Dr. Mario Nieto is an anesthesiologist practicing in Houston, TX. Dr. Nieto 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. Nieto also might help manage pain after an operation.
Dr. Mario Edmundo Nieto M.D.'s Expert Contributions
Nausea, or PONV (post-operative nausea and vomiting), is unfortunately a possible side-effect of anesthesia. Several factors determine your risk: age, sex, smoking status, type of operation, and length of the procedure. Lengthy abdominal procedures have a higher risk for PONV than, say, a short operation of the hand or foot. General anesthetics that use inhaled agents also increase that risk. If you have a prior history of PONV or are someone that is easily prone to motion sickness, you are likely more prone to developing PONV. With these risk factors in mind, we typically employ several agents during the course of an anesthetic to help prevent PONV. These various drugs work at different receptors throughout the body and help prevent the transmission of noxious stimuli to the vomiting center of the brain. Prevention is the best course...some of these drugs are more effective prior to the occurrence of PONV, although we do have several others that work as "rescue" agents. The key is to let your anesthesiologist know ahead of time so that an effective plan can be formulated prior to the administration of the anesthetic. READ MORE
Post-op nausea is unfortunately very common. Aside from IV medications administered in the OR, you might consider a scopolamine patch prior to your anesthetic. This patch works in the background and can help prevent nausea. Avoiding a general anesthetic is the most obvious choice. The use of blocks and spinals (depending on the type of surgery) can help reduce the likelihood of PONV. If you do need a general, having a Total IV Anesthetic (no anesthetic gas is used here) is the best method to prevent this occurrence. Speak with your anesthesiologist about what options you do have available and see if a TIVA (total IV) is appropriate. Go into surgery believing that you will do well afterwards. Your mindset is also very important. Don't assume you will have nausea just because it happened before. When you do find a combo that works, jot the details down and ask for it in the future. Hope this helps. Best of luck to you! READ MORE
Dr. Mario Edmundo Nieto M.D.'s Practice location
Houston, TX 77030Get Direction
AUSTIN, TX 78705Get Direction
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