expert type icon EXPERT

Dr. Marc Morales

Anesthesiologist

Dr. Marc Morales is an anesthesiologist practicing in Phoenix, Arizona. Dr. Morales ensures the safety of patients who are about to undergo surgery. Anesthesiologists 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. Morales also might help manage pain after an operation. Dr. Morales is skilled in alternative pain management including acupuncture.
Dr. Marc Morales
Specializes in:
  • Anesthesia
  • Phoenix, Arizona
  • Universidad Tech Santiago
  • Accepting new patients

Why is my son hyper after anesthesia?

I am not sure how old your son is, or what anesthesia he received. I am also not aware if he had any pre-existing conditions. There are some patients, however, that when they receive READ MORE
I am not sure how old your son is, or what anesthesia he received. I am also not aware if he had any pre-existing conditions. There are some patients, however, that when they receive anesthesia can have some opposite effects to the expected sedation. These people may experience and increase in activity rather than sedation. This in medicine is referred to as a type
of adverse effect or sometimes a limited idiosyncratic reaction or basically an unexpected reaction. Some children for example when given a sedative instead of getting tired, speed up. These reactions are typically rare and time limited, and should disappear as the anesthesia or medication is metabolized and eliminated from the body.

If the symptoms continue, it would be wise to have your son examined by his pediatrician and or internist and consult with the anesthesiologist to determine what, if any, of the medications used may have contributed to this.

Is there a difference between local and regional anesthesia?

Yes, there is difference between local and regional anesthesia, however, it can come confusing. Local anesthesia is typically adding anesthesia to a small area. An example may READ MORE
Yes, there is difference between local and regional anesthesia, however, it can come confusing. Local anesthesia is typically adding anesthesia to a small area. An example may be if you had a laceration to your scalp requiring stitches, we would often use Lidocaine to numb the area with the laceration so it could be repaired with stitches. In regional anesthesia, as the word implies, we are blocking a region in the distribution of path of the nerve, so a larger area. A good example of this may be if you had medical reasons where doing general anesthesia should be avoided, and say perhaps a fractured wrist. The doctor wants to reduce the fracture and place an initial cast. We could do a regional anesthesia that would block the sensation going to the wrist/hand by blocking the nerve/branches. Thus a small amount of anesthetic can be used and kept in the area by slowing down blood flow, and the reduction of the fracture can be done painlessly without the risk or bother of general anesthesia. There are other examples, but I hope this explains the difference.

Is high blood pressure bad for anesthesia?

Generally, prior to any surgery you will meet with the anesthesiologist and/or the surgeon will get a clearance from your doctors that you are stable from medical standpoint for READ MORE
Generally, prior to any surgery you will meet with the anesthesiologist and/or the surgeon will get a clearance from your doctors that you are stable from medical standpoint for the surgery. All vital signs including your blood pressure are closely monitored during the surgery. Typically, you may even be allowed to take your normal blood pressure medicine prior to surgery depending when it is scheduled. Most anesthesia used causes the blood pressure to drop slightly and therefore it is carefully monitored. Fluids are usually given as well to normalize your fluid and electrolyte status. If you have any other concerns or questions prior to your surgery, please let your surgeon, internist, or anesthesiologist know.

Are children given anesthesia for cavity fillings?

Yes if she is in good health and not allergic to local anesthetic such as Lidocaine or Novocain the dentist will likely numb the gum area with local anesthetic swab then inject READ MORE
Yes if she is in good health and not allergic to local anesthetic such as Lidocaine or Novocain the dentist will likely numb the gum area with local anesthetic swab then inject the anesthetic to numb the area. Most children tolerate this well but some very fearful patients depending on the office facility and personnel may use a form of mild sedation before the procedure. Talk this over with the dentist to determine what will work best in their opinion and minimize the discomfort

Marc A Morales MD

Are people sedated in end-of-life care?

This is an excellent question and depends on many factors, as to the wishes of the patient, facility, family, etc. Many patients, depending on the situation, may be on pain medication READ MORE
This is an excellent question and depends on many factors, as to the wishes of the patient, facility, family, etc. Many patients, depending on the situation, may be on pain medication which in itself has a side effect of sedation, but many may have wishes for as-needed sedation. An example may be a patient who has lung cancer and has "air hunger" or shortness of breath, which leaves them feeling anxious despite oxygen. In those cases, an IV drip of a sedative agent which can be turned up or down to keep the patient comfortable, but still interactive can be excellent.

There are many strategies than can be implemented, often Hospice or Pallative care physicians may feel comfortable recommending the proper combination of medications. If in doubt, ask for an anesthesia consult in addition, as often anesthesiologists are experts at reducing pain and maintaining sedation at a proper level to allow for patient comfort, but
can be easily woken. These medications often have reversal agents should there be an imbalance causing over sedation.

The best advice I can give family members and patients is to meet with their family and physicians before filling out power of health care living will or advance care directives. If done with pallative or hospice doctors and staff, and including anesthesiologists if needed, the type of sedation and or pain relief can be discussed and implemented before it is needed.

Are there any food restrictions after anesthesia?

There may be food restrictions if having a type of gastrointestinal surgery or procedure, but typically not from anesthesia alone. Some anesthesia may cause nausea, therefore READ MORE
There may be food restrictions if having a type of gastrointestinal surgery or procedure, but typically not from anesthesia alone. Some anesthesia may cause nausea, therefore immediately after, ice chips, or clear liquids or jello may be best until you are sure you are able to tolerate regular food

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

For relocation of a shoulder, typically we utilize a combination of sedation plus a pain medication intravenously to assist in reducing the shoulder. If further surgical intervention READ MORE
For relocation of a shoulder, typically we utilize a combination of sedation plus a pain medication intravenously to assist in reducing the shoulder. If further surgical intervention would be required to repair any tendon or ligament damage, then usually a general anesthetic is utilized with a local anesthetic often added after surgery to enhance pain relief.

Do I need anesthesia to get my chipped teeth fixed?

Generally the dentist will likely utilize local anesthesia to repair them they can block all the lower teeth on one side or the other by using a local block... upper teeth require READ MORE
Generally the dentist will likely utilize local anesthesia to repair them they can block all the lower teeth on one side or the other by using a local block... upper teeth require injection locally to the individual teeth involved. Some oral surgeons utilize sedation as well but be sure to discuss that before hand and determine if they have proper personnel and equipment to monitor that if it is required.

Marc A Morales MD

Is local anesthesia sometimes used for transplant surgery?

With a transplant surgery typically this would require general anesthesia. Your surgeon and anesthesiologist will come up with the safest plan for anesthesia wise given your basic READ MORE
With a transplant surgery typically this would require general anesthesia. Your surgeon and anesthesiologist will come up with the safest plan for anesthesia wise given your basic general health, kidney function, etc.

Marc A Morales MD

Is nausea normal after heart surgery?

It would be unusual to have nausea a week or so from stent placement however you should review your medication list with your internist and your pharmacist to insure that no new READ MORE
It would be unusual to have nausea a week or so from stent placement however you should review your medication list with your internist and your pharmacist to insure that no new medications have been started or that there are any possible interactions from any of the medications that you are taking.

Marc A Morales MD

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

With this question, there is lot I am not able to tell you exactly. Your age, general health, and other medical conditions, the length of bowel being resected, and if on steroids READ MORE
With this question, there is lot I am not able to tell you exactly. Your age, general health, and other medical conditions, the length of bowel being resected, and if on steroids or other similar immuno-suppressive agents may affect recovery time. The general anesthesia time is unknown because it will start just before your procedure and end slightly after the procedure. If you have never had any problems with anesthesia before, and if you have good general health, the recovery from the anesthesia portion should be relatively quickly. Some patients experience some nausea, and sleepiness depending on the length of the procedure, agents used, etc.
Hopefully this gives you some answers, prior to your operation, the surgeon and anesthesiologist typically will meet with you directly to discuss this. Please raise these questions with them. Good luck on your procedure.

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

It is always best to make sure your internist is aware of the surgery you are having and that there are no contraindications to having the surgery. In most cases, the anesthesia READ MORE
It is always best to make sure your internist is aware of the surgery you are having and that there are no contraindications to having the surgery. In most cases, the anesthesia provider will meet with you briefly before the surgery to make sure as well everything is good to go. Most of the time, we ask that patients take the normal blood pressure medication prior to surgery. Most anesthetics utilized typically lower blood pressure local anesthetics may raise them slightly if they contain an additive that helps to prevent localized bleeding. However, the anesthesiologist is prepared for these things, and if you have any other concerns or questions, please feel free to ask your private physician and/or the anesthesia provider so that you won't worry.

Is plastic surgery done with anesthesia?

This depends on the physician doing the procedure, your general health etc. Often a local anesthetic can be used with mild sedation if necessary

For a bronchoscopy, will I need anesthesia?

This often depends on the reason for bronchoscopy. Most often those because the vocal cords are very sensitive and can result in bronchospasm a short acting sedative is utilized READ MORE
This often depends on the reason for bronchoscopy. Most often those because the vocal cords are very sensitive and can result in bronchospasm a short acting sedative is utilized with monitored anesthetic care (MAC).

Can I get anesthesia two times in a time gap of just one month?

Provided you are in good general health, and had no prior problems with anesthesia, yes anesthesia would be safe during that time period.

Is anesthesia needed for a fistula procedure?

Yes, generally, anesthesia would be used for fistula creation and/or repair. At times, a local nerve block can be utilized if absolutely necessary. The surgeon and anesthesiologist READ MORE
Yes, generally, anesthesia would be used for fistula creation and/or repair. At times, a local nerve block can be utilized if absolutely necessary. The surgeon and anesthesiologist will come up with the best plan to handle the surgery from an anesthetic standpoint, taking into account your mother's general health and other medical conditions.

Can anesthesia lead to nerve damage?

I am unsure what anesthetic procedure you are speaking about. Generally, no anesthetic should cause nerve damage. Improper technique could hypothetically cause damage to a nerve READ MORE
I am unsure what anesthetic procedure you are speaking about. Generally, no anesthetic should cause nerve damage. Improper technique could hypothetically cause damage to a nerve if injected, but even that would be rare and usually temporary.

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

While I am not sure what surgery you are having or other medical problems you may have if any, it is quite routine to have a meeting with the anesthesiologist. The anesthesiologist READ MORE
While I am not sure what surgery you are having or other medical problems you may have if any, it is quite routine to have a meeting with the anesthesiologist. The anesthesiologist will review your general health, your past history if any with sedation, or anesthetic agents, the medications you are on if any, and general medical conditions. They usually also will perform a brief medical exam. After reviewing all the information they obtained they will review with you the general plan they have for the type of anesthetic that would be best suited for you based on the procedure planned, and your medical history. They will go over any concerns and answer any questions you may have about the anesthesia and how it will be provided, and recovery time. They will also go over any side effects, or complications that may be present, if any, for the anesthesia planned. During the visit they will address and answer any questions you have as well. This way you as the patient, and your anesthesiologist are both on the "same page", comfortable with the anesthetic plan, and have your questions or concerns answered so each of you are comfortable. I hope this answers your question

Do I need to stop taking Adderall before I take anesthesia?

Thank you for the question, Typically, Adderall is given in short or long acting preparations. If the Adderall does not affect your blood pressure or heart rate (which in some READ MORE
Thank you for the question,

Typically, Adderall is given in short or long acting preparations. If the Adderall does not affect your blood pressure or heart rate (which in some it can), or interfere with any of the planned anesthetic agents, you usually will not have to stop it, but take your last dose typically 8 hours prior to your surgery, and resume when you can tolerate oral fluids and medications. However, you should always address starting and stopping medications with your attending physician and attending anesthesiologist, as they will know what if any other factors or history they may be concerned with prior to medial branch nerve ablation (burning of the nerves).

I have sleep apnea and am scheduled for an upcoming surgery. Are there any risks?

Thank you for your question. As there are several reasons for sleep apnea this should always be discussed with your anesthesiologist. The causes of sleep apnea also may be related READ MORE
Thank you for your question. As there are several reasons for sleep apnea this should always be discussed with your anesthesiologist. The causes of sleep apnea also may be related to other medical conditions which may play a role in anesthetic selection. Since this is a knee surgery and typically requires general anesthesia, although the sleep apnea typically does not directly affect the anesthesia, depending on the severity of it, and if due to an uncorrected anatomical airway obstruction it is something as an anesthesiologist would want to be aware of and take precautions for if warranted. Otherwise typically the diagnosis of sleep apnea alone is not a concern.