EXPERT
Dr. Stuart Roth, MD
Anesthesiologist
Dr. Stuart Roth is an anesthesiologist practicing in Baltimore, MD. Dr. Roth 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. Roth also might help manage pain after an operation.
39 years
Experience
Dr. Stuart Roth, MD
- Baltimore, MD
- Marshall Univ Sch of Med, Huntington Wv
- Accepting new patients
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Vomitting
There are a variety of ways to minimize (but unfortunately not eliminate) the risk of nausea and vomiting as a consequence of general anesthesia. One way is to use a combined READ MORE
There are a variety of ways to minimize (but unfortunately not eliminate) the risk of nausea and vomiting as a consequence of general anesthesia. One way is to use a combined regional and general technique. One might have an epidural catheter placed before surgery. The epidural will provide analgesia and muscle relaxation for the procedure. The anesthesiologist can then use a propofol infusion for unconsciousness. That may be helpful.
Is liver surgery done under general anesthesia?
It depends on what procedure will be done. Liver transplantation, removal of part of the liver and gallbladder surgery will all be performed under general anesthesia. A liver READ MORE
It depends on what procedure will be done. Liver transplantation, removal of part of the liver and gallbladder surgery will all be performed under general anesthesia. A liver biopsy may not be.
Is local anesthesia safe for adolescents?
Local anesthesia is safe to use in virtually any patient. It involves the injection or application of a local anesthetic (numbing drug) to the site of the procedure. There are READ MORE
Local anesthesia is safe to use in virtually any patient. It involves the injection or application of a local anesthetic (numbing drug) to the site of the procedure. There are limits to the amount of local that a patient can receive but these are generous.
The question asked specifically about a 12 year old patient. Whether such a patient can tolerate the injection and subsequent surgical experience awake depends upon the level of maturity. Pre- or early adolescence is a variable time in an individual's development. Not all will be able to tolerate the experience.
Local anesthesia without sedation involves not only the application of injection of the drug either of which can be uncomfortable but also some stimulation from whatever procedure will then be performed. For example, the injection of numbing local anesthesia fro the removal of a skin lesion would likely burn. Thereafter the patient would likely feel no pain from the incision but may feel pressure or tugging on the skin. Not everyone will tolerate such an experience.
The question asked specifically about a 12 year old patient. Whether such a patient can tolerate the injection and subsequent surgical experience awake depends upon the level of maturity. Pre- or early adolescence is a variable time in an individual's development. Not all will be able to tolerate the experience.
Local anesthesia without sedation involves not only the application of injection of the drug either of which can be uncomfortable but also some stimulation from whatever procedure will then be performed. For example, the injection of numbing local anesthesia fro the removal of a skin lesion would likely burn. Thereafter the patient would likely feel no pain from the incision but may feel pressure or tugging on the skin. Not everyone will tolerate such an experience.
How long does spinal anesthesia last?
The drug most commonly used for spinal anesthesia is 0.75% bupivacaine. A typical dose lasts anywhere from 2 1/2 to 4 hours. A larger dose may last up to 6 hours.
