expert type icon EXPERT

Dr. VIRGIL MANICA, M.D.

Anesthesiologist

Dr. VIRGIL MANICA is an anesthesiologist practicing in Boston, MA. Dr. MANICA 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. MANICA also might help manage pain after an operation.
Dr. VIRGIL MANICA, M.D.
  • Boston, MA
  • Institute of Medicine & Pharmacy In Bucharest
  • Accepting new patients

How can I get over dental anesthesia fast?

It should wear off very quickly, they usually use "laughing gas," which is nitrous oxide, and its effects go away quite fast.

Can an appendectomy be done under local anesthesia?

Theoretically, yes, but practically I would not recommend it, as there will be enough pain, so you have to be really tough to tolerate that pain.

Is anesthesia given based on weight?

Yes, most of the drugs are given based on weight.

What can go wrong with anesthesia?

It is a complicated answer. It depends on your co-existing diseases (if any) and type of surgery. Usually, there are no problems, but a lot of potential complications need to be READ MORE
It is a complicated answer. It depends on your co-existing diseases (if any) and type of surgery. Usually, there are no problems, but a lot of potential complications need to be discussed with your anesthesiologist when you give consent for your surgery and anesthesia.

What should you monitor during anesthesia?

There is standard monitoring, which includes: Heart rate (pulse), Blood pressure, Oxygen saturation, End Tidal CO2 (breathing), and Temperature.

Is topical anesthetic effective?

Yes, it could be. Most of the surgeries done under topical anesthesia are eye surgery procedure.

What type of sedation is used for an MRI?

For adults, usually no sedation. Not needed, as there is no discomfort.

Can I be put to sleep while pregnant?

Absolutely. I would avoid, however, doing it during the first trimester of pregnancy, as that is the period of organogenesis for the baby, so you want to avoid interaction with READ MORE
Absolutely. I would avoid, however, doing it during the first trimester of pregnancy, as that is the period of organogenesis for the baby, so you want to avoid interaction with any drugs.

What is a ring block in anesthesia?

Usually a block around a finger, for hand surgery.

How do you anesthetize a finger?

The simplest way is what is called a "digital block", done by the surgeon, with local anesthetic (numbing medication). If there is any question that you are anxious or stressed READ MORE
The simplest way is what is called a "digital block", done by the surgeon, with local anesthetic (numbing medication). If there is any question that you are anxious or stressed related to the surgery, the anesthesiologist can also give you sedation medication through an IV (intravenous) catheter.

Is there an alternative to anesthesia?

Not really. The only option is to have the procedure (if it is feasible to be it that way) done under local anesthesia, something similar to when you go to your dentist and he/she READ MORE
Not really. The only option is to have the procedure (if it is feasible to be it that way) done under local anesthesia, something similar to when you go to your dentist and he/she gives you an injection with local anesthetics (numbing medication). But the main deciding factor is what kind of surgical procedure you will have, as some of them cannot be done (under any circumstances) with local anesthesia.

Are opioids used for anesthesia?

Yes, most of the time for pain control.

Are there narcotics in anesthesia?

Possibly, as they are given for pain control, if the pain is moderate to severe.

Does dental anesthesia sedate you completely?

Usually no. If it is just local anesthesia, there is no sedation. If it is done with nitrous oxide (laughing gas), then you could get a little bit sedated.

What happens if you're allergic to anesthesia?

It is difficult to answer this, as there is no generic "allergy" to anesthesia, especially in a 28 y.o. patient. You may be allergic to some antibiotics, but you can get another READ MORE
It is difficult to answer this, as there is no generic "allergy" to anesthesia, especially in a 28 y.o. patient. You may be allergic to some antibiotics, but you can get another type if necessary. You may have side effects from narcotics ( pain medication, usually nausea, vomiting or constipation), but you can get a different type of pain meds. But anesthesia per se (general, epidural, spinal, IV sedation) does not cause major allergic reactions.

Is spinal anesthesia better than general?

It depends on the procedure you will have. For example, if you are pregnant and will have a cesarean, the spinal anesthesia is absolutely better both for you and your baby. If READ MORE
It depends on the procedure you will have. For example, if you are pregnant and will have a cesarean, the spinal anesthesia is absolutely better both for you and your baby. If you have a different kind of procedure, the type of anesthesia may not make such a big difference. It also makes a huge difference based on your prior medical history, but being 25 y.o., most of the time it means you are otherwise healthy (unless I am totally wrong and do not have all the details). So, in the end, it is important what you agree to, what you feel comfortable with and whether you are pregnant or not.