expert type icon EXPERT

Dr. Gerald Peiser, D.O.

Anesthesiologist

Dr. Gerald Peiser is an anesthesiologist practicing in Phoenix, AZ. Dr. Peiser 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. Peiser also might help manage pain after an operation.
Dr. Gerald Peiser, D.O.
  • Phoenix, AZ
  • Accepting new patients

What can't you eat after anesthesia?

Unless there's a reason dictated by the surgery, you should be able to eat after an anesthetic. The only real issue relating directly to Anesthesia is That you may feel reasonable READ MORE
Unless there's a reason dictated by the surgery, you should be able to eat after an anesthetic. The only real issue relating directly to Anesthesia is That you may feel reasonable up and until you start eating and then start to vomit. I generally tell my patients there are no real food restrictions and to just use common sense.

Epidural for L&D

There's no hard limit to how many attempts a person can make at any one particular location.. Generally I might personally try 3 or 4 times at 1 location before trying another. READ MORE
There's no hard limit to how many attempts a person can make at any one particular location.. Generally I might personally try 3 or 4 times at 1 location before trying another. The needle will need to be replaced if it gets unusually bent or seems to be dulling. There's no set number of attempts that should or could be made before you stop. It's personal comfort level between the patient and the physician.

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Why is an epidural better than general anesthesia?

An epidural is not better than a general anesthetic. They are both excellent methods to achieve comfort safely for a procedure. There may be specific reasons why one is better READ MORE
An epidural is not better than a general anesthetic. They are both excellent methods to achieve comfort safely for a procedure. There may be specific reasons why one is better than the other, or if the patient has a preference.
Or you can do a combination of both, or start with an epidural and change into a general if the epidural is not working well.
Your best bet is to discuss with your anesthesiologist (physician) or CRNA (nurse) depending on what level of training that person has.

How long does urinary retention last after general anesthesia?

Usually can last hours to a day or so, unfortunately.

What happens if you stop breathing during anesthesia?

Typically, nothing important. Most if not all patients experience apnea (stop breathing) during an anesthetic. One of the reasons I am at the head of the bed the entire time is READ MORE
Typically, nothing important. Most if not all patients experience apnea (stop breathing) during an anesthetic. One of the reasons I am at the head of the bed the entire time is to monitor your breathing amongst other things. If you stop breathing, then there are a number of ways to assist you which are so routine, usually I am the only one in the operating room aware of that aspect of your experience. The surgeon, circulating nurse, and scrub tech usually have no idea, as it is such a routine issue. So, in short, don't spend 2 seconds worrying about it.

Is general anesthesia safe for dental work?

It's just as safe as in any surgical center or hospital as long as American standard of anesthesiology monitors are utilized and you have an anesthesiologist present.

How is anesthesia different for people with serious illnesses?

While it depends on the specifics of the individual medical issue, each anesthetic is tailored individually. All the medical issues and other comorbidities are taken into account READ MORE
While it depends on the specifics of the individual medical issue, each anesthetic is tailored individually. All the medical issues and other comorbidities are taken into account while an individual anesthetic is thought out and designed for the patient.

What type of anesthesia is used for liposuction?

Best bet is to ask your surgeon.

Are you put to sleep for gastric sleeve surgery?

Yes, you will require general anesthesia with an endotracheal tube to assist with your breathing during this procedure. Anytime you have an interactive Domino procedure where they READ MORE
Yes, you will require general anesthesia with an endotracheal tube to assist with your breathing during this procedure. Anytime you have an interactive Domino procedure where they use gas to insufflate your abdomen, this will be a normal process.

Can you breathe on your own under general anesthesia?

Yes, you can absolutely breathe on your own under general anesthesia. The only thing that should prevent that is either administration of a lot of opiates, which will the pressure READ MORE
Yes, you can absolutely breathe on your own under general anesthesia. The only thing that should prevent that is either administration of a lot of opiates, which will the pressure drive to breathe, or the usage of a paralytic, which will take your ability to use muscles that you normally breathe with. Generally speaking, paralytics are only used in cases that require them. Abdominal wall cases, or cases where movement would be a major issue like working on your brain or your eyeball.

What should you monitor during anesthesia?

The American Society of anesthesia that's what they considered to be the American Society of anesthesia's standard of monitoring. That includes, but is not necessarily limited READ MORE
The American Society of anesthesia that's what they considered to be the American Society of anesthesia's standard of monitoring. That includes, but is not necessarily limited to, EKG, blood pressure, pulse oximetry, and ability to detect carbon dioxide that is exhaled. That is the minimum monitoring that should be used for every single case, regardless of complexity or length.

Is topical anesthetic effective?

It is effective but has significant limitations. It takes about 30 minutes to have an effect and that effect only lasts about 20 minutes. It also only causes superficial anesthesia. READ MORE
It is effective but has significant limitations. It takes about 30 minutes to have an effect and that effect only lasts about 20 minutes. It also only causes superficial anesthesia. Meaning only the skin itself is generally anesthestized. anything deeper than that will be painful.

Also, the amount you can use can be limited by anesthetic toxicity if you cover a large area. so using it for something minor and quick is fine.

How long does it take to recover from deep sedation?

That's really too open ended of a question to answer with anything that is beneficial to you. Your wake up time depends on what meds you got, how long you received them, your body's READ MORE
That's really too open ended of a question to answer with anything that is beneficial to you. Your wake up time depends on what meds you got, how long you received them, your body's ability to metabolize or breathe off inhaled agents, the procedure and what effects it has on your CNS, how much post operative pain medication your procedure necessitates, etc., as well as whatever other medical issues you have will contribute. Assume 15 minutes to 2 hours as a range depending on the above.

How soon can you walk after dental anesthesia?

Assuming you just had local anesthesia placed in your mouth, you should be able to get up and walk out as soon as he is done with the procedure.

What happens when you go under dental anesthesia?

It really depends on the patient, the procedure you need, and the agreement between the anesthesiologist and the dentist. That's unfortunately a very broad answer, but you can READ MORE
It really depends on the patient, the procedure you need, and the agreement between the anesthesiologist and the dentist. That's unfortunately a very broad answer, but you can receive anything from mild sedation to where you are responsive and may or may not recall events all the way up to general anesthesia with a breathing tube and a breathing machine.

The best approach is to ask your dentist if it is an option , and what would be involved. Most Dental offices are not set up for general anesthesia which means you would have somewhere between light and heavy sedation. Most Dental offices I go to just want heavy IV sedation. You're going to be completely snoring and drooling on yourself while they work on your mouth, but no breathing tube is involved. I also go to one or two offices that typically want general anesthesia with a breathing tube. That's much more unusual.

What kind of anesthesia is used for shoulder arthroscopy?

Generally you'd require general anesthesia for that, although you could opt for a nerve block plus sedation. It can be difficult to get sufficient pain control for surgery with READ MORE
Generally you'd require general anesthesia for that, although you could opt for a nerve block plus sedation. It can be difficult to get sufficient pain control for surgery with just an interview nerve block, so general anesthesia is the most common option. You can have the block placed to assist in post operative pain control.

Why does it take so long to wake up from anesthesia?

That question has a multitude of potential answers. Length/type of surgery, amount and type of medications used, the sensitivity of the patient to the medications used all play READ MORE
That question has a multitude of potential answers. Length/type of surgery, amount and type of medications used, the sensitivity of the patient to the medications used all play a part. In addition, the ability of the patient to metabolize the medications is a factor. There's really not a single "good" answer you can hang your hat on.

Do they put you to sleep for ankle surgery?

It's optional depending on the procedure but it's possible to do sedation and nerve blocks