EXPERT
Dr. SH Wittels
Anesthesiologist
Dr. SH Wittels is an anesthesiologist practicing in Miami Beach, Florida. Dr. Wittels 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. Wittels also might help manage pain after an operation.
Dr. SH Wittels
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Am I really paralyzed under general anesthesia?
The simplest answer to this question is this is YES.... General anesthesia (GA) is a physiological condition when an individual needs to receive medications for muscle paralysis, READ MORE
The simplest answer to this question is this is YES.... General anesthesia (GA) is a physiological condition when an individual needs to receive medications for muscle paralysis, sedation, analgesia, and amnesia. A patient that undergoes GA has been placed in a controlled, reversible state of unconsciousness. This is what allows someone to tolerate surgical procedures that otherwise would result in unbearable pain, which may not be tolerated by the individual.
Nausea after surgery
Postoperative nausea and vomiting also referred to as PONV is common following surgery, especially General Anesthesia. Experience has shown that there are many factors which READ MORE
Postoperative nausea and vomiting also referred to as PONV is common following surgery, especially General Anesthesia. Experience has shown that there are many factors which should be considered for PONV...Just to name a few: (1) Gender, (2) Age, (3) Smoker vs non smoker, (4) patient's history of PONV, Motion sickness (5) Migraine headaches, (6)Obesity, (7) severe anxiety...Then you need to consider post op Pain, Opioid administration...AS you can see the answer is not a simple one
What decides the medication before my surgery?
Anesthesia is not cook book. It is an art form. Each physician has their own formula. So the short answer is yes Doctor preference.
Do I have to stop taking my vitamins before anesthesia?
No problem with taking your Medication before General Anesthesia (GA). I do want to add though that each facility and physician have their own rules to what is referred to as READ MORE
No problem with taking your Medication before General Anesthesia (GA). I do want to add though that each facility and physician have their own rules to what is referred to as NPO (Nothing by mouth) status before GA...Check with your Physician before proceeding to actually take your Vitamins.
What is procedural anesthesia?
What is the Difference between Surgical Anesthesia and Procedural Anesthesia?
The basic difference is in the level of consciousness during different type of medical procedures. READ MORE
What is the Difference between Surgical Anesthesia and Procedural Anesthesia?
The basic difference is in the level of consciousness during different type of medical procedures.
(1) Minimal Sedation: this is drug induced anxiolysis {minimum effect on the sensorium}-good for dental procedures. Patients will respond normally to verbal commands. Airway, cardiovascular functions are not affected.
(2) Moderate Sedation (Procedural Sedation): with the help of drugs there is a depression of consciousness, where the patient can still respond to verbal command and/or touch. These
patients will have amnesia of the event. Examples of procedures this is useful: GI Endoscopies.
(3) Deep Sedation: is a level of depression of consciousness where the patient cannot be easily aroused, but will respond to painful stimuli. and finally
(4) General Anesthesia is a loss of consciousness where the patients are not arousable even to extremely painful stimuli....Examples of where you would need General Anesthesia is
Open Heart, GI surgeries, etc.
The basic difference is in the level of consciousness during different type of medical procedures.
(1) Minimal Sedation: this is drug induced anxiolysis {minimum effect on the sensorium}-good for dental procedures. Patients will respond normally to verbal commands. Airway, cardiovascular functions are not affected.
(2) Moderate Sedation (Procedural Sedation): with the help of drugs there is a depression of consciousness, where the patient can still respond to verbal command and/or touch. These
patients will have amnesia of the event. Examples of procedures this is useful: GI Endoscopies.
(3) Deep Sedation: is a level of depression of consciousness where the patient cannot be easily aroused, but will respond to painful stimuli. and finally
(4) General Anesthesia is a loss of consciousness where the patients are not arousable even to extremely painful stimuli....Examples of where you would need General Anesthesia is
Open Heart, GI surgeries, etc.
