expert type icon EXPERT

Michael Panger

Anesthesiologist

Dr. Michael Panger is an anesthesiologist practicing in Charleston, West Virginia. Dr. Panger 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. Panger also might help manage pain after an operation.
Michael Panger
  • Charleston, West Virginia
  • West Virginia University
  • Accepting new patients

Why is my son hyper after anesthesia?

Most likely not related.

Is there a difference between local and regional anesthesia?

In local anesthesia, a local anesthetic is injected into the skin to allow pain-free surgery and is used for small skin lesions or dental work. Regional anesthesia implies placing READ MORE
In local anesthesia, a local anesthetic is injected into the skin to allow pain-free surgery and is used for small skin lesions or dental work. Regional anesthesia implies placing local anesthesia near nerves to numb an entire extremity and is used for more extensive surgery.

Is high blood pressure bad for anesthesia?

No. Complications from high blood pressure are very rare. Talk to your anesthesiologist about which blood pressure meds to take or not take.

Are children given anesthesia for cavity fillings?

If needed, yes. It would be better if the child can hold still, but sometimes this is not possible and the child needs an anesthetic.

Are people sedated in end-of-life care?

If they get opiates for pain, there is a sedative component to those medicines. Otherwise, no.

My son dislocated his shoulder. Is anesthesia needed for the repair?

Probably sedation for relocation. Definitely anesthesia if surgery needed. Ask for a regional block, too.

Is local anesthesia sometimes used for transplant surgery?

Most likely not. A corneal transplant may be amenable to local, but it is a tedious procedure and the eye must stay absolutely still so it is better under general anesthesia.

Is nausea normal after heart surgery?

There are many things that cause nausea, including narcotics for pain, so yes, it is possible after heart surgery.

Having a section of colon removed. What is the recovery time for this?

You will spend a couple of days in the hospital. Back to normal several weeks later.

What is the recovery time for "trigger finger?"

If you have a local anesthetic or hand block, recovery will be very quick. With general anesthesia, most of the day will be needed. The surgical recovery time should be addressed READ MORE
If you have a local anesthetic or hand block, recovery will be very quick. With general anesthesia, most of the day will be needed. The surgical recovery time should be addressed with your surgeon, but I suspect it will be 2-8 weeks.

I'm having a nose job. Will the anesthesia affect my high blood pressure?

It's possible, so it should be well controlled before your surgery. Also, certain meds should or should not be taken so make sure you get that info from your anesthesiologist, READ MORE
It's possible, so it should be well controlled before your surgery. Also, certain meds should or should not be taken so make sure you get that info from your anesthesiologist, not the surgeon. Anesthesiologists are more up to date on the appropriate meds to take or hold before surgery.

Are there any food restrictions after anesthesia?

No, but start with fluids then progress to solids as you can tolerate.

Can anesthesia lead to gastric troubles?

Typically, no. However, opiate medications can cause constipation-type problems or nausea.

Why do I need to meet the anesthesiologist before my surgery?

To get you prepared for the surgery and offer you options for the anesthetic. It also gives us a heads-up if you have any significant medical issues.

What anesthesia is easier to recover from?

Local. No neurologic side effects

What are the other types of anesthesia that is used in surgery?

There are only 2 others, regional anesthesia and local anesthesia, and both can be with or without intravenous sedation. Regional anesthesia would include any nerve block that READ MORE
There are only 2 others, regional anesthesia and local anesthesia, and both can be with or without intravenous sedation. Regional anesthesia would include any nerve block that numbs a region of the body, like a spinal anesthetic or an arm block, such as an axillary block. Local anesthesia is a local anesthetic applied to the skin where the surgery takes place.

Is back pain possible after an epidural?

Not usually although there can be some minor trauma. Most back pain is from physiologic changes that occur with pregnancy. Treat it as you would otherwise with strengthening and READ MORE
Not usually although there can be some minor trauma. Most back pain is from physiologic changes that occur with pregnancy. Treat it as you would otherwise with strengthening and stretching exercises and tylenol or NSAID's

Are older patients at risk for confusion after anesthesia?

Older patients can have a complication called POCD, postoperative cognitive dysfunction. Too complicated to get into here but ask your anesthesiologist about treatment strategies READ MORE
Older patients can have a complication called POCD, postoperative cognitive dysfunction. Too complicated to get into here but ask your anesthesiologist about treatment strategies prior to the surgery.

Is general anesthesia required for a bronchoscopy?

Yes. It is a very stimulating procedure and very difficult without anesthesia.