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

If my anesthesia is delivered in the back, can its traces mix in the spinal fluid?

No. Once it diffuses out of your cerebrospinal fluid and into your bloodstream, it is broken down and excreted by the kidneys or liver.

What should I expect during general anesthesia?

Depends on the procedure and the duration, anything from very limited side effects to pain with nausea and vomiting potential.

Why do I have numbness in my face after an anesthesia?

If it's around your lips, would be from a local anesthetic injection that could last a couple days or weeks. The wisdom teeth extraction may have caused nerve injury also, which READ MORE
If it's around your lips, would be from a local anesthetic injection that could last a couple days or weeks. The wisdom teeth extraction may have caused nerve injury also, which may last a while. Only thing to do is wait and see what happens.

How does anesthesia work on the body?

No one has actually determined how general anesthetics work. There are theories, but each lacks complete validity. The major risks are to your heart, brain and lungs and include READ MORE
No one has actually determined how general anesthetics work. There are theories, but each lacks complete validity. The major risks are to your heart, brain and lungs and include heart attacks, death, stroke, and breathing problems.

Is it risky to undergo anesthesia with a common cold?

Most likely. This sounds like an elective procedure, wait until you feel better!

For corn removal will the doctor give me anesthesia?

Yes. An injection around the lesion so it can be removed painlessly. The injection stings for a few seconds, though.

Can hypertension along with anesthesia become a problem?

Yes. Anesthesia can have some protective effect, but similar to when not under anesthesia, effects of hypertension such as stroke can still occur.

Can anesthesia cause drowsiness long after surgery?

No. The most common cause for sedation post op is narcotic use, whether intravenous or oral.

Can anesthesia cause confusion in the mind of a patient?

A significant portion of elderly surgical patients suffer from a condition called POCD (postoperative cognitive dysfunction). The mechanism is ill-defined and multifactorial. The READ MORE
A significant portion of elderly surgical patients suffer from a condition called POCD (postoperative cognitive dysfunction). The mechanism is ill-defined and multifactorial. The time frame for recovery is also not totally clear and may last for a long time. If you search the above term, you may get some more answers.

Can anesthesia be administered to a patient with diabetes?

Yes. If elective, blood sugar should be controlled. If emergency surgery, we do our best to control blood sugar.

What can I do for the back pain that has started two years after my C-section?

You should make an appointment to have your back evaluated. The spinal would not be the reason for your pain.

I am having a painful sensation around my tailbone after a blood patch was done. What could be the reason?

I would think they are not related. The spinal and patch would be in the lower back, the lumbar area, which is too far removed from the coccyx area. You should simply monitor the READ MORE
I would think they are not related. The spinal and patch would be in the lower back, the lumbar area, which is too far removed from the coccyx area. You should simply monitor the tailbone area. If it doesn't get better in a few days or gets worse sooner, seek medical advice.

Is laughing gas ok for someone with anxiety?

Nitrous oxide (laughing gas) will not make your anxiety worse but may not be enough to make you sedated for the procedure, you may need some extra intravenous medicine.

Is anesthesia safe for older people with dementia?

It is safe but it may aggravate dementia, a condition called post operative cognitive dysfunction (POCD). This is a phenomenon difficult to eliminate but can be reduced by using READ MORE
It is safe but it may aggravate dementia, a condition called post operative cognitive dysfunction (POCD). This is a phenomenon difficult to eliminate but can be reduced by using regional anesthesia when possible, limiting narcotics and benzodiazepines, and providing familiarity to those older patients.

Chance of serious complication from anesthesia?

There is always a risk, however small

Nausea after surgery

Nausea can sometimes be a very difficult problem. If a patient is known to have postoperative nausea or vomiting, certain medications can be given and some can be avoided. For READ MORE
Nausea can sometimes be a very difficult problem. If a patient is known to have postoperative nausea or vomiting, certain medications can be given and some can be avoided. For instance, avoiding narcotics can lessen your chance of postoperative nausea or vomiting. Others can be given to prevent this problem. It is best to mention it to your anesthesiologist so a plan can be made ahead of time.

Am I really paralyzed under general anesthesia?

Not necessarily, muscle paralysis is not a necessary part of a general anesthetic. It may facilitate artificial breathing or be beneficial in some procedures, such as chest or READ MORE
Not necessarily, muscle paralysis is not a necessary part of a general
anesthetic. It may facilitate artificial breathing or be beneficial in
some procedures, such as chest or head surgery. Other times, muscle
paralysis is not used and in some cases, may be catastrophic.

What is procedural anesthesia?

They actually are the same. I believe the term you may have heard is procedural analgesia or procedural sedation, which implies administration of medications to maintain cardiorespiratory READ MORE
They actually are the same. I believe the term you may have heard is
procedural analgesia or procedural sedation, which implies administration
of medications to maintain cardiorespiratory function while allowing a
patient to undergo a procedure without significant pain or anxiety.

MP