reply:
Hello! If you experience any discomfort, it is advisable to consult your surgeon. Thank you.[Read More] Is Delayed Local Anesthesia Recovery a Cause for Concern?
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:
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?
Risks of Anesthesia During Accessory Breast Removal with Birth Control
Accessory breast tissue excision and the regular use of contraceptive pills? If I am going to undergo a surgery for accessory breast tissue removal under local anesthesia and have been taking the contraceptive pill (Marvelon) for over a year and a half, are there any risks I shou...
Dr. Huang Baiqing Reply:
Hello: 1. If local anesthesia is used, the anesthetic agent only acts on a small localized area of the surgery and does not affect the entire body, so it will not interact with oral contraceptives. Therefore, there is no need to discontinue the medication. 2. For the same reason,...[Read More] Risks of Anesthesia During Accessory Breast Removal with Birth Control
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:
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:
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:
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:
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:
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
Understanding Asthma Risks During General Anesthesia: Myths and Facts
General anesthesia can trigger asthma? Hello, doctor. I have always been curious about one question. I previously underwent general anesthesia, and during the anesthesia assessment, I mentioned my history of asthma. The doctor told me that general anesthesia will definitely trigg...
Dr. Huang Baiqing Reply:
During the process of general anesthesia, asthma attacks are often associated with endotracheal intubation. Patients with a history of asthma are more likely to experience an asthma attack during the intubation process, but this is not always the case. Therefore, it is recommende...[Read More] Understanding Asthma Risks During General Anesthesia: Myths and Facts
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:
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:
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:
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 Anesthesia Awareness: How to Alleviate Your Fears
Regarding anesthesia awareness issues? Recently, I need to undergo a procedure that requires sedation anesthesia combined with local anesthesia. I have been feeling anxious after researching about awareness during anesthesia online. I previously had two colonoscopies, both perfor...
Dr. Peng Guocheng Reply:
The likelihood of being awake during general anesthesia with intubation, which is commonly used, is extremely low. There is no need for excessive concern.[Read More] Understanding Anesthesia Awareness: How to Alleviate Your Fears