Q. Is anesthesia dangerous for a patient who had chemotherapy four weeks back?

Answered by
Dr. Sukhdev Garg
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 26, 2022

Hello doctor,

The patient is a 64-year-old male who had chemotherapy four weeks and three days ago. He also has diabetes. He has been advised to get the surgery immediately. We have been told that anesthesia could be dangerous for him. I will attach the prescribed medicines he has been taking for chemotherapy. Could you please let us know if anesthesia would be dangerous, considering the patient's condition? Do you recommend this as an emergency surgery? Would you please give your valuable advice on this?




Welcome to

Thanks for writing in, and I understand your concern. We have to evaluate the patient regarding his overall clinical status. If it is emergency surgery, we have to weigh the risks and benefits of the surgery. So, in this case, I need more information about the patient, like his comorbidities, what kind of surgery he needs, his cardiac status, and the primary disease for which he needed chemotherapy. Would you please give me your answers to these?


Hello doctor,

Thank you for your response.

The patient has been under treatment for spinal cord metastasis. He has diabetes, and his cardiac condition was normal before. The metastatic cells around his spinal cord are considered cancerous with an unknown source, so he has undergone chemotherapy. The cells caused fractures and complications that needed surgical intervention to control the condition.




Welcome back to

Based on your reports (attachments removed to protect the patient's identity), the patient needs surgery on an urgent basis to prevent further neurological damage and compression of the spinal cord and early mobilization and rehabilitation. However, chemotherapeutic agents like Carboplatin are nephrotoxic, and Paclitaxel is also toxic to the lungs. Apart from that, all chemotherapeutic agents cause myelosuppression that is decreased number of blood cells. An anesthesiologist will assess him for a pre-anesthetic check-up if his surgery is scheduled. He will order all the necessary investigations like blood counts, 2D echocardiography, chest X-ray, or computed tomography (CT) scans, and others will be managed accordingly. The anesthesiologist will ensure that surgery has more benefits than harm to the patient. So you should elaborate the detailed history to him whenever you are asked to do so. I am very sure that he will be in good hands.

I hope this answers your question.


Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is it necessary to shave beard before a general anesthesia?

I would suggest, consult your anesthesiologist for a spinal anesthesia which involves anesthetizing lower half of your body in which bladder tumor surgery can be performed ... General anesthesia involves making a person unconscious and making him tot...   Read full

Will chemotherapy treat cancer in the jejunum?

.. gone through reports you have provided as well as records of Sx (surgery) (attachment removed to protect patient identity). Based on which my diagnosis is as follows. The patient is a 59-year-old male without prior comorbidities suffering from can...   Read full

Post chemotherapy, there is remission of RA with pain in joints. Please help.

.. gone through your reports (attachment removed to protect patient identity). It seems her arthritis is flaring up again. Eventually, Cyclosporine and HCQs are both very mild when it comes to arthritis management. She may have had a prolonged suppr...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an Anesthesiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.