expert type icon EXPERT

Mr. Alex Preston, MD

Anesthesiologist

Dr. Alex Preston is an anesthesiologist practicing in Porterville, CA. Dr. Preston 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. Preston also might help manage pain after an operation.
Mr. Alex Preston, MD
  • Porterville, CA
  • Celjabinsk Medical Institute
  • Accepting new patients

What kind of sedation is used for hemorrhoidectomy?

Most of the time its usually done under general anesthesia, also it could be done with a spinal anesthesia. But most of the Patients prefer general

Can local anesthesia cause liver issues?

No liver problems, but local anesthetic can cause systemic toxicity if the dose is too high or with intravascular injection

Is anesthesia necessary for a colonoscopy?

Mostly its done with IV sedation. Sometimes it could require either Monitored Anesthesia Care or even General anesthesia, especially in non cooperative patients.

Are you awake during ear surgery?

Depending on the extent of the ear surgery. Some procedures on external ear, such as biopsy or excision of minor ear lobe mass, could be done in the office with local anesthesia. READ MORE
Depending on the extent of the ear surgery. Some procedures on external ear, such as biopsy or excision of minor ear lobe mass, could be done in the office with local anesthesia. More invasive surgery on external ear, such as reconstruction of external ear, usually done in the hospital with general anesthesia. Majority of the procedures on middle and internal ear, icy as myringotomy, cochlear implants, other hearing correction surgeries, require general anesthetic.

Is general anesthesia used for an appendectomy?

Absolutely. It could be combined gas and IV, most of the time, or TIVA, total intravenous general anesthesia, in patients with the history of Malignant Hyperthermia, rarely.

What kind of sedation is used for a child's tonsillectomy?

Its not a sedation. Rather GETA, general endotracheal anesthesia. The purpose is to keep the child asleep during the surgery and at the same time to protect the airway from aspiration READ MORE
Its not a sedation. Rather GETA, general endotracheal anesthesia. The purpose is to keep the child asleep during the surgery and at the same time to protect the airway from aspiration of blood and gastric content. That is the safest way to go with tonsillectomy and adenoidectopy.

Is it best to be sedated for a colonoscopy?

Sedation or Monitored anesthesia care are both excellent choices for endoscopic procedures such as colonoscopy

Is general anesthesia used for prostate biopsy?

Mostly its IV sedation or monitored anesthesia care. But general anesthesia is an option, especially for multiple prostate biopsies since it could be a long procedure. Its best READ MORE
Mostly its IV sedation or monitored anesthesia care. But general anesthesia is an option, especially for multiple prostate biopsies since it could be a long procedure. Its best to discuss the extent of the procedure and Urologists preference in terms of anesthesia with your Surgeon.

Is colonoscopy done under local anesthesia?

Its either under IV sedation or monitoring anesthesia care depending on a patient and an endoscopist preferences

What sedation is best for tonsillectomy?

It should be general endotracheal anesthesia, not sedation. The airway has to be protected during this surgical procedure.

Is anesthesia required for radiotherapy?

No anesthesia unless uncooperative. IV sedation is possible.

How long are you sedated after a lung transplant?

It depends on the length of the operation and recovery time postop. Usually the ICU sedation after the surgery should be as short as possible to reduce the hospital stay. Preferably READ MORE
It depends on the length of the operation and recovery time postop. Usually the ICU sedation after the surgery should be as short as possible to reduce the hospital stay. Preferably discontinuation of mechanical ventilation and IV sedation should be within 1 st postoperative day.

Is anesthesia used for thyroid biopsy?

Usually its done with local anesthesia. IV sedation is optional.

When is general anesthesia used for colonoscopy?

Let’s say that it is unusual to have GA for Colonoscopy. Because this procedure is least painful and minimally invasive. That’s why it’s done usually either with IV sedation or READ MORE
Let’s say that it is unusual to have GA for Colonoscopy. Because this
procedure is least painful and minimally invasive. That’s why it’s done
usually either with IV sedation or monitored anesthesia care. Although GA
could be a choice in pediatric population or developmentally delayed
patients.

What anesthesia is used for leg bone surgery?

Usually it’s a combination of general anesthesia and regional nerve blocks.

Surgery & Ashwagandha

Ashwagandha is not FDA approved medicine, and there are no based on scientific evidence recommendations. It could potentially interact with sedatives and antihypertensives as well READ MORE
Ashwagandha is not FDA approved medicine, and there are no based on scientific evidence recommendations. It could potentially interact with sedatives and antihypertensives as well as thyroid function. But considered safe for anesthesia, despite the fact that some recommend holding it for 2 weeks preop. My personal opinion is that it is safe for your ACL repair and should not be a problem periop, especially after 1 week after stopping it.

Adderall before surgery

According to the recent studies, even the continuous use of Adderall for
ADHD doesn’t interfere with general anesthesia.

What type of sedation is used for toe surgery?

Either Local Anesthesia with IV sedation or General anesthesia with local anesthetic infiltration as well, for postop pain.

Does colon surgery require general anesthesia?

Absolutely. And could be supplemented with regional anesthesia, such as TAP block, which is Transversus Abdominis Plane block for postop pain.