expert type icon EXPERT

Dr. Jerry L. Epps, M.D.

Anesthesiologist

Dr. Jerry Epps is an anesthesiologist practicing in Knoxville, TN. Dr. Epps ensures the safety of patients who are about to undergo surgery. Anestesiologists specialize in general anesthesia, which will (put the patient to sleep), sedation, which will calm the patient or make him or her unaware of the situation, and regional anesthesia, which just numbs a specific part of the body. As an anesthesiologist, Dr. Epps also might help manage pain after an operation.
39 years Experience
Dr. Jerry L. Epps, M.D.
  • Knoxville, TN
  • Univ of Ky Coll of Med, Lexington Ky
  • Accepting new patients

What is "twilight" anesthesia used for?

"Twilight anesthesia" actually refers to an older technique for moderate sedation using relatively long acting sedatives and opioids such as scopolamine and morphine. In today, READ MORE
"Twilight anesthesia" actually refers to an older technique for moderate sedation using relatively long acting sedatives and opioids such as scopolamine and morphine. In today, modern practice, thesis drugs have been replaced with short acting drugs such as midazolam, propofol and fentanyl.

However, many surgeons still erroneously describe moderate to deep sedation for procedures where the anesthesiologist believes can be accomplished with a combination of local anesthesia and the drugs mentioned above without placement of a breathing tube as 'twilight anesthesia'.

Examples where this may occur are the sedation that takes place in the cardiac catheterization labs or interventional radiology or for colonoscopy.

Do children experience side effects of anesthesia?

Yes, a 13-year-old girl will be at risk for side effects just like an adult. Modern day anesthetics are designed for rapid recovery. The most common side effects are nausea and READ MORE
Yes, a 13-year-old girl will be at risk for side effects just like an adult. Modern day anesthetics are designed for rapid recovery. The most common side effects are nausea and vomiting which have been greatly reduced by the most common anesthetic used to start the anesthetic, propofol. People who complain of excessive sleepiness after surgery are usually sensitive the sedative properties of the narcotic medications used to control pain as opposed the the actual general anesthetic agents.

Colonoscopy question

Most people in the USA undergoing colonoscopy receive moderate to deep sedation with propofol. This enables great procedural conditions along with rapid awakening and little risk READ MORE
Most people in the USA undergoing colonoscopy receive moderate to deep sedation with propofol. This enables great procedural conditions along with rapid awakening and little risk of nausea. Placement of a breathing tube or other airway device is rarely ever needed.