Dr. Peter C. Loux

Some of the roots of teeth are very close to some of the facial nerves. Follow up with your dentist.

Yes. Medication are cleared by the liver. You should be medical cleared by your hepatologist for elective surgery prior to surgery.

Most insurance companies will not cover the patient to have an anesthesiologist give you general anesthesia.

That depends on what you’re glucose level is and if you’re eating after the surgery. Some surgeries can and are done with local anesthetic and without restrictions on eating. Check with your surgeon before to coordinate your surgery and medical needs.

The answer is yes with a question mark. The outcome is patient specific depending upon the health of the patient, the type of surgery required, and the surgery history. Best to get a anesthesiologists opinion who will be taking care of your mom.

That depends on the agent used for the local anesthesia. Your dentist should be able to tell you the half life of the drug and whether it is highly protein bound. The longer half life and higher protein bounding will result in increased length of analgesia.

That depends on what you are taking, so take it with you and a description to your anesthesia provider. Assuming your holistic approach to your diabetes has you in good control, I would not think the pills you are taking would interfere, but some do increase the problem with bleeding so make sure your surgeon is also aware.

Good luck.

Can you imagine a three year old boy staying still for more than a few minutes? Most children this age require the assistance of some level of sedation, and the safest way is to have an anesthesia team provide that assistance.

While there is risk with everything in medicine, having a third epidural for your next C-section is no more risky than having your first or second or in the future if you were to have another baby. General anesthesia and regional anesthesia are about the same risk level in anesthesia literare when talking about elective deliveries in obstetrics.

Your effect from the anesthesia should be worn off within a short time, typically within 24 hours. However, you had a surgical procedure that will be a stressor to your body and the process of healing will take up to several weeks. Factors also that need to be considered is what pain medications you are taking and how extensive the procedure was on your body. A DNC is considered a minor surgery, but did you have a lot of blood loss for example.

http://www.asahq.org/resources/patients/patient-education-brochures


The above link will get you answers to this broad question.

A corn on the toe or foot is considered to be squamous cell tissue, that is, extra tissue and virtually dead. The shaving of this tissue can be done without anesthesia local or IV meds, since the nerve endings are no longer functional. Ask your podiatrist or foot surgeon what he usually does prior to the date of the operation to make your decision about the surgery.

I have been pondering this question, because there is not a perfect answer to offer in my opinion.
The individual is worried about an overdose of medication during the procedure, while that is possible, it is also highly unlikely if the anesthesia team are doing what they do on a daily basis. I would suggest that the person have the surgeon ask for an anesthesia consult preoperatively during a less than stressful day, and have the patient list a series of questions that they want answered. That way, the two principals will have a chance to understand each other face to face. That is the best solution for the question about ways to lessen the impact for the anxious patient.
The American Society of Anesthesiologist has a web page that might help:

- <https://www.asahq.org/>

Over the past century, physician anesthesiologists have advanced patient safety through innovative research, science and technology advancements. Whether in the operating room, procedure room, intensive care unit or pain clinic, physician anesthesiologists are committed to delivering the safest medical care that every patient deserves before, during and after surgery.

Even though anesthesia is safer than ever, the administration of anesthesia is a complex and technically demanding medical procedure. It requires a physician who has the extensive medical education (up to 14 years) and clinical training (12,000-16,000 hours) to evaluate your medical condition, recommend an appropriate anesthesia plan, diagnose and treat problems that might surface during a procedure, and make critical, split-second decisions that can save your life.

*Who is in charge of your life?*
You have a right to know. Before undergoing a surgical procedure, you need to know who will be providing your anesthesia and ask for your physician anesthesiologist. Be sure your physician anesthesiologist is aware of your prior anesthesia and medical history, as well as any medications you currently take.

For more information visit *asahq.org/WhenSecondsCount
<https://www.asahq.org/whensecondscount>**.*
*​ ​https://www.asahq.org/whensecondscount
<https://www.asahq.org/whensecondscount>*


I hope this might help in your quest for knowledge and ease your anxiety.

Dentist us inhalation sedation frequently to assist in relief of anxiety. While it is possible that your personal reaction might be different, the vast majority of patients with anxiety find a calming relief from nitrous oxide. As always when undergoing analgesia or sedation, make sure the dental team has a pulse oxygen analyser attached to you during the procedure and appropriate equipment available to handle any respiratory complications.

Post operative cognitive dysfunction (POCD) is a known event that occurs in elderly individuals undergoing anesthesia and surgery. Sometimes permanent dysfunction does occur, sometimes it is transient. The question from the family left some detail missing, but an article that discusses the problem is attached. Contact your anesthesia provider for more detailed information.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959222/

Is this a recurrent pneumonia problem? I would ask why to the CT rather than why to anesthesia. However, depending on the child, most two year olds will need something to allow them to stay still for the few minutes that it takes to get good pictures. Sometimes just sedation is all that is needed. Some children are capable of staying still if spoken to about the procedure... it is very much an individual situation.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958666/

This is about semantics. Anesthesia is the insensitivity to pain, especially as artificially induced by the administration of gases or the injection of drugs before surgical operations. Surgery is a procedure, Combine the both and you can take your pick how you want to describe the event.

That is not totally accurate to say you are paralyzed under anesthesia. But during surgery, there may be a need for the muscles to be relaxed for the surgeon to be able to perform his duties. So an anesthesia provider might use medications that will block the transmission of nerve impulses to the muscles and thereby cause a blockade of the neuromuscular transmission, or in layman's terms to paralyze the muscles. General anesthesia is a combination of sedatives and hypnotics and inhalation anesthetics that will interfere with the cognitive function of the brain, and muscle relaxants to aid the surgeon in his need to get to whatever he might be operating upon. Not all general anesthetics require muscle relaxation, but some aid the procedure.

Some herbal medication interfere with the neural transmission (MAOI medication) in the brain and can lead to rapid and sometimes disasters when given medication that are used in anesthesia. Other herbals might also interfere with blood coagulation and lead to an increase in postoperative bleeding. However, there are no good evidenced based studies comparing the effects and outcomes of herbals or vitamins and anesthesia medication. Most of the data is anecdotal and from clinical reviews of cases. It should be safe for you to continue with b12, probiotics and vit D3, but check with your surgeon about his preferences.

This is a complex question that needs much more information than can be evaluated here. You need to have your pediatrician and your surgeon and your anesthesiologist all on the same page and realize that surgery is the greatest stressor to the patient, and that stress will change the way the insulin is handled for the individual patient. Extra care and planning are always good when evaluating and treating juvenile diabetics.