expert type icon EXPERT

Dr. Bernard Wittels, M.D., PH.D.

Anesthesiologist

Dr. Bernard Wittels is an anesthesiologist practicing in Evanston, IL. Dr. Wittels 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. Wittels also might help manage pain after an operation.
38 years Experience
Dr. Bernard Wittels, M.D., PH.D.
Specializes in:
  • Anesthesia
  • General Anesthesia
  • Pain Management
  • Evanston, IL
  • University Of Chicago Div Of Bio Sci Pritzker School Of Medicine
  • Accepting new patients

How long is local anesthesia for a colon biopsy?

You can elect to receive sedation or monitored anesthesia care for an endoscopic colon biopsy, but there are no pain receptors in the colon, so you will not receive any local anesthetics; READ MORE
You can elect to receive sedation or monitored anesthesia care for an endoscopic colon biopsy, but there are no pain receptors in the colon, so you will not receive any local anesthetics; the intravenous anesthetic you receive will end when your biopsy is completed.

Will I get general anesthesia for an endoscopy?

Most upper and lower endoscopies are performed with intravenous sedation
with monitored anesthesia care and not general anesthesia.

Does fatty liver affect anesthesia?

Fatty liver is a term describing a liver condition that may be associated with excessive alcohol intake, uncontrolled diabetes, and morbid obesity, all of which can complicate READ MORE
Fatty liver is a term describing a liver condition that may be associated
with excessive alcohol intake, uncontrolled diabetes, and morbid obesity,
all of which can complicate the administration of general anesthesia as
well as the safety and complications from surgery.

Does finger surgery require local anesthesia?

Finger surgery can be performed with local anesthesia, local MAC (monitored
anesthesia care), regional anesthesia, or general anesthesia.

local anesthesia

You are correct in stating that local anesthetics do not cause urine retention. Were you given any other medications; did you take any other pain medications after the procedure? READ MORE
You are correct in stating that local anesthetics do not cause urine retention. Were you given any other medications; did you take any other pain medications after the procedure? Opioids are the most common culpritsand can be found in many medications prescribed by doctors.

Is it okay to have high blood pressure after local anesthesia?

High blood pressure is never "okay". You should have it measured repeatedly and consult a medical specialist if your BP measurements remain high.

anesthesia along with meth

Methamphetamine is a drug that can ruin your teeth, cause you to have a heart attack or stroke, or affect your thinking so that you take unsafe risks and behaviors that are a threat READ MORE
Methamphetamine is a drug that can ruin your teeth, cause you to have a heart attack or stroke, or affect your thinking so that you take unsafe risks and behaviors that are a threat to your life. These risks do not dissipate after 7 days, as you have discovered the powerful addictive
quality of this drug. You need to seek counseling and treatment with medicines that can help you break the habit and save your life. No anesthesiologist will give you anesthesia if there is methamphetamine in your system because it increases the risk of intraoperative and postoperative death to unacceptable levels.

Vomitting

Vomiting, or emesis, is common after general anesthesia, especially in women who are undergoing outpatient surgery. The best anesthesia can do is to administer multiple antiemetic READ MORE
Vomiting, or emesis, is common after general anesthesia, especially in women who are undergoing outpatient surgery. The best anesthesia can do is to administer multiple antiemetic drugs, place a scopolamine patch behind your ear, and empty your stomach with an OG tube prior to waking you up from surgery.

Help I Am Scared

In my experience, those patients who do not wake up after surgery are patients who were already on death's door with critical vital signs, critical illnesses, and multiple medical READ MORE
In my experience, those patients who do not wake up after surgery are patients who were already on death's door with critical vital signs, critical illnesses, and multiple medical and surgical problems that posed a severe risk of immediate loss of life. Cirrhosis of the liver and an
inguinal hernia do not fall into those categories. As a result, I suspect that you will wake up after the surgery in better condition than when you entered the operating room. Look forward to the excellent care your anesthesiologist and surgeon will provide to make your life better.

Can endoscopy be done under general anesthesia?

Most endoscopies are done either with light sedation or with monitored
anesthesia care. General anesthesia is not required.

What can't you eat after anesthesia?

When you wake up after general anesthesia, your brain wakes up first and your bowels wake up last, so your brain may tell you that you are hungry, but your inactive bowels will READ MORE
When you wake up after general anesthesia, your brain wakes up first and
your bowels wake up last, so your brain may tell you that you are hungry,
but your inactive bowels will forcibly reject any food it receives until
the bowel have fully recovered function (bowel sounds return, flatus, etc.).

Failed epidural and spinal block for c-section?

There are many possible causes for a failed epidural block, the most common of which is that the "epidural catheter" is not in the epidural space. A failed spinal block can be READ MORE
There are many possible causes for a failed epidural block, the most common of which is that the "epidural catheter" is not in the epidural space. A failed spinal block can be due to the movement of the patient or the spinal needle during injection such that not all of the intended spinal local anesthetic is injected and an insufficient block results. Another potential cause of these failures is that the local anesthetic that is used is either beyond its expiration date or has come from a "bad" lot (batch) of drugs in which all of the local anesthetic has gone bad. When a failure occurs, the best option is to get the most experienced, senior anesthesiologist to do your epidural or spinal or combined spinal-epidural anesthetic.

Can a skin graft be done under local anesthetic?

Yes, it is safe; however, it cannot be done under local anesthesia. Depending on the site and size of the skin graft, it may be possible to do under a regional anesthetic (nerve READ MORE
Yes, it is safe; however, it cannot be done under local anesthesia. Depending on the site and size of the skin graft, it may be possible to do under a regional anesthetic (nerve block), but larger skin grafts are usually done with general anesthesia.

How long do headaches last after general anesthesia?

Headache comes in many forms (cluster, migraine, positional, etc.) and has many causes, but they are completely unrelated to general anesthesia. Unfortunately, many patients who READ MORE
Headache comes in many forms (cluster, migraine, positional, etc.) and has many causes, but they are completely unrelated to general anesthesia. Unfortunately, many patients who receive anesthesia for surgery tend to blame anesthesia for a host of symptoms when in fact their symptoms reflect an undiagnosed problem that is totally unrelated to anesthesia.

Can shoulder surgery be done with local anesthesia?

Some types of shoulder surgery can be done with an interscalene nerve block and either IV sedation or general anesthesia.

Can you have rotator cuff surgery without general anesthesia?

Rotator cuff surgery can be done under an interscalene nerve block with IV sedation.