EXPERT
Dr. Jay R. Shayevitz, M.D.
- Rochester, NY
- University of Michigan
- Accepting new patients
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Day after propofol
Hello! Sorry to read about how you're feeling after your procedure. Not knowing what other medications you may have received during your procedure or what happened and how it READ MORE
Hello! Sorry to read about how you're feeling after your procedure. Not knowing what other medications you may have received during your procedure or what happened and how it went (especially if there were any problems), I can't say if propofol is the culprit causing your problems after your procedure. Do you have a fever? Have you been able to rehydrate since the procedure? If you are having problems taking nourishment and fluids, dehydration may be the main issue. You may want to consider speaking to your gastroenterologist or perhaps going to an urgent care clinic or emergency room for an evaluation.
What type of anesthesia is used for appendix surgery?
You will likely have general anesthesia, which means you will be completely asleep and will have a breathing tube after you are asleep. Appendectomies can be what we call "acute," READ MORE
You will likely have general anesthesia, which means you will be completely asleep and will have a breathing tube after you are asleep. Appendectomies can be what we call "acute," which means they are done during the diagnosis of appendicitis; or "interval" which means they are done a few weeks after resolution of appendicitis. Interval appendectomies are elective in nature, but acute appendectomies are usually done as emergency surgery.
Does anesthesia help hospice patients?
ONE OF THE MOST IMPORTANT ASPECTS OF HOSPICE CARE IS SYMPTOM MANAGEMENT. Such symptoms often include pain, shortness of breath, bowel and bladder issues, and disturbance in sleep/wakefulness READ MORE
ONE OF THE MOST IMPORTANT ASPECTS OF HOSPICE CARE IS SYMPTOM MANAGEMENT. Such symptoms often include pain, shortness of breath, bowel and bladder issues, and disturbance in sleep/wakefulness cycles. Palliative care and hospice physicians are expert in symptom management to maintain patient comfort. Management of symptoms often combines mind-body techniques, such as guided imagery, with medication. Medical management of symptoms is not considered anesthesia per se, but many of the same medications that anesthesiologists use are often also used for symptom management. Sometimes when symptoms are especially difficult to control particularly as the time of death nears, hospice patients may request what is called "terminal" or "palliative sedation," which means administering sedative medications by the intravenous route to induce sleep/unconsciousness. Palliative sedation can probably be considered moderate to deep sedation. Although palliative sedation is not administered with the intent to speed up a patient's terminal course, it is continued until the patient expires.
What type of anesthesia is best for wrist surgery?
Depends on the surgery. If you're having surgery involving bones, or ligaments, a regional block that numbs up your arm is usually recommended. For soft tissue surgery like carpal READ MORE
Depends on the surgery. If you're having surgery involving bones, or ligaments, a regional block that numbs up your arm is usually recommended. For soft tissue surgery like carpal tunnel release or Dequervain release, local anesthesia with sedation is usually recommended. I think the exception to these rules is ganglion cyst surgery. A regional block can be helpful to numb the affected arm up completely. Jay R Shayevitz 403 Golf Dr Oceanside NY 11572 T: 914-963-4393 C: 585-474-1741 Sent with Spark
How long after a C-section can I walk?
Usually OBs want patients to mobilize quickly after C-sections. Spinals and epidurals usually don't last for more the 2-4 hrs. Jay R Shayevitz 403 Golf Dr Oceanside NY 11572 T: READ MORE
Usually OBs want patients to mobilize quickly after C-sections. Spinals and epidurals usually don't last for more the 2-4 hrs. Jay R Shayevitz 403 Golf Dr Oceanside NY 11572 T: 914-963-4393 C: 585-474-1741 Sent with Spark
Will I get local anesthesia for a thyroid biopsy?
If you are having a fine needle aspiration biopsy under ultrasound guidance, then local anesthesia will likely be adequate. Jay R Shayevitz MD MS 403 Golf Dr Oceanside NY 11572 READ MORE
If you are having a fine needle aspiration biopsy under ultrasound guidance, then local anesthesia will likely be adequate. Jay R Shayevitz MD MS 403 Golf Dr Oceanside NY 11572 cell: 585-474-1741 ph: 914-963-4394
Is lung biopsy done with general anesthesia?
If the procedure is actually a lung biopsy and not a transbronchial biopsy, then general anesthesia is required. A lung biopsy involves a thorocotomy (surgical incision made in READ MORE
If the procedure is actually a lung biopsy and not a transbronchial biopsy, then general anesthesia is required. A lung biopsy involves a thorocotomy (surgical incision made in the chest wall to gain access to the lung), and a small piece of lung tissue is excised and removed while ensuring that the remaining lung has no air leak.
How long is anesthesia for a prostate biopsy?
The procedure itself typically takes about 30-45 min. Often patients receive moderate to deep sedation for comfort. There is a risk of bacterial sepsis after prostate biopsy, so READ MORE
The procedure itself typically takes about 30-45 min. Often patients receive moderate to deep sedation for comfort. There is a risk of bacterial sepsis after prostate biopsy, so patients are also typically started on antibiotics the day before the procedure along with iv antibiotics during the procedure, and continued antibiotics afterwards as well. Jay R Shayevitz MD MS 403 Golf Dr Oceanside NY 11572 cell: 585-474-1741 ph: 914-963-4394
Is radiofrequency ablation for varicose veins done with anesthesia?
This procedure CAN be done with sedation. The surgeon will often infiltrate in the tissues around the vein with large volumes of dilute local anesthesia called "tumescent analgesia." This READ MORE
This procedure CAN be done with sedation. The surgeon will often infiltrate in the tissues around the vein with large volumes of dilute local anesthesia called "tumescent analgesia." This provides analgesia god enough so that sedation may not be necessary.
Can you go under anesthesia with asthma?
Yes. People with asthma sometimes need to have surgery just like people without asthma. For elective procedures its important to ensure that your asthma is optimized (no wheezing READ MORE
Yes. People with asthma sometimes need to have surgery just like people without asthma. For elective procedures its important to ensure that your asthma is optimized (no wheezing or shortness of breath, good exercise tolerance). This may require consultation with your asthma doctor to ensure you are on the right medication(s). For elective procedures we will recommend rescheduling if you are wheezing or experiencing shortness of breath on the day of procedure because this indicates that your asthma is not optimized.
Is gastroscopy painful without anesthesia?
Imagine having to swallow a plumber's snake while awake. That is what an upper endoscopy essentially is. If you think you can handle that, then don't have sedation. Otherwise, READ MORE
Imagine having to swallow a plumber's snake while awake. That is what an upper endoscopy essentially is. If you think you can handle that, then don't have sedation. Otherwise, you'll benefit from being sedated during your procedure.
Do they put you to sleep for a lung biopsy?
If you’re going to have an open lung biopsy, then yes, you need general anesthesia. If you’re going to have a bronchial biopsy via bronchoscope, general anesthesia may not be READ MORE
If you’re going to have an open lung biopsy, then yes, you need general anesthesia. If you’re going to have a bronchial biopsy via bronchoscope, general anesthesia may not be necessary, although some proceduralists prefer it. If you’re going to have a percutaneous CT-guided lung biopsy, general anesthesia again may not be necessary.
Jay R Shayevitz MD MS
403 Golf Dr
Oceanside NY 11572
cell: 585-474-1741
ph: 914-963-4394
Jay R Shayevitz MD MS
403 Golf Dr
Oceanside NY 11572
cell: 585-474-1741
ph: 914-963-4394
How soon after anesthesia can you drive?
After a same-day surgery procedure (if you will be going hame after the procedure), do not do any tasks that require higher cognitive functions for at least 24 hr. This includes READ MORE
After a same-day surgery procedure (if you will be going hame after the procedure), do not do any tasks that require higher cognitive functions for at least 24 hr. This includes driving, operating heavy machinery, making important legal decisions, or signing contracts. This is conditioned on not taking prescription pain meds such as Percocet, Vicodin, and Norco. If you take prescription pain meds you should follow the same precautions as you would after anesthesia: No driving or performing any other tasks that require higher cognitive functioning until you no longer take those medications.
Jay R. Shayevitz, MD MS
Jay R. Shayevitz, MD MS
Is it normal to be tired a week after general anesthesia?
The likelihood is, you feel tired because of the surgery not the anesthesia. Any kind of trauma, even surgery, has metabolic cost. That metabolic cost can be experienced as fatigue READ MORE
The likelihood is, you feel tired because of the surgery not the anesthesia. Any kind of trauma, even surgery, has metabolic cost. That metabolic cost can be experienced as fatigue and lassitude. The duration of that feeling depends on how much trauma the surgery caused. In addition, taking prescription pain meds, such as Percocet, Vicodin, or Norco, can contribute to the feeling of tiredness and fatigue.
Jay R. Shayevitz, MD MS
Jay R. Shayevitz, MD MS
Can knee surgery be done under local anesthesia?
Knee replacement surgery cannot be done under local anesthesia, but regional options (spinal, epidural) are available. You should speak to your surgeon and anesthesiologist to READ MORE
Knee replacement surgery cannot be done under local anesthesia, but regional options (spinal, epidural) are available. You should speak to your surgeon and anesthesiologist to get the full picture.
Jay R. Shayevitz, MD MS
Jay R. Shayevitz, MD MS
Can anesthesia cause constipation?
With general anesthesia and surgery, patients often are given medications that may contribute to constipation, in particular opioid medications such as morphine, hydromorphone READ MORE
With general anesthesia and surgery, patients often are given medications that may contribute to constipation, in particular opioid medications such as morphine, hydromorphone (Dilaudid), and fentanyl, as well as other similar medications. Surgeons may also prescribe opioid medications for post-operative pain management (Percocet, Norco, Vicodin, etc.). In and of itself, constipation is usually not a serious problem. The best way to manage it is to maintain hydration (drink at least half of your body weight in ounces of fluid daily), have lots of fiber (like fresh leafy vegetables, Metamucil, or Benefiber), take a stool softener such as Colace, and perhaps a mild bowel stimulant like Senna or sennoside teas such as Smooth Move or Triple Ballerina.
Jay R. Shayevitz, MD, MS
Jay R. Shayevitz, MD, MS
What does being under general anesthesia feel like?
Basically, it doesn’t feel like anything. You are rendered unconscious with no sense of time passing and no consciousness of any of the other senses.
Jay R. Shayevitz, MD, MS
READ MORE
Basically, it doesn’t feel like anything. You are rendered unconscious with no sense of time passing and no consciousness of any of the other senses.
Jay R. Shayevitz, MD, MS
Jay R. Shayevitz, MD, MS
What should I eat after anesthesia?
That all depends on what surgery you have and if your surgeon has any specific instructions about post-op diet. In general, however, we usually recommend that the first post-op READ MORE
That all depends on what surgery you have and if your surgeon has any specific instructions about post-op diet. In general, however, we usually recommend that the first post-op meal be something light and easy to digest. If the light meal is well-tolerated, then you can get back to your regular diet at your discretion. Most people don’t recover their appetites for a few hours after having general anesthesia anyway. A lot of that is dependent on what operation they had.
Jay R. Shayevitz, MD MS
Jay R. Shayevitz, MD MS
How long after dental anesthesia can I drink?
Your question is not entirely clear. By dental anesthesia, do you mean local anesthesia (injected to numb the area of need), sedation (as for wisdom tooth extraction or nitrous READ MORE
Your question is not entirely clear. By dental anesthesia, do you mean local anesthesia (injected to numb the area of need), sedation (as for wisdom tooth extraction or nitrous oxide [laughing gas]), or general anesthesia (as for whole mouth restoration)? And by "drink," do you mean adult beverages, soft drinks, or both?
Obviously, you should follow the instructions provided by your dentist. With local anesthesia, you can drink any time, but it's probably best to avoid hot beverages like coffee or tea until the local anesthetic wears off. With sedation you should not have alcoholic beverages or drive or make any legal decisions until at least the next day. Same for general anesthesia.
Obviously, you should follow the instructions provided by your dentist. With local anesthesia, you can drink any time, but it's probably best to avoid hot beverages like coffee or tea until the local anesthetic wears off. With sedation you should not have alcoholic beverages or drive or make any legal decisions until at least the next day. Same for general anesthesia.
Is it normal to have a bad headache after anesthesia?
Your question is not entirely clear. After general anesthesia some people experience a hangover-type headache for anywhere from a few hours to a day or so. In particular with READ MORE
Your question is not entirely clear. After general anesthesia some people experience a hangover-type headache for anywhere from a few hours to a day or so. In particular with sinus surgery, though, the headache is more likely due to the surgery than the anesthetic. Treatment is rest and pain medication.
Sometimes after spinal anesthesia, patients can experience what is called a post-dural puncture headache. This kind of headache may be absent when lying down, but intense when sitting or standing. Best initial treatment is rest and hydration plus pain medication. If the headache persists for more than 72 hr or is extremely debilitating, a procedure called an epidural blood patch may be required to provide relief.
Sometimes after spinal anesthesia, patients can experience what is called a post-dural puncture headache. This kind of headache may be absent when lying down, but intense when sitting or standing. Best initial treatment is rest and hydration plus pain medication. If the headache persists for more than 72 hr or is extremely debilitating, a procedure called an epidural blood patch may be required to provide relief.
