Coughing and Hiccups During Sedation: Understanding Anesthesia Depth Issues
Hiccups and coughing during sedation anesthesia? I have accompanied my wife for multiple facial radiofrequency lifting and minimally invasive facial procedures, all performed under monitored anesthesia care with TIVA (Total Intravenous Anesthesia) using a computer-controlled drug...
Dr. Lin Xiuying Reply:
Hello, In response to your questions, here are my answers: 1. Regarding "general anesthesia," in the stages of anesthesia, there is indeed a possibility of coughing during the so-called "delirium phase" (or second stage) when the depth of anesthesia is insu...[Read More] Coughing and Hiccups During Sedation: Understanding Anesthesia Depth Issues
Is Sedation Dentistry Safe for Patients with Ventricular Septal Defect?
Sleep Dentistry Is sedation dentistry suitable for someone with a ventricular septal defect (VSD) who has been evaluated and found to have a small defect, and who lives in a two-story house without experiencing shortness of breath?
Dr. Lin Xiuying Reply:
Hello: Based on your description, it seems you are a young, healthy-looking woman. However, for your own safety, even for what is referred to as sedation dentistry, it is advisable to have a preoperative anesthesia assessment and explanation. Furthermore, it is crucial to note th...[Read More] Is Sedation Dentistry Safe for Patients with Ventricular Septal Defect?
Exploring the Mysteries of Pain: Anesthesia and Beyond
The Mystery of Pain Question 1: The pain scale generally ranges from 0 to 10, with scores of 7 to 10 indicating severe pain that is unbearable and prevents individuals from focusing on anything else, such as in cases of finger amputation, burns, gastric colic, cancer pain, and la...
Dr. Lin Xiuying Reply:
Hello, I would like to respond to the above questions as follows: 1. Pain assessment is based on an individual's subjective perception. A score of 10 represents the most intense pain one can imagine, indicating the highest level of pain, with no pain rating exceeding 10. H...[Read More] Exploring the Mysteries of Pain: Anesthesia and Beyond
Can Allergies to Sleep Medications Affect General Anesthesia?
Are sleeping pills and general anesthetics the same? I have decided to undergo orthognathic surgery next year, but I remember being allergic to a sleeping medication containing flurazepam when I was a child. Since both sleeping medications and anesthetics induce sleep, I am conce...
Dr. Lin Xiuying Reply:
Hello: I must say you have a good understanding of anesthetics! I hope my explanation will provide you with further insight into anesthesia and anesthesia safety. Here are the responses to your questions, item by item: 1. Before surgery, patients are advised to undergo an anesth...[Read More] Can Allergies to Sleep Medications Affect General Anesthesia?
Risks of General Anesthesia with Elevated Liver Enzymes and Gallstones
What are the risks of general anesthesia with elevated liver enzymes? Hello, I am considering undergoing laparoscopic sterilization surgery, but my liver enzymes are slightly elevated: S.G.O.T - 54 and S.G.P.T - 117. Additionally, I have moderate gallstones and fatty liver. Could...
Dr. Lin Xiuying Reply:
Hello: Here are the responses to your questions: 1. The liver is a major site for drug metabolism; therefore, any abnormalities in liver function will certainly affect drug metabolism, which in turn influences the efficacy and duration of the drug's action. 2. Any laparoscop...[Read More] Risks of General Anesthesia with Elevated Liver Enzymes and Gallstones
Will Past Anesthesia Side Effects Affect Future Procedures?
If someone has experienced side effects from anesthesia in the past, does that mean they will have side effects from anesthesia in the future? I previously experienced severe headaches as a complication from a spinal anesthesia. If I need to undergo a surgery that requires genera...
Dr. Lin Xiuying Reply:
Hello: Here are the responses to your questions: 1. Human physiology continuously changes over time, so physiological responses to interventions may vary. It can be said that if similar interventions are performed within a short period and there are no significant differences in ...[Read More] Will Past Anesthesia Side Effects Affect Future Procedures?
Understanding Allergies to Anesthetics and Pain Medications: Key Considerations
Allergic Reactions to Anesthetics and Analgesics Hello, doctor. I would like to undergo a colonoscopy for screening. I have previously received Kenacort (triamcinolone) injections for ulnar and radial pain, which were administered into the tendon, but it resulted in a painful rea...
Dr. Lin Xiuying Reply:
Hello, regarding your questions, I can only respond as follows: 1. The issue of swelling and pain after injecting Kenacort into the tendon may be related to an allergic reaction, but a direct assessment on-site is necessary for an accurate response. 2. Kenacort and Keto are diffe...[Read More] Understanding Allergies to Anesthetics and Pain Medications: Key Considerations
Concerns About Anesthesia Drug Accessibility and Usage Risks
What are the issues related to the acquisition and use of anesthetic agents? Hello, doctor. I have been troubled by this issue for many years, and I appreciate your help. Previously, I woke up one morning feeling dizzy and noticed that my underwear was placed aside while my outer...
Dr. Lin Xiuying Reply:
Hello: Currently, the anesthetic drugs used in hospitals require a specific process for procurement and the application of equipment. I am not fully qualified to answer whether there are other types of inhalational agents available in the market that can induce unconsciousness. R...[Read More] Concerns About Anesthesia Drug Accessibility and Usage Risks
Can Facial Anesthesia Help with Painful Skin Conditions?
Is it possible to perform facial anesthesia? Doctor, do I have to undergo surgery to receive anesthesia? I have too many cysts and acne on my face, and I go for facial treatments, but I am so afraid of pain that I scream and cry every time, which prevents me from getting proper t...
Dr. Lin Xiuying Reply:
Hello: Without knowing the condition and extent of your facial area, it is not possible to assess the feasibility of local anesthesia. However, I sincerely recommend that you consult a dermatologist to understand your skin condition for appropriate treatment. If you need assistan...[Read More] Can Facial Anesthesia Help with Painful Skin Conditions?
Understanding Anesthesia Issues After Circumcision: What to Expect
Anesthesia issues~ I would like to ask, a few days ago I underwent a circumcision, and after the anesthesia was administered, I still felt pain in a small section of the area that was to be cut. The doctor then gave me a few more injections of anesthesia, but there is still a sma...
Dr. Lin Xiuying Reply:
Hello: Although this pertains to anesthesia issues, it is fundamentally a type of regional anesthesia performed by urologists. For this specialty, an anesthesiologist is not necessarily suited to evaluate the procedures of that specialty physician. I will only address the situati...[Read More] Understanding Anesthesia Issues After Circumcision: What to Expect
Understanding Anesthesia Immunity: Concerns for Breast Surgery Safety
Is there an immunity to propofol or isoflurane? My daughter wants to undergo breast augmentation surgery, which requires general anesthesia. I previously read a report about a Russian woman who experienced intraoperative awareness during breast surgery and suffered fatal pain. Th...
Dr. Lin Xiuying Reply:
Hello: The possibility of intraoperative awareness can indeed be a significant source of stress for patients undergoing surgery. While there are cases of intraoperative awareness, they are relatively rare. For patients who have previously undergone general anesthesia without expe...[Read More] Understanding Anesthesia Immunity: Concerns for Breast Surgery Safety
Does Taking Oral Contraceptives Conflict with General Anesthesia?
Is there any conflict between regularly taking oral contraceptives and general anesthesia? Hello, Doctor: I have been regularly taking Yaz oral contraceptives, and I am considering undergoing surgery to correct a deviated septum. However, I have not yet found a surgeon (there are...
Dr. Lin Xiuying Reply:
Hello! Basically, if a patient is taking contraceptive pills and needs to undergo surgery, it is important to note that international literature suggests a higher risk of developing deep vein thrombosis (DVT) during prolonged immobility associated with surgery. This is similar to...[Read More] Does Taking Oral Contraceptives Conflict with General Anesthesia?
Can You Undergo General Anesthesia If Allergic to Sleep Medications?
Can a person who is allergic to sleeping pills still undergo general anesthesia? My sister wants to undergo bone reduction surgery that requires general anesthesia. She has a history of allergy to benzodiazepine (BZD) sedatives, and I'm concerned about how this might affect ...
Dr. Lin Xiuying Reply:
Hello: The choice of anesthetic agents involves several considerations. For bone reduction surgery requiring general anesthesia, is it necessary to use benzodiazepine (BZD) sedatives, or can they be replaced with other non-BZD short-acting hypnotics? It is advisable to discuss th...[Read More] Can You Undergo General Anesthesia If Allergic to Sleep Medications?
Can Anesthesia Allergy Be Tested Before Surgery?
Is it possible to test for anesthesia allergies before surgery? Hello doctor, may I ask: 1. Is general anesthesia suitable for a deviated nasal bone? 2. Is there a way to test for allergies to anesthetics before surgery? 3. Will arrhythmia have any impact?
Dr. Lin Xiuying Reply:
Hello! To be honest, aside from having a family history of malignant hyperthermia (as mentioned in the TV series "Anesthesia Storm"), or possibly undergoing preoperative allergy testing (muscle biopsy), very few people actually undergo allergy testing! Regarding the que...[Read More] Can Anesthesia Allergy Be Tested Before Surgery?
Understanding Anesthesia and Painkiller Allergies: A Patient's Dilemma
Allergy to anesthetics and analgesics? My mother (52 years old) has a congenital abnormality in her physiology, which seems to make her allergic to common anesthetics and analgesics used in hospitals. The consequences of these allergies are severe, often leading to shock and even...
Dr. Lin Xiuying Reply:
Hello: As you mentioned, if your mother has severe allergic reactions to all anesthetics and analgesics, then the issues surrounding surgical anesthesia and postoperative pain management can indeed be quite challenging! If she needs to undergo surgery with anesthesia or pain reli...[Read More] Understanding Anesthesia and Painkiller Allergies: A Patient's Dilemma
Impact of Smoking on Anesthesia: What You Need to Know Before Surgery
The relationship between smoking and anesthesia? I have been smoking for 4 years, one pack a day, and I am scheduled for shoulder arthroscopy surgery in December this year, which requires general anesthesia. Does smoking have a significant impact on anesthesia, such as requiring ...
Dr. Lin Xiuying Reply:
Hello: Whether a smoking patient requires a higher dosage of anesthetics is not necessarily the case. The factors influencing dosage requirements include body weight, metabolic capacity, and individual physiological functions, among others. However, preoperative smoking cessation...[Read More] Impact of Smoking on Anesthesia: What You Need to Know Before Surgery
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:
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
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:
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:
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:
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