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

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.

What kind of anesthesia will I be given for my cataract surgery?

Usually local anestheaia with minimal IV sedation

Is it safe for me to get an anesthesia after having my insulin injection?

Yes. The anesthesia team will check your blood sugar while you are under anesthesia.

Is anesthesia safe for my 87 year old mother?

Yes. Octogenarians have more cognitive problems post-op so ask if he/she could have a regional anesthetic.

Does anesthesia put extra stress on the liver?

There is only a small increased risk from the anesthetics. The surgery may be more of an impact, depending on what he is having done.

Can drinking have any impact on my anesthesia dosage?

Depends on how often and how much. Even if it is a lot, it should be easy to compensate. However, most wisdom teeth extractions use local anesthesia mainly, which alcohol consumption READ MORE
Depends on how often and how much. Even if it is a lot, it should be easy to compensate. However, most wisdom teeth extractions use local anesthesia mainly, which alcohol consumption would have no impact on.

Will my holistic medicine react with anesthesia?

Possibly. Let your anesthesiologist know so any interactions will be known.

Can three epidurals be a problem?

No more than the first. If you are having a C section though, I would assume you would have a spinal anesthetic and the risk is no more than the first

Do kids need anesthesia before being taken for a CT scan?

Not necessarily. If you can get him to hold still for a few minutes in the scanner, he won't need anesthesia. You should be able to be with him in the scan room to lessen his/her READ MORE
Not necessarily. If you can get him to hold still for a few minutes in the scanner, he won't need anesthesia. You should be able to be with him in the scan room to lessen his/her anxiety.

Sickness after anesthesia?

Relatively common. Ask your anesthesiologist about means to prevent nausea

What could be the symptoms of an anesthesia overdose? Is it possible?

The surgeon would have no idea. Ask your anesthesiologist. If you don't have access to an anesthesiologist, only a nurse anesthetist, go somewhere where a doctor is in charge READ MORE
The surgeon would have no idea. Ask your anesthesiologist. If you don't have access to an anesthesiologist, only a nurse anesthetist, go somewhere where a doctor is in charge of your anesthesia