expert type icon EXPERT

Dr. Emmanuel K. Rafla, MD

Anesthesiologist

Dr. Emmanuel Rafla is an anesthesiologist practicing in Louisville, KY. Dr. Rafla 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. Rafla also might help manage pain after an operation.
45 years Experience
Dr. Emmanuel K. Rafla, MD
  • Louisville, KY
  • Univ Of Asyut- Fac Of Med- Asyut- Egypt
  • Accepting new patients

Is spinal anesthesia dangerous?

Spinal anesthesia for a 75-year-old brings so many questions. It could be the best choice or the worst choice. It depends on the type of surgery and the medical condition of the READ MORE
Spinal anesthesia for a 75-year-old brings so many questions. It could be the best choice or the worst choice. It depends on the type of surgery and the medical condition of the patient, the surgery.

Can anesthesia cause stomach problems?

Yes, it can. Nausea and vomiting is common after anesthesia, but it depends on your health and on the anesthesia provider. Some have fewer patients than others. If the anesthesia READ MORE
Yes, it can. Nausea and vomiting is common after anesthesia, but it depends on your health and on the anesthesia provider. Some have fewer patients than others. If the anesthesia provider fills your stomach with air, you will be nauseous after surgery. So, choose an anesthesia provider well trained and do not listen to someone who tells you a 2-year training is the same as 6 years of training.

How long does local anesthetic last for toe surgery?

It depends on what kind of LA used. It could be an hour or 8 hours or even more of a wide range.

Is it safe to be under anesthesia when 5 years old?

Anesthesia is generally safe in a healthy 5-year-old child. But surgeons like to blame everything on anesthesia.

Can you eat before dental anesthesia?

Always better to be fasting at least 4 hour for solid food if you are healthy and 2 hours for clear liquid.

Does anesthesia affect heart rate?

Yes, it does. But how serious depends on your health and type of surgery. Many studies showed that some anesthetics have cardio protective value.

What anesthesia is used for people over the age of 80?

There is no kind of anesthesia that is contraindicated to a patient simply because of age. But age is a risk factor that must be taken in consideration, like children also have READ MORE
There is no kind of anesthesia that is contraindicated to a patient simply because of age. But age is a risk factor that must be taken in consideration, like children also have special consideration.

Can you wear contacts for a short anesthesia procedure?

I would not let my patient do that. We are in a serious business. I am not sure if you go to bed with contacts on.

Does an epidural make you feel high?

Just epidural. If you feel high, I would be worried. You may get relaxed, not high.

What are the advantages of nerve block injections?

There is no advantage for nerve block over general unless there is issue make general is a problematic. But the bottom line, any local can be changed into general for many reasons. READ MORE
There is no advantage for nerve block over general unless there is issue make general is a problematic. But the bottom line, any local can be changed into general for many reasons.

What type of anesthesia is used for ear surgery?

From your age, I think you are having a long surgery, so you would go under general anesthesia.

Is a nerve block safe for seniors?

Age is a factor, but not for what type of anesthesia. I prefer to use elderly because some consider 55 yo is senior, while to us that is a middle age.

Is liposuction a safe procedure?

The liposuction problem's generally a surgical problem, but the anesthesia provider deals with its complications. So, make sure not just about the anesthesia provider, but for READ MORE
The liposuction problem's generally a surgical problem, but the anesthesia provider deals with its complications. So, make sure not just about the anesthesia provider, but for the surgeon. He/She will inject liters of fluids with local anesthesia and some kind of salts. I do not want to scare you, but is not a simple procedure as they make it sound. It is simple as long as no complications occur, but it has a potentially dangerous complication. As an anesthesiologist, I would not take it lightly. Anyone who tells you differently does not know enough. Ignorance is a blessing. Stay away from those.

How long does a headache last after dental anesthesia?

Why do you have a headache? Dental anesthesia for you should be just local. If you have a headache, it's probably not related to anesthesia.

What are the most common side effects of local anesthesia?

You mean nerve block with or without sedation. If nerve block, it is similar to a dental nerve block.

Do you get put to sleep for a nose job?

Difficult question. If it was me, I'd go to sleep with a tube. Plastic surgeons like to make it sound simple, and since it is cash, they try to cut expenses, but in my opinion, READ MORE
Difficult question. If it was me, I'd go to sleep with a tube. Plastic surgeons like to make it sound simple, and since it is cash, they try to cut expenses, but in my opinion, anesthesia is not the place to cut corners.

Can you be put under anesthesia for an endoscopy?

Endoscopy is a test book, I mean there are so many endoscopies. If it is lower GI, they give sedation; with upper, you can have sedation. You should not remember if the surgeon READ MORE
Endoscopy is a test book, I mean there are so many endoscopies. If it is lower GI, they give sedation; with upper, you can have sedation. You should not remember if the surgeon knows what he is doing.

How long does local anesthesia last?

It depends, from one hour to 8 hours and then last more. For just pain control, could be 16 hours.

Does hand surgery require general anesthesia?

Probably nerve block with sedation, that is my choice unless there is contraindication. I guess not.

Can I get anesthesia while removing a port wine stain?

If it is in the face, I would seriously consider general anesthesia.