Dr. Bernard Wittels M.D., PH.D.
Anesthesiologist355 Ridge Avenue Evanston IL, 60202
Dr. Bernard Wittels is an anesthesiologist practicing in Evanston, IL. Dr. Wittels ensures the safety of patients who are about to undergo surgery. Anesthesiologists specialize in general anesthesia, (keeping patients unconscious, hemodynamically stable, and pain-free), sedation, (reducing anxiety and inducing a state of calm sleepiness) , and regional anesthesia, (numbing a region of the body using local anesthetics). As an anesthesiologist, Dr. Wittels also provides acute pain management after an operation using peripheral nerve blocks and patient-controlled intravenous opioids.
Education and Training
Univ of Chicago, Pritzker Sch of Med, Chicago Il 1986
U Of Chgo Div Of Bio Sci Pritzker Sch Of Med 1986
AnesthesiologyAmerican Board of AnesthesiologyABA
Dr. Bernard Wittels M.D., PH.D.'s Expert Contributions
She moves in a stealthy manner, makes no sounds, emits no scent, you insist that you don’t know her and you have no reason to be suspicious of anything. Who is this sly culprit? Your cardiologist knows her, your nephrologist does too; even your opthalmologist, internist, obstetrician and...
Many pregnant women near their delivery date have preconceived notions about the management of their labor and delivery. Some plan a “natural” delivery, some want only intravenous opioids for pain relief, and others want an epidural anesthetic as soon as possible. For women who have never...
There are many possible causes for a failed epidural block, the most common of which is that the "epidural catheter" is not in the epidural space. A failed spinal block can be due to the movement of the patient or the spinal needle during injection such that not all of the intended spinal local anesthetic is injected and an insufficient block results. Another potential cause of these failures is that the local anesthetic that is used is either beyond its expiration date or has come from a "bad" lot (batch) of drugs in which all of the local anesthetic has gone bad. When a failure occurs, the best option is to get the most experienced, senior anesthesiologist to do your epidural or spinal or combined spinal-epidural anesthetic. READ MORE
Yes, it is safe; however, it cannot be done under local anesthesia. Depending on the site and size of the skin graft, it may be possible to do under a regional anesthetic (nerve block), but larger skin grafts are usually done with general anesthesia. READ MORE
Headache comes in many forms (cluster, migraine, positional, etc.) and has many causes, but they are completely unrelated to general anesthesia. Unfortunately, many patients who receive anesthesia for surgery tend to blame anesthesia for a host of symptoms when in fact their symptoms reflect an undiagnosed problem that is totally unrelated to anesthesia. READ MORE
Some types of shoulder surgery can be done with an interscalene nerve block and either IV sedation or general anesthesia. READ MORE
Rotator cuff surgery can be done under an interscalene nerve block with IV sedation. READ MORE
yes READ MORE
"Knee replacement" or total knee arthroplasty cannot be tolerated by any patient without supplemental general anesthesia, although most often it is accompanied by nerve blocks that significantly attenuate the postoperative pain. You would never be able to tolerate that sort of surgery without general anesthesia. READ MORE
If your goal is to rid your body of all anesthetic substances administered, then the only thing you can do is wait about 7-10 days and none will remain. READ MORE
Yes, all pregnant women in labor deserve the best pain relief for their labor and delivery, which usually means and epidural anesthetic or a combined spinal-epidural anesthetic. READ MORE
There are many types of headaches and many potential causes of headaches, but local anesthetics have NEVER been shown to cause them. All numbing and other effects of local anesthetics disappear completely after 24 hours. Go see a headache specialist. READ MORE
General anesthesia not only puts your brain to sleep, but also your bowels, and your brain recovers faster than your bowels, which is why nausea is common in the first few hours after general anesthesia. Constipation has many causes, the most common of which is a diet poor in fiber and roughage. If this is your diet before surgery, your constipation might be worse after general anesthesia. Also, opioids taken for pain relief have a strong constipating effect and should be discontinued as soon as possible. Finally, antibiotics that are routinely given to prevent infection can change your gut flora to cause irregular bowel habits. There are gut flora supplements you can take to replenish your normal gut flora and return to normal bowel habits. READ MORE
After receiving anesthesia for a surgery, you are given instructions by your surgeon on any limitations to physical activity and any complications of surgery to anticipate, and your anesthesiologist should also caution you not to make any significant financial or marital decisions in the 24 hours following surgery; of course, you should not be allowed to fly any plane in that time window. READ MORE
NO READ MORE
To have all traces of drugs and agents given to you during general anesthesia, the tincture of time is the only answer and the speed with which those effects dissipate depends directly on their specific drug elimination half-lives. That usually means in a day or two, perhaps up to a week if you need to perform higher cognitive skills (solving differential equations, piloting a jet aircraft, or playing a Rachmaninoff piano concerto). READ MORE
Hair loss (alopecia) has many potential causes, but general anesthesia itself is not one of them. READ MORE
NO READ MORE
Recovery after surgery with general anesthesia depends not only on the anesthetic medications you received, but also on the type of surgery you had. More invasive and extensive surgeries require more postoperative pain medications that may complicate and prolong recovery. Nearly all anesthetic drugs dissipate completely after 24 hours. READ MORE
Regional anesthesia is a broad term that encompasses all forms of nerve blocks and may include interscalene, supraclavicular, infraclavicular, axillary, median, ulnar and radial nerve blocks, as well as fascia iliaca, femoral nerve, obturator canal block. sciatic nerve block, popliteal nerve block, ankle block, spinal anesthesia, epidural anesthesia and combinations of the above. READ MORE
Yes, spinal anesthesia can lead to a very severe, positional headache that dissipates completely when supine, then recurs immediately and severely upon standing and walking. READ MORE
I cannot give you a specific, detailed answer to your question without knowing what your dentist gave you; however, one drug that dentists use (ketamine) can have lasting effects; ketamine acts as a strong analgesic and a dissociative anesthetic, but may have residual effects that last more than twelve hours afterward. READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- Associate Professor University of Chicago 1990 - 2005
- Associate Professor Rush University Medical Center 2006 - 2008
- Associate Professor University of Missouri 2009 - 2010
- American Society of Anesthesiologists
- International Anesthesia Research Society
- Society of Obstetric Anesthesiology and Perinatology
- Illinois Society of Anesthesiology
- Faculty of 1000 Member, Section on Obstetric Anesthesia
Areas of researchObstetric anesthesia and perinatology
Dr. Bernard Wittels M.D., PH.D.'s Practice location
Evanston, IL 60202Get Direction
Chicago, IL 60612Get Direction
Columbia, MO 65201Get Direction
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