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

Is regional anesthesia the same as local?

Local anesthesia implies injection of an anesthetic in an area where the procedure will be done. Regional anesthesia implies injection of local anesthesia near a nerve bundle to READ MORE
Local anesthesia implies injection of an anesthetic in an area where the procedure will be done. Regional anesthesia implies injection of local anesthesia near a nerve bundle to produce anesthesia in limb or area of the body. Both use local anesthetic medicines, but produce vastly different results.

What are the side effects of regional anesthesia?

Low incidence of short term (week or so) pain or paresthesia.

Can you get paralyzed by an epidural?

Yes but extremely rare for it to occur.

How many hours can you be under anesthesia?

There really is no time limit

Is regional anesthesia safe?

Absolutely. There are risks with any surgical or anesthetic intervention, though.

What type of anesthesia is used for shoulder replacement?

The most common way is to have general anesthesia with an interscalene regional block. You can have the interscalene block by itself without any other meds if desired. Or straight READ MORE
The most common way is to have general anesthesia with an interscalene regional block. You can have the interscalene block by itself without any other meds if desired. Or straight general anesthesia without a block.

Does anesthesia affect diabetes?

No, other than you are unable to respond if your sugar is too high or too low. Fingerstick sugars are checked frequently while you are under anesthesia.

Can you have general anesthesia without intubation?

Yes, it occurs frequently. It depends on your physical status and site of the surgery.

How long does it take for a patient to wake up from sedation?

Depends on the drugs used. Anywhere from 15 minutes to couple of hours

How long does vomiting last after anesthesia?

Can be short lived or extended, or none at all. There is no exact answer. Anesthesiologists take measures to prevent it as much as possible.

Can local anesthesia cause nerve damage?

Yes, if injected into a large nerve

Does local anesthesia affect your heart?

Only if there is an overdose

How long are you asleep after open heart surgery?

Some for several hours and some immediately after surgery

Are you awake during back surgery?

If you are implying surgery that involves the bones, no. All patients are under general anesthesia.

What happens to your brain under general anesthesia?

Ion channels in the membranes of brain cells are reversible blocked, causing unconsciousness, analgesia, and amnesia.