EXPERT
Dr. Robert Groysman, M.D.
Pain Management Specialist | Interventional Pain Medicine
Dr. Robert Groysman practices Pain Medicine in Irving, TX. Pain medicine is concerned with the prevention of pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain. Pain medicine physicians use a broad-based approach to treat all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Dr. Groysman serves as a consultant to other physicians but is often the principal treating physician, providing care at various levels; such as treating the patient directly, prescribing medication, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, and providing consultative services.
25 years
Experience
Dr. Robert Groysman, M.D.
- Irving, TX
- Umdnj-Robt W Johnson Med Sch- New Brunswick Nj
- Accepting new patients
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Does hand surgery require general anesthesia?
No, if your anesthesiologist is capable, the surgery can be done with a regional block. An axillary block (under your arm), or a suprascapular brachial plexus block would work. READ MORE
No, if your anesthesiologist is capable, the surgery can be done with a regional block. An axillary block (under your arm), or a suprascapular brachial plexus block would work. You can either be sedated or be wide awake. You would still feel some pressure but no pain. You would obviously hear any drilling done.
Can dentist put you to sleep for fillings?
A dentist can only provide nitrous oxide but it won’t knock you out. You would need an anesthesiologist or nurse anesthetist to give you anesthesia. Some dentists have an anesthesia READ MORE
A dentist can only provide nitrous oxide but it won’t knock you out. You would need an anesthesiologist or nurse anesthetist to give you anesthesia. Some dentists have an anesthesia provider come in for these type of procedures. You would need an iv placed. Some medications can be given as intramuscular shots. Anything from heavy sedation to general anesthesia is possible.
Do I need anesthesia for a tooth extraction?
You may be able to just do it with local anesthesia where lidocaine is injected around the nerves that supply that tooth. I don’t think so here are any dentists that would attempt READ MORE
You may be able to just do it with local anesthesia where lidocaine is injected around the nerves that supply that tooth. I don’t think so here are any dentists that would attempt this without any anesthetic as it would be too painful.
How is anesthesia used for pain management?
General Anesthesia doesn’t inherently treat chronic pain. Your doctor may be thinking about ketamine which is an anesthetic and can be used to treat certain painful conditions. READ MORE
General Anesthesia doesn’t inherently treat chronic pain. Your doctor may be thinking about ketamine which is an anesthetic and can be used to treat certain painful conditions.
Do you have to be intubated for general anesthesia?
No you do not. Depending on what surgery you are having will determine if you need a breathing tube.
Addiction to propofol?
It is uncommon to become addicted to propofol. It is a general anesthetic and it is very easy to overdose and stop breathing. Other medications such as fentanyl, morphine, hydromorphone, READ MORE
It is uncommon to become addicted to propofol. It is a general anesthetic and it is very easy to overdose and stop breathing. Other medications such as fentanyl, morphine, hydromorphone, and versed can be addicting.
Do you have to be intubated for general anesthesia?
Yes for appendectomy it is generally done with intubation. The reason is to allow the use of a muscle relaxant to relax your abdominal muscles to make it easier for the surgeon READ MORE
Yes for appendectomy it is generally done with intubation. The reason is to allow the use of a muscle relaxant to relax your abdominal muscles to make it easier for the surgeon to access the abdominal cavity to get at the appendix. With muscle relaxants, you will need assistance with breathing.
Do they put you to sleep for laparoscopic surgery?
Yes, you will have general anesthesia with a breathing tube. The reason is that during laparoscopy, carbon dioxide gas is pumped into your abdominal cavity and it is difficult READ MORE
Yes, you will have general anesthesia with a breathing tube. The reason is that during laparoscopy, carbon dioxide gas is pumped into your abdominal cavity and it is difficult for you to breath against that pressure yourself. The gas expands your abdomen like a balloon allowing the surgeon to work thru small incisions.
Why was son confrontational after anesthesia?
Yes it’s very common in children under 10 who receive general inhalational anesthesia. Occasionally we see this in older kids. It’s called emergence delirium. It’s temporary. READ MORE
Yes it’s very common in children under 10 who receive general inhalational anesthesia. Occasionally we see this in older kids. It’s called emergence delirium. It’s temporary.
Is general anesthesia used during brain tumor removal?
It depends on where the tumor is. If it’s located close or near the speech center or near areas that control movement, your friend may need to be somewhat awake during the surgery READ MORE
It depends on where the tumor is. If it’s located close or near the speech center or near areas that control movement, your friend may need to be somewhat awake during the surgery and be asked to perform certain actions like moving a limb or answering a question. Believe it or not, the brain actually doesn’t feel any pain and can be worked on while talking to the patient. The parts that hurt are the skin and skull and those can be numbed really well before starting.
If the tumor is not in a critical area, we would do general anesthesia for the entire procedure.
If the tumor is not in a critical area, we would do general anesthesia for the entire procedure.
Do doctors use general anesthesia for all oral surgeries?
Not all oral surgeries need general anesthesia. Some can be done with local anesthetic “local” depending on what is being done. There is also surgeon and patient preference.
Is general anesthesia safe during pregnancy?
In general we try to avoid general anesthesia during pregnancy however we always weigh the risk of waiting on surgery to completing it. Saying that, general anesthesia is relatively READ MORE
In general we try to avoid general anesthesia during pregnancy however we always weigh the risk of waiting on surgery to completing it. Saying that, general anesthesia is relatively safe after the 2nd trimester.
Can I drive after MOHS surgery?
If you receive any sedation you should have someone drive you home. There is no such thing as “a little drunk”.
Is there a difference between local and regional anesthesia?
Local anesthesia refers to using a local anesthetic like lidocaine or bupivacaine to inject around a structure to be cut which makes the area numb. Regional anesthesia involves READ MORE
Local anesthesia refers to using a local anesthetic like lidocaine or bupivacaine to inject around a structure to be cut which makes the area numb. Regional anesthesia involves injecting the same local anesthetic around a nerve or group of nerves to numb a large area that the nerve(s) supplies such as a interscalene brachial plexus block to numb a shoulder.
Will I experience numbness after surgery?
I’m assuming you are referring to general anesthesia where you are unconscious and not regional anesthesia where we numb a body area for surgery. General anesthesia should not READ MORE
I’m assuming you are referring to general anesthesia where you are unconscious and not regional anesthesia where we numb a body area for surgery. General anesthesia should not cause any numbness.
How can I reassure my son about general anesthesia?
You can have him tour the operating room and have an anesthesiologist or nurse anesthetist explain how anesthesia works. Anesthesia is not like regular sleep. We control how deep READ MORE
You can have him tour the operating room and have an anesthesiologist or nurse anesthetist explain how anesthesia works. Anesthesia is not like regular sleep. We control how deep it is and we control when someone “wakes up” after the surgery is over.
What is "twilight" anesthesia used for?
Anesthesia is on a spectrum. On the light side there is what we call MAC. You are relaxed and can respond to questions. Twilight anesthesia is just a bit deeper than this. You READ MORE
Anesthesia is on a spectrum. On the light side there is what we call MAC. You are relaxed and can respond to questions. Twilight anesthesia is just a bit deeper than this. You are more relaxed and feel like you are falling asleep. You may fall asleep and wake up several times but will not likely remember.
Why are older people more sensitive to anesthesia?
With existing memory problems, general anesthesia can temporarily make it worse for up to a year. This is more of a side effect of having anesthetic gas in this population of patients. READ MORE
With existing memory problems, general anesthesia can temporarily make it worse for up to a year. This is more of a side effect of having anesthetic gas in this population of patients. Not everyone will be affected the same.
Does anesthesia have an effect on my kidneys?
General anesthesia by itself should not cause these problems. I would check to see if you had a foley catheter placed after you were anesthetized.
Why is it necessary to see the anesthesiologist before surgery?
Usually we go over medical history to see if anything may be an issue such as diabetes for sugar control, or uncontrolled high blood pressure. We also evaluate any risk factors READ MORE
Usually we go over medical history to see if anything may be an issue such as diabetes for sugar control, or uncontrolled high blood pressure. We also evaluate any risk factors such as heart disease or lung trouble such as COPD. We go over fasting, pain management depending on your surgery.
