General Anesthesia

General anesthesia is a drug group used for reversible loss of consciousness of the patient for a painless experience for a certain period for surgical procedures by anesthesiologists. Breathable and injectable anesthesia are available. Side effects include nausea, vomiting, sore throat, dizziness, confusion, difficulty passing urine, etc. The first general anesthesia used was diethyl ether by Crawford Long.

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I am undergoing orthopedic surgery under spinal anesthesia and want to know if local anesthesia can be used first to numb the skin before the spinal needle is inserted?

Query: Hello doctor, I am undergoing orthopedic surgery under spinal anesthesia. I am anxious about the surgery and anesthesia. Is it possible for the anesthetist to give me a relaxing medicine Midazolam or other medications before the surgery to remove the fear and stay calm? Also, if I request the anest...  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hi, Welcome to I understand your concern. I completely understand the anxiety of spinal anesthesia. Yes, you will be given Midazolam as a pre-medication and to reduce your anxiety. I suggest because you do not have any contraindication for general anesthesia, choose general anesthesia....  Read Full »

How to prevent coma while getting general anesthesia?

Query: Hi doctor, I am concerned about my upcoming surgery. During past surgery, I woke up and then went into a mild coma after being given more anesthesia. How likely is this kind of complication? How can it be avoided?  Read Full »

Dr. Naresh Kumar M.

Answer: Hello,Welcome to can understand your anxiety as you have faced problem before, but you did not mention the type of surgery you underwent previously. Also what is your upcoming surgery?Some induction agents like Succinylcholine are to be avoided in some people in view of more chance of ...  Read Full »

Is it necessary to shave beard before a general anesthesia?

Query: Hello doctor,I am scheduled next week for out-patient surgery to have a malignant tumor removed from my bladder via a catheter inserted into my urethra. Before that, the anesthesiologist will administer a general anesthetic as well as a muscle-relaxant to keep me from kicking when under. The procedu...  Read Full »

Dr. Jadhav Yatish Anant

Answer: Hi, Welcome to That is worth a concern for both for your anesthesiologist and you too. Let me elaborate it to you. General anesthesia involves making a person unconscious and making him totally relaxed by giving a medication called muscle relaxant. With unconsciousness and muscle relaxa...  Read Full »

I had chest pain. Can I get anesthesia for facelift surgery?

Query: Hello doctor, Eight months back I had chest pain. My dad expired at the age of 54 years because of MI. Hence the doctor insisted that I should take some tests and everything were normal. I have attached are some of the test results. I have not got any chest pain later. I am taking medicines for de...  Read Full »

Dr. Sadaf Mustafa

Answer: Hi, Welcome to On review of the echocardiogram (echo) and the stress test (attachment removed to protect patient identity) it appears that you should be fine going through the surgery. However, I do not have your blood work. Usually the surgeons would like to have it within 30 days p...  Read Full »

Is there a way to prevent vomiting due to general anesthesia?

Query: Hello doctor, I am a 50-year-old female who would like to have a breast reduction. However, I am at high risk for vomiting from the anesthesia as I have a phobia of vomiting, and I am susceptible to motion sickness. I am a non-smoker. I had general anesthesia once before, and I vomited several time...  Read Full »

Dr. Jadhav Yatish Anant

Answer: Hi, Welcome to General anesthesia has known post aesthesia effects of nausea, retching, vomiting, etc. Also, these may be due to the direct effect of surgery and pain. You seem to be very sensitive and anxious about it. But usually, it is seen that with each subsequent episode of admi...  Read Full »

Is it safe to opt for cosmetic surgery, which requires the patient to be under local anesthesia for six hours?

Query: Hello doctor, I am a healthy female turning 60. I do have mitral valve regurgitation. I take no medicines other than bioidentical hormones. I exercise regularly, am not overweight, do not smoke, and drink at most two alcoholic beverages per month. I am considering doing cosmetic surgery (brow lift ...  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hi, Welcome to I understand your concern. Please be assured that if a general anesthetic is needed, a nurse anesthetist can administer it if required. It is needed only if local anesthesia fails. Please make sure you don’t listen to rumors and get confused. Nurse anesthetists and pl...  Read Full »

I need a blood sample of my autistic son, but he is not cooperating even after sedation. Please help.

Query: Hi doctor, I need to collect blood samples of my son, who is autistic. He is not cooperating even after sedation. Need advice about some good and safe sleeping or anesthetic drugs to complete the blood collection.  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hi, Welcome to Thanks for your query. I understand your concerns. Midazolam nasal spray will be helpful for the child if you are in hospital, a doctor who is well versed with Midazolam can give intramuscular injection. 3 to 5 mg will be needed. You can also try Chlorpheniramine Malea...  Read Full »

Is it safe to go under anesthesia if I have bifascicular bundle block?

Query: Hello doctor, I am 60 years male. I have a BMI of 33. I have bifascicular bundle block. I take Salbutamol and Fluticasone (Relvar) puffers for asthma, which is lifelong. I have seen my GP and my cardiologist and been cleared for bariatric (gastric band) surgery next week, in order to expedite some ...  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hello, Welcome back to Bifasicular block is commonly RBBB (right bundle branch block) with left or right axis deviation. I need to explain to you that patients with this block are safe to undergo anesthesia. I would have been happy if an ECG was attached. If LBBB (left bundle branch blo...  Read Full »

I am getting a polyp removed, but I am scared of anesthesia. Is it safe, or will it cause respiratory depression?

Query: Hi doctor, I am having a polyp removed, and they will be administering Propofol. I am terrified of the anesthesia. I keep reading that it is a respiratory depressant. I am going to take Xanax beforehand. I want to know how safe it is.  Read Full »

Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hi, Welcome to I read your query and can understand your concern. It is called general anesthesia. Propofol is an intravenous, very short-acting anesthetic. The anesthetist will control your breathing. It is a routine procedure. You can take Xanax. It will calm and relax you. Where is t...  Read Full »

Is it necessary to repair soft cleft palate with surgery?

Query: Hi doctor, My daughter is now 2 years old. She has been detected with a soft cleft palate six months back. As of now, she does not have issue while eating as well as hearing. She used to drink milk with normal milk bottle we are in the process of removing her habit of milk bottle. Our pediatrician ...  Read Full »

Dr. Payas Joshi

Answer: Hi, Welcome to I understand your concern for your child. Usually, cleft palate is repaired at the age of 1 to 2 years. As your child has only soft cleft palate (less severe), the surgeon has delayed the timing of surgery. This surgery helps in proper development of speech, preve...  Read Full »

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