EXPERT
Dr. Robert Marc Pousman, DO
Anesthesiologist
Dr. Robert Pousman is an anesthesiologist practicing in Van Nuys, CA. Dr. Pousman 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. Pousman also might help manage pain after an operation.
Dr. Robert Marc Pousman, DO
- Van Nuys, CA
- Accepting new patients
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Why is epinephrine used with lidocaine?
Lidocaine is a short acting local anesthetic, lasting around 2 hours or so, give or take. Lidocaine’s onset is rapid (starts working quickly) and epinephrine is added to it to READ MORE
Lidocaine is a short acting local anesthetic, lasting around 2 hours or so, give or take. Lidocaine’s onset is rapid (starts working quickly) and epinephrine is added to it to extend its duration of action so the “numbing effect” lasts longer than if used without epinephrine. Depending on where it’s injected, you might experience some of the effects of the epinephrine (racing heart beat, nervousness, excitability), which is normal and NOT an allergy. This is very commonly experienced when used for dental procedures.
Robert Pousman
Robert Pousman
What's the point of palliative sedation?
Sedatives don’t treat pain they relieve anxiety and perhaps a sedative was administered to assist with any anxiety or stress your family member may have experienced? For instance, READ MORE
Sedatives don’t treat pain they relieve anxiety and perhaps a sedative was administered to assist with any anxiety or stress your family member may have experienced? For instance, as some are in a terminal state and may have some respiratory compromise or trouble clearing oral secretions, there’s the concern the patient may be feeling like they’re suffocating, especially if they aren’t conscious and able to communicate that.
I hope this helps answer your question.
Robert Pousman
I hope this helps answer your question.
Robert Pousman
Type 1 diabetes and general anethesia
That's a complicated question.
First, being a diabetic predisposes him to infection as by definition, diabetics are considered immunocompromised. However, many diabetic patients READ MORE
That's a complicated question.
First, being a diabetic predisposes him to infection as by definition, diabetics are considered immunocompromised. However, many diabetic patients undergo surgery with no complications.
The complicated part is regarding what to do with his insulin regimen. This depends on what type of insulin he takes, short or rapid-acting, intermediate or long acting. Also when is his surgery scheduled, first case of the morning, mid day, or the end of the day. The facility &/or anesthesiologist should be contacted if they haven't given you clear preoperative instructions.
Robert Pousman, DO
First, being a diabetic predisposes him to infection as by definition, diabetics are considered immunocompromised. However, many diabetic patients undergo surgery with no complications.
The complicated part is regarding what to do with his insulin regimen. This depends on what type of insulin he takes, short or rapid-acting, intermediate or long acting. Also when is his surgery scheduled, first case of the morning, mid day, or the end of the day. The facility &/or anesthesiologist should be contacted if they haven't given you clear preoperative instructions.
Robert Pousman, DO
