expert type icon EXPERT

Dr. Paul J. Fronapfel, M.D.

Anesthesiologist

Dr. Paul J Fronapfel M.D. is a top Anesthesiologist in Charlotte, . With a passion for the field and an unwavering commitment to their specialty, Dr. Paul J Fronapfel M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Paul J Fronapfel M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Paul J Fronapfel M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Charlotte, NC, Dr. Paul J Fronapfel M.D. is a true asset to their field and dedicated to the profession of medicine.
Dr. Paul J. Fronapfel, M.D.
  • Charlotte, NC
  • Accepting new patients

What type of anesthesia is used for hiatal hernia surgery?

Almost always this will be a standard general anesthetic with a breathing tube and anesthetic gas.

How long does local anesthesia stay in your system?

It depends on the specific local and whether any additives were included. Times range from about 45 minute to 36 hours.

Can you have hernia surgery without anesthesia?

Yes, if the surgeon and hernia are amenable to an open procedure with local only.

Can rhinoplasty be done under local anesthesia?

Possible, but unlikely...surgeon would have to opine because it would depend greatly on the extent of the planned surgery.

Can an appendectomy be done under local anesthesia?

Technically under spinal or epidural if it’s an open procedure, but almost all are done laparoscopically, which would be very uncomfortable under regional anesthesia.

What kind of anesthesia is used for wrist surgery?

Typically a regional block (injection of local anesthetic to make the arm numb) with sedation, a general anesthetic, or both.

How do doctors wake you up after anesthesia?

The anesthetic agents are discontinued, and your body metabolizes and/or eliminates them, thus their effects wear off and you awaken.

Paul Jacob Fronapfel, M.D.    '

Can anesthesia stay in your system for months?

No. Extremely unlikely if not outright impossible.

What chemicals are in anesthesia?

The answer to this question could compromise an entire book! "Anesthesia" can be administered with a variety of techniques and medications. There are local anesthetics (like lidocaine READ MORE
The answer to this question could compromise an entire book! "Anesthesia" can be administered with a variety of techniques and medications. There are local anesthetics (like lidocaine or novacaine) that can be ester compounds or amide compounds. There are muscle relaxants like succinylcholine or rocuronium, as well as reversal or competitive agents for these medications (e.g., neostigmine, sugammadex). There are intravenous agents like propofol, ketamine, dexmedetomidine, which all have different pharmacology and mechanisms of action. There are benzodiazepines (like ativan or valium), opioids (fentanyl, morphine, etc.). We use volatile halogenated fluorocarbons (inhaled anesthetic agents) and laughing gas. We also use a variety of agents we use to control blood pressure.

Paul Jacob Fronapfel, M.D.    

Can too much anesthesia cause a stroke?

This is a tricky question and difficult to give a concrete answer. Anesthetics can cause low blood pressure (hypotension). Low blood pressure can contribute to a stroke. So, the READ MORE
This is a tricky question and difficult to give a concrete answer. Anesthetics can cause low blood pressure (hypotension). Low blood pressure can contribute to a stroke. So, the answer is yes, sort of. Typically, we are closely monitoring your blood pressure and respond to low values by treating with medications to bring up the pressure. If someone wasn't responsive or attentive, and low blood pressure persisted for many minutes, this could surely cause a stroke.

Paul Jacob Fronapfel, M.D.   

What is topical anesthetic gel used for?

There are a couple of types...they are used to make things numb (skin, gums, eyes, etc)

Is sedation the same as general anesthesia?

No. Sedation typically implies no breathing tube. It can range from light to deep.

What is a ring block in anesthesia?

Likely referring to an ankle or wrist block where, essentially, local anesthetic is injected all the way around the wrist or ankle creating a ‘ring’. This makes the hand or foot READ MORE
Likely referring to an ankle or wrist block where, essentially, local anesthetic is injected all the way around the wrist or ankle creating a ‘ring’. This makes the hand or foot numb.

How do you anesthetize a finger?

Typically a finger is anesthetized with injections of local anesthetic at the base of the finger on each side.

Is there an alternative to anesthesia?

There are sometimes alternatives, but it all depends on what surgery you’re having and what are your underlying health issues.