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:
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:
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:
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:
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:
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?
Understanding Spinal vs. General Anesthesia: Pain and Risks Explained
Regional anesthesia and general anesthesia? Hello, my father is scheduled to undergo ureteroscopy for stone removal and will require regional anesthesia. Three years ago, he had the same procedure under general anesthesia without any complications. However, I am concerned about t...
Dr. Zeng Qinghui Reply:
What is spinal anesthesia? Spinal anesthesia involves the temporary blockage of spinal nerve function by injecting anesthetic agents into the spinal canal from the back, allowing patients to undergo surgery without feeling pain. In this anesthesia method, the patient remains cons...[Read More] Understanding Spinal vs. General Anesthesia: Pain and Risks Explained
Understanding Anesthesia: Is Numbness Normal After Surgery?
Anesthesia! Doctor, I would like to ask you about something. I had hernia surgery on the afternoon of December 1st (with lower body anesthesia), and it has been almost 20 days since my discharge. I still have no sensation in the groin area below the incision. Is this normal? If i...
Dr. Tu Kuncun Reply:
Hello, lower body anesthesia can sometimes lead to a temporary neurological syndrome, usually affecting the lower limbs, which typically improves within one week to one month. You can directly consult the surgeon regarding your condition, and I believe the surgeon will provide yo...[Read More] Understanding Anesthesia: Is Numbness Normal After Surgery?
Understanding Local Anesthesia for Hand Surgery: What to Expect
Local anesthesia I have a lump under the base of my right index finger, near the palm. I went to see a hand surgeon, and he said it is a tendon tumor, which means there is a cyst inside. The doctor mentioned it is quite large and recommended surgical removal. Since it is on my ri...
Dr. Tu Kuncun Reply:
The choice of anesthesia method for surgery is made after communication between the surgeon, anesthesiologist, and the patient, with the final decision resting with the patient. The physician will respect the patient's decision. Regarding the details of the anesthesia for yo...[Read More] Understanding Local Anesthesia for Hand Surgery: What to Expect
Risks of General Anesthesia for Patients with GERD and Heart Issues
The risks of general anesthesia in patients with gastroesophageal reflux disease (GERD)? Hello Doctor: I am a patient with gastroesophageal reflux disease (GERD). Recently, I need to undergo laparoscopic surgery on my uterus, which requires general anesthesia. My condition causes...
Dr. Tu Kuncun Reply:
Hello: The risk of developing arrhythmias during general anesthesia for surgery related to gastroesophageal reflux disease will not increase. Thank you.[Read More] Risks of General Anesthesia for Patients with GERD and Heart Issues
Concerns About General Anesthesia for Strabismus Surgery in Elderly Patients
Issues with General Anesthesia in Strabismus Surgery Hello, I would like to ask some questions. My father has high blood pressure and diabetes. Over three years ago, he went to the hospital due to stomach discomfort and underwent an upper gastrointestinal endoscopy under general ...
Dr. Tu Kuncun Reply:
Hello: Hypertension is a risk factor for stroke. Experiencing a stroke one month after anesthesia should not be attributed to the anesthesia itself, as general anesthesia inherently carries risks. Older age and hypertension further increase these risks, so it is important to care...[Read More] Concerns About General Anesthesia for Strabismus Surgery in Elderly Patients
Is a Blood Alcohol Level of 0.92 Safe for General Anesthesia?
Is a blood alcohol concentration of 0.92 suitable for general anesthesia? Is there any risk involved? Additionally, if three people shared a bottle of red wine at 11 AM, is it possible that one of them could still have a blood alcohol concentration of 0.92 at 5 PM? Please help cl...
Dr. Tu Kuncun Reply:
Hello, the alcohol content may vary depending on individual metabolic capacity. After consuming alcohol, the principle for anesthesia should primarily be nerve block, with general anesthesia being a secondary option. Thank you.[Read More] Is a Blood Alcohol Level of 0.92 Safe for General Anesthesia?
Key Medical Conditions Requiring Caution with Anesthesia
What medical conditions require special attention when using anesthesia? I would like to ask: I understand that anesthesia is a very careful procedure, but I would like to know which medical conditions require special attention when undergoing general anesthesia? Thank you.
Dr. Tu Kuncun Reply:
Hello: Please pay special attention to the following points: If there is a family history of anesthesia complications, difficulty in climbing a flight of stairs without needing to rest, a history of drug allergies, structural abnormalities of the upper respiratory tract, as well ...[Read More] Key Medical Conditions Requiring Caution with Anesthesia
Does General Anesthesia Affect Brain Cells and Memory?
Please ask your question? Hello Dr. Tu, I would like to ask if general anesthesia can cause some brain cells to die, leading to a decline in cognitive or memory abilities? I have an exam at the end of the year, and I am concerned that undergoing surgery with anesthesia might affe...
Dr. Tu Kuncun Reply:
Hello: There is no such thing as a 100% guarantee in the world, and anesthesia is no exception. The concerns you have are extremely unlikely to occur, with a probability of occurrence being in the range of one in several thousand. Thank you.[Read More] Does General Anesthesia Affect Brain Cells and Memory?
Can I Request General Anesthesia for Hemorrhoid Surgery?
Anesthesia Hello, Doctor: I have a question to ask you. I need surgery for my hemorrhoids, but I have been informed that the procedure is done under regional anesthesia, and I am afraid of being on the operating table with regional anesthesia. Can I request the doctor to use gene...
Dr. Cheng Shuren Reply:
Thank you for your letter. The hemorrhoid surgery here is also performed under regional anesthesia for two reasons: (1) The surgical position is a modified lithotomy position, where the patient is in a semi-kneeling and prone position on the operating table. The patient needs to ...[Read More] Can I Request General Anesthesia for Hemorrhoid Surgery?
Understanding Anesthesia Reactions: Risks and Precautions for Future Surgeries
Anesthetic reactions In April, I underwent a surgery under spinal anesthesia due to a leg fracture. During the anesthesia, I initially experienced shaking in both hands. The anesthesiologist administered additional medication, which helped temporarily, but soon after, I started s...
Dr. Li Yuantong Reply:
The situation described by the patient is actually quite common. An anesthesiologist typically administers medications to prevent involuntary tremors of the upper body during anesthesia, followed by sedatives to alleviate the patient's tremors and chest pain. Each patient re...[Read More] Understanding Anesthesia Reactions: Risks and Precautions for Future Surgeries
Understanding Contraindications for General Anesthesia in Surgery
Contraindications for General Anesthesia Before performing an incision and drainage of an anal abscess under general anesthesia, is it necessary to check the patient's "pulmonary function"? What does it indicate if the patient is unable to awaken from the anestheti...
Dr. Cheng Shuren Reply:
Dear Miss Yun-Zhen, Thank you for your letter. The anesthesia assessment is based on the patient's age, gender, work environment, lifestyle habits such as smoking, alcohol consumption, betel nut use, as well as physiological and pathological conditions, in addition to psych...[Read More] Understanding Contraindications for General Anesthesia in Surgery
Understanding the Aftereffects of General Anesthesia on Memory and Communication
Complications of acupuncture? I would like to ask if there are any effects on the body after undergoing general anesthesia for surgery, such as on expressive abilities or memory. If there are effects, will there be a complete recovery, or could there be other outcomes?
Dr. Cheng Shuren Reply:
Due to the unclear conditions you mentioned, individuals may have different responses based on factors such as age and pre-existing medical conditions. Therefore, I recommend referring to the MGH Clinical Anesthesia Manual published by Kyushu Book Company. Thank you for your inqu...[Read More] Understanding the Aftereffects of General Anesthesia on Memory and Communication
Post-Anesthesia Sleep Issues: Understanding Insomnia After Surgery
Inability to sleep after general anesthesia surgery? My father, 65 years old, underwent debridement surgery for osteomyelitis in the cheek area near the ear ten days ago, under general anesthesia. The surgery lasted approximately 10 hours (including vascular grafting). The follow...
Dr. Cheng Shuren Reply:
Thank you for your letter. The information provided is quite limited; I only know that the patient is a 65-year-old male, and there is no other information available, making it difficult to assess your father's condition. I recommend checking with Kyushu Publishing Company a...[Read More] Post-Anesthesia Sleep Issues: Understanding Insomnia After Surgery
Understanding Complications of Epidural Anesthesia in Cesarean Deliveries
Postoperative complications of "epidural anesthesia" in cesarean section patients? 1. The numbness, pain, and weakness in your sister's palms, backs of her hands, and fingers may be related to the anesthesia used during the cesarean section. It is possible that the...
Dr. Cheng Shuren Reply:
1. I apologize for being unable to answer your question due to unclear clinical conditions. 2. Kyushu Publishing Company has published the MGH Clinical Anesthesia Manual, which should be helpful.[Read More] Understanding Complications of Epidural Anesthesia in Cesarean Deliveries
Understanding Side Effects and Complications of General Anesthesia
What are the side effects or complications that may occur after general anesthesia? Hello, Doctor Cheng! I would like to ask a question. My father underwent surgery last month with general anesthesia. The recovery of his surgical wound is normal, but he seems to be experiencing s...
Dr. Cheng Shuren Reply:
1. Due to the lack of patient information, I am unable to answer your question. 2. The bookstore sells a book on anesthesia; Kyushu Publishing has published a clinical anesthesia book priced at 1150 NTD. 3. My knowledge is limited, please forgive me! Thank you for your inquiry![Read More] Understanding Side Effects and Complications of General Anesthesia