expert type icon EXPERT

Dr. Rainer S. Vogel, M.D.

Anesthesiologist

Dr. Rainer Vogel is a Board certified pain physician as well as board certified anesthesiologist practicing in Henderson, NV. He is a Diplomat of the American Board of Pain Physicians (DABIPP), a fellow of Interventional Pain Physicians (FIPP), a Diplomat of the American Board of Anesthesia (DABA) and a Diplomant of the American Board of Pain Medicine (DABIPM). Dr. Vogel provides advanced pain care and performed the most advanced procedures as well as non interventional pain management for patients with pain need. Dr. Vogel also might help manage pain after an operation.
22 years Experience
Dr. Rainer S. Vogel, M.D.
  • Henderson, NV
  • Univ Bern- Med Fak- Bern- Switzerland
  • Accepting new patients

What decides the medication before my surgery?

In general every person is a bit apprehensive ahead of surgical procedures. That is the reason why ahead of general anesthesia most of the anesthesiologists will give some Midazolam. READ MORE
In general every person is a bit apprehensive ahead of surgical procedures. That is the reason why ahead of general anesthesia most of the anesthesiologists will give some Midazolam. If the procedure is very short your provider may opt out to avoid that you are sleepy to long.

Is plavix( clopidogrel ) a blood thinner?

Plavix is not a 'blood thinner' but a platelet inhibitor. You will need to stop the medication at least 10 days before the surgery. However you should check with your cardiologist READ MORE
Plavix is not a 'blood thinner' but a platelet inhibitor. You will need to stop the medication at least 10 days before the surgery. However you should check with your cardiologist first and should have had a cardiac clearance. Following the surgery you can restart the medication in general 48 hours after the procedure. Some surgeon prefer you to be off Plavix a bit longer. Check with your provider.

Is laughing gas ok for someone with anxiety?

There is no contraindication to use Nitrous Oxide in patients with anxiety. No evidence exists that the inhalational gas will make anxiety worse.

Is anesthesia safe for older people with dementia?

There is some evidence that general anesthesia will make dementia worse. If it is a minor dental procedure I would suggest not to use general anesthesia but just local anesthesia. READ MORE
There is some evidence that general anesthesia will make dementia worse. If it is a minor dental procedure I would suggest not to use general anesthesia but just local anesthesia.

Chance of serious complication from anesthesia?

In general Anesthesia is very safe if performed by a Board Certified Anesthesiologist.

What is procedural anesthesia?

I assume this refers to anesthesia for a procedure. It is usually not general anesthesia but what we call conscious sedation. No breathing tube necessary.

Do I have to stop taking my vitamins before anesthesia?

These medications are save to take before general endotracheal anesthesia. However keep in mind in general to stop eating and drinking after midnight the night before surgery!

Am I really paralyzed under general anesthesia?

As a general rule you do use a palalytic agent when you put the patient asleep. You do this in order to avoid laryngeal spasms, which are spastic reactions of a part of your breathing READ MORE
As a general rule you do use a palalytic agent when you put the patient asleep. You do this in order to avoid laryngeal spasms, which are spastic reactions of a part of your breathing tract when using inhalational gases and/or during the placement of the breathing tube. Further during the surgery your body may have muscular contractions which can interfere with the surgery itself. Paralysation will avoid that.

Sickness after anesthesia?

Sickness after anesthesia is quite common. People who have usually motion sickness are at increased risk. You want to let your anesthesia provider know about that. The symptoms READ MORE
Sickness after anesthesia is quite common. People who have usually motion sickness are at increased risk. You want to let your anesthesia provider know about that. The symptoms should in general not last longer than 1-2 hours. Certain surgeries have an increased risk (Eye, ENT procedures as well as laparoscopic interventions).