EXPERT
Dr. Armen Ketchedjian
Anesthesiologist
Dr. Armen Ketchedjian is an anesthesiologist practicing in Boca Raton, Florida. Dr. Ketchedjian 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. Ketchedjian also might help manage pain after an operation.
Dr. Armen Ketchedjian
- Sharon, Connecticut
- New York College
- Accepting new patients
From Pacifiers to E-Cigarettes
We are creatures of habit from the moment we are born. It seems that the hand is a constant presence in the mouth of an infant exploring a new found environment, eventually graduating...
Can I feel drowsy a week after my anesthesia was delivered?
Most effects of anesthesia are gone 24 to 48 hours after surgery. A D&C is a short procedure that has need for little anesthesia.
Dr Ketch
Dr Ketch
If my anesthesia is delivered in the back, can its traces mix in the spinal fluid?
No, the medication I’m your spinal fluid will be eliminated by your body.
Dr Ketch
Dr Ketch
Can three epidurals be a problem?
No. The risk for a third epidural is same as first epidural.
Dr Ketch
Dr Ketch
What could be the symptoms of an anesthesia overdose? Is it possible?
Hello,
In the proper trained hands it is unlikely to experience an overdose. There are some common side effects of general anesthesia, which include, but are not limited to READ MORE
Hello,
In the proper trained hands it is unlikely to experience an overdose. There are some common side effects of general anesthesia, which include, but are not limited to nausea, sore throat, lip and tooth injury from placement of a breathing tooth and an occasional corneal abrasion from people rubbing their eye as they wake from surgery. With inadequate experienced anesthesia care providers, the fate of the patient can’t be determined.
In the proper trained hands it is unlikely to experience an overdose. There are some common side effects of general anesthesia, which include, but are not limited to nausea, sore throat, lip and tooth injury from placement of a breathing tooth and an occasional corneal abrasion from people rubbing their eye as they wake from surgery. With inadequate experienced anesthesia care providers, the fate of the patient can’t be determined.
What should I expect during general anesthesia?
Hello, You will meet your anesthesia care team prior to your procedure. They will evaluate you by going over your past medical history. They will give the plan for your anesthetic. READ MORE
Hello,
You will meet your anesthesia care team prior to your procedure. They will evaluate you by going over your past medical history. They will give the plan for your anesthetic. They may give you a premedication to calm your nerves prior to going into the operating room. You will be given oxygen to breathe as you drift off to sleep. When you wake, the surgery will be over. You may feel, sleepy, groggy and tired. It is possible you may have a sore throat.
You will meet your anesthesia care team prior to your procedure. They will evaluate you by going over your past medical history. They will give the plan for your anesthetic. They may give you a premedication to calm your nerves prior to going into the operating room. You will be given oxygen to breathe as you drift off to sleep. When you wake, the surgery will be over. You may feel, sleepy, groggy and tired. It is possible you may have a sore throat.
How will I know if I am allergic to anesthesia?
A true allergy to anesthesia is a very rare phenomenon. It’s genetically linked and occurs in a bout 1:400,000 adults. It is called malignant hyperthermia. If no one in your family READ MORE
A true allergy to anesthesia is a very rare phenomenon. It’s genetically linked and occurs in a bout 1:400,000 adults. It is called malignant hyperthermia. If no one in your family has ever experienced it under anesthesia, then the chances are, that you don’t have it.
Dr Ketch
Dr Ketch
Are there precautions associated with giving anesthesia for diabetic patients?
Hi, there are two types of diabetics. Juvenile and adult onset. We split them into insulin and non insulin dependent. The impact of of anesthesia with diabetes is multifactorial READ MORE
Hi, there are two types of diabetics. Juvenile and adult onset. We split them into insulin and non insulin dependent. The impact of of anesthesia with diabetes is multifactorial because diabetes can impact multiple organ systems and also the level of glucose. That is why it is important that we work closely with the patient and their primary physician in not only optimizing sugar control but the organ systems involved are optimized prior to surgery to cut down the risks.
Dr Ketch
Dr Ketch
How does anesthesia work on the body?
Hi, you have asked a question for which there are several answers because there are hundreds of medications with just as many mechanisms of how they work. It’s like making stew. READ MORE
Hi, you have asked a question for which there are several answers because there are hundreds of medications with just as many mechanisms of how they work. It’s like making stew. There is not one way to make it, or one ingredient in stew. Ingredients vary, methods vary. Same thing with anesthesia, we don’t give the same anesthetic to someone having carpal tunnel release to gall bladder surgery. So the answer to your question is not simple as saying it is due to the blocking sodium channels in neurons, or completion for receptors of acetylcholine... etc.... The same with risks. Risks vary from technique of anesthesia, to type of surgery to types of comorbidities, to length of surgery, to position of patient for surgery, to types of medications taken by the patient, to urgency of the procedure to location of where on the body the procedure is performed..... so on and so forth.
Dr Ketch
Dr Ketch
Why do I have numbness in my face after an anesthesia?
It’s possible that the dentist injected numbing medicine called local anesthesia.
Dr Ketch
Dr Ketch
What are the risks of anesthesia for a patient suffering from COPD?
Hello, Most of the bronchoscopies we perform are with intravenous sedation. The risk arises with how well the patient is oxygenating prior to the procedure. If the patient is READ MORE
Hello,
Most of the bronchoscopies we perform are with intravenous sedation. The risk arises with how well the patient is oxygenating prior to the procedure. If the patient is not oxygenating well, then the causes would need to be identified and evaluated, is it just the COPD, or are there secretions associated with it, pneumonia, bad heart, bronchospasm, etc... Each factor is evaluated and optimized for maximum oxygenation and good outcome. Becoming intubated may be the risk of poor oxygenation and poor breathing effort if the procedure can not be done with sedation.
Dr Ketch
Most of the bronchoscopies we perform are with intravenous sedation. The risk arises with how well the patient is oxygenating prior to the procedure. If the patient is not oxygenating well, then the causes would need to be identified and evaluated, is it just the COPD, or are there secretions associated with it, pneumonia, bad heart, bronchospasm, etc... Each factor is evaluated and optimized for maximum oxygenation and good outcome. Becoming intubated may be the risk of poor oxygenation and poor breathing effort if the procedure can not be done with sedation.
Dr Ketch
Is it risky to undergo anesthesia with a common cold?
A cold can increase the risk of anesthesia particularly if there is a fever and coughing with mucous production. If it is an elective procedure postpone for2 weeks following resolution READ MORE
A cold can increase the risk of anesthesia particularly if there is a fever and coughing with mucous production. If it is an elective procedure postpone for2 weeks following resolution of symptoms.
Dr Ketch
Dr Ketch
Can anesthesia interact with breast milk?
Hi, the current recommendation is to pump and dump 1st feeding after anesthesia.
Dr Ketch
Dr Ketch
I had a root canal treatment and my inner cheek is swollen. Is it normal?
Yes, this is normal from the numbing medicine. It will wear off in a few hours.
Dr Ketch
Dr Ketch
For corn removal will the doctor give me anesthesia?
Hello,
Yes it sounds like you will receive local anesthesia for your procedure.
Dr Ketch
Yes it sounds like you will receive local anesthesia for your procedure.
Dr Ketch
I am planning to pierce my nose. Is there an ointment that I can apply to numb the area and ease the pain?
Hi,
There are a few ointments with local anesthesia that can be helpful. Emla cream being one.
Dr Ketch
There are a few ointments with local anesthesia that can be helpful. Emla cream being one.
Dr Ketch
Is local anesthesia better than general anesthesia?
Hello, Although I have a preference for local anesthetic techniques, sometimes it is not always practical. There are also different levels of “knocked out.” There is conscious READ MORE
Hello,
Although I have a preference for local anesthetic techniques, sometimes it is not always practical. There are also different levels of “knocked out.” There is conscious sedation, monitored anesthetic care, deep sedation and general anesthesia. Modern anesthesia is far more complex and much more closely monitored than years ago, making anesthesia administration easier and safer in properly trained hands.
Dr Ketch
Although I have a preference for local anesthetic techniques, sometimes it is not always practical. There are also different levels of “knocked out.” There is conscious sedation, monitored anesthetic care, deep sedation and general anesthesia. Modern anesthesia is far more complex and much more closely monitored than years ago, making anesthesia administration easier and safer in properly trained hands.
Dr Ketch
How long does anesthesia stay in the blood?
Hi,
Depending on what medications were used and assuming normal metabolism, the medications should be cleared from his system between 16 and 25 hours.
Dr Ketch
Depending on what medications were used and assuming normal metabolism, the medications should be cleared from his system between 16 and 25 hours.
Dr Ketch
Can hypertension along with anesthesia become a problem?
Hello, Anesthesia does not make high blood pressure worse. However, high blood pressure can become a concern, particularly when it is very high and not well controlled. If you READ MORE
Hello,
Anesthesia does not make high blood pressure worse. However, high blood pressure can become a concern, particularly when it is very high and not well controlled. If you are on medication for your blood pressure, please follow the instructions regarding your medications and you should be set.
Dr Ketch
Anesthesia does not make high blood pressure worse. However, high blood pressure can become a concern, particularly when it is very high and not well controlled. If you are on medication for your blood pressure, please follow the instructions regarding your medications and you should be set.
Dr Ketch
Can anesthesia cause drowsiness long after surgery?
Hello, One of the side effects of anesthesia is drowsiness. As a person ages, they become more vulnerable to this side effect depending on age and other illnesses a person may READ MORE
Hello,
One of the side effects of anesthesia is drowsiness. As a person ages, they become more vulnerable to this side effect depending on age and other illnesses a person may have. Particularly if someone who undergoes a bypass surgery. If it is cardiac bypass surgery, then this is a relatively long and stressful surgery. It takes a toll on the body and can contribute to tiredness.
Dr Ketch
One of the side effects of anesthesia is drowsiness. As a person ages, they become more vulnerable to this side effect depending on age and other illnesses a person may have. Particularly if someone who undergoes a bypass surgery. If it is cardiac bypass surgery, then this is a relatively long and stressful surgery. It takes a toll on the body and can contribute to tiredness.
Dr Ketch
Can anesthesia cause confusion in the mind of a patient?
Hello, As a person ages their mind becomes more vulnerable to the effects of anesthesia. This is particularly the case in patients who have variable degrees of dementia or Alzheimer’s. READ MORE
Hello,
As a person ages their mind becomes more vulnerable to the effects of anesthesia. This is particularly the case in patients who have variable degrees of dementia or Alzheimer’s. It’s usually temporary and the duration of effects vary from person to person and depend on type of medications used during anesthesia.
Dr Ketch
As a person ages their mind becomes more vulnerable to the effects of anesthesia. This is particularly the case in patients who have variable degrees of dementia or Alzheimer’s. It’s usually temporary and the duration of effects vary from person to person and depend on type of medications used during anesthesia.
Dr Ketch
