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

Are you awake during regional anesthesia?

Yes, you are. However, sometimes patients can also receive some sedation (relaxing medication) through an IV, despite the regional anesthesia.

Do they put you to sleep for ankle surgery?

Most of the time, it is easier to be asleep for that kind of procedure.

What type of anesthesia is used for an appendectomy?

Most of the time, it is general anesthesia.

Can you be awake during foot surgery?

The short answer is yes, you can. Usually, the surgeon uses some local anesthetic to which the anesthesia team may add some intravenous medication to keep you comfortable, lightly READ MORE
The short answer is yes, you can. Usually, the surgeon uses some local anesthetic to which the anesthesia team may add some intravenous medication to keep you comfortable, lightly sedated and comfortable.

How do you predict an allergic reaction to anesthesia?

You do not. The incidence of allergic reactions to anesthetic agents is very low.

How long does spinal anesthesia last?

Usually, about a couple of hours.

What type of anesthesia is used for an endoscopy?

Endoscopies are usually done with IV sedation. From the patient's point of view, the medication is given through the IV and the patient will not know anything what is going on, READ MORE
Endoscopies are usually done with IV sedation. From the patient's point of view, the medication is given through the IV and the patient will not know anything what is going on, so you will be out of it. This is done when the anesthesia is given by a member of the anesthesia team, not nurse's conscious sedation, which is provided by a nurse from the endoscopy team.
I hope this answers your question.

Is bunion surgery done under general anesthesia?

No. Usually in local anesthesia by the surgeon and IV sedation from the anesthesia team.

What types of surgery require general anesthesia?

It depends on many factors. First of all, whether the area that the surgical procedure involves can use a different type of anesthesia (for example, neuraxial anesthesia, i.e., READ MORE
It depends on many factors. First of all, whether the area that the surgical procedure involves can use a different type of anesthesia (for example, neuraxial anesthesia, i.e., spinal of epidural). Second, whether the surgeon requires muscle relaxation for the procedure, in which case not only that you would need general anesthesia, but also to have a "breathing tube" as you go to sleep and that usually comes out when you wake up. There are also instances where you can have general anesthesia and all the medication is given through the IV catheter that you will have anyway. So, without knowing exactly what the procedure is and long it takes, there are many scenarios for it. Hope this answers your question.

What are some potential side effects of local anesthetics?

Extremely rare to have true allergic reactions. Only serious complication would be seizures if local anesthetic (bupivacaine, mostly) gets injected accidentally intravascularly. READ MORE
Extremely rare to have true allergic reactions. Only serious complication would be seizures if local anesthetic (bupivacaine, mostly) gets injected accidentally intravascularly.

Is a C-section done with general anesthesia?

The greatest majority of C/S's are done under neuraxial anesthesia, either spinal, epidural, or combined spinal/epidural anesthesia. Less than 1% of C/S's are done under general READ MORE
The greatest majority of C/S's are done under neuraxial anesthesia, either spinal, epidural, or combined spinal/epidural anesthesia. Less than 1% of C/S's are done under general anesthesia, usually reserved either for emergencies (not enough time for neuraxial technique) or if neuraxial is contraindicated (coagulopathy, systemic infection).
Hope this answers your question.

Do they put you to sleep for retinal detachment surgery?

No, usually it is done with a peribulbar block, which means using local anesthesia to "numb up" the area around the eye.
I hope this answers your question.