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Q. How to avoid coma while getting anesthesia?

Answered by
Dr. Naresh Kumar M.
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 23, 2016 and last reviewed on: Mar 24, 2023

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?

#

Hello,

Welcome to icliniq.com.

  • I 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 enzyme deficiency. So, the effect lasts longer than anticipated.
  • The chance of going into coma due to anesthetic agent depends on the dose being used. There are less likely chances of recurring similar event.
  • If your liver function and renal function are normal then there are fewer chance of recurrence of these kind of events.
  • Kindly update me with more details like previous surgery underwent, upcoming surgery and what anesthetic agent they have used. Also upload your liver function and renal function reports.

Revert back with a detailed history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hi doctor,

Thank you for your response. The prior surgery was a septoplasty or turbinate reduction or functional rhinoseptoplasty after an accident. I am unable to locate medical records to know the exact cocktail given as it was over 20 years ago. Is there a way to test in advance for this new surgery to find out if I am allergic to any type of anesthesia? Thank you very much.

#

Hello,

Welcome back to icliniq.com.

  • Firstly, there will not be any allergy for general anesthesia. So, no testing can be done.
  • First surgery was done in an emergency due to accident and many factors would have affected the outcome of surgery like dyselectrolytemia, concussion injury, etc.
  • Actually I wanted to know what exactly happened. Why do you say you woke up and then went into mild coma?
  • Most of the times after surgery if the patient has severe pain then we give mild sedation. So, is that what you want to say as once after surgery you woke up and went into coma?
  • Now, it is a planned surgery. So, you need not worry about such incidents at all. I hope this clears your doubt.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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