EXPERT
Dheshnie Thangavelu
Anesthesiologist | Pain Medicine
Dr. Dheshnie Thangavelu is an anesthesiologist practicing in Coquitlam, BC. Dr. Thangavelu 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. Thangavelu also might help manage pain after an operation.
26 years
Experience
Dheshnie Thangavelu
- Vancouver, BC
- University of Witwatersrand
- Accepting new patients
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Can you get breast augmentation under local anesthesia?
It would not be recommended as it can be a pretty painful procedure. There’s a lot of manipulation of the muscles under the breast tissue so it’s usually done under a general anesthesia.
READ MORE
It would not be recommended as it can be a pretty painful procedure. There’s a lot of manipulation of the muscles under the breast tissue so it’s usually done under a general anesthesia.
Can a sedated person hear you?
Depends on the depth of sedation. We can sometimes give you conscious sedation so you are cooperative and follow instructions, but depending on the cocktail of meds given, you READ MORE
Depends on the depth of sedation. We can sometimes give you conscious sedation so you are cooperative and follow instructions, but depending on the cocktail of meds given, you will have no memory whatsoever.
Why is my mouth so dry after anesthesia?
If you have been fasting for hours beforehand, that would be the most likely explanation. There are certain drugs that we use that do cause a dry mouth when you wake up as well. READ MORE
If you have been fasting for hours beforehand, that would be the most likely explanation. There are certain drugs that we use that do cause a dry mouth when you wake up as well.
Can you feel surgery under local anesthesia?
You may be aware that someone is touching you or feel pressure but you will not feel any pain.
Are you asleep for an epidural steroid injection?
No you are sitting up when the epidural is done and the steroids are injected
Does a heart murmur affect anesthesia?
Depends on the murmur you have. Anesthesia affects your haemodynamics and if you have a pathological murmur we need to maintain the haemodynamic goals for that particular pathology. READ MORE
Depends on the murmur you have. Anesthesia affects your haemodynamics and if you have a pathological murmur we need to maintain the haemodynamic goals for that particular pathology. There are also complications of having a long standing, untreated murmur that can affect you have an anesthetic.
Does anesthesia take years off your life?
Absolutely not
What should you not do before general anesthesia?
1. It is advisable to stop smoking for at least 2 weeks before surgery as smoking delays wound healing.
2. It is also advisable to avoid alcohol for 24 hours prior to surgery.
3. READ MORE
1. It is advisable to stop smoking for at least 2 weeks before surgery as smoking delays wound healing.
2. It is also advisable to avoid alcohol for 24 hours prior to surgery.
3. Nothing to eat or drink after midnight is important so that when you are anesthetized, you don’t aspirate as that could have fatal consequences.
4. All vitamins should be stopped a week prior to bleeding as they would cause more bleeding intra operatively.
5. Recreational drugs should also be stopped even a month before as they can interfere with how you metabolize anesthetic medications and also affect your analgesic requirements.
Sincerely,
Dr. Thangavelu
2. It is also advisable to avoid alcohol for 24 hours prior to surgery.
3. Nothing to eat or drink after midnight is important so that when you are anesthetized, you don’t aspirate as that could have fatal consequences.
4. All vitamins should be stopped a week prior to bleeding as they would cause more bleeding intra operatively.
5. Recreational drugs should also be stopped even a month before as they can interfere with how you metabolize anesthetic medications and also affect your analgesic requirements.
Sincerely,
Dr. Thangavelu
What anesthesia is used for childbirth?
If you are having a normal delivery and want pain relief, it would be done in the form of and epidural. If you are having an elective c section, it would be a spinal. Both are READ MORE
If you are having a normal delivery and want pain relief, it would be done in the form of and epidural. If you are having an elective c section, it would be a spinal. Both are local anesthetic and you will be awake for both. The spinal just works quicker and numbs your legs whereas with the epidural, it takes time to work and you can still move your legs and even walk about.
Is anesthesia safe for life-long smokers?
It is usually advisable to stop smoking for at least 2 weeks before surgery. This allows the cilia in your airways to regroup and be able to clear your secretions. Smokers have READ MORE
It is usually advisable to stop smoking for at least 2 weeks before surgery. This allows the cilia in your airways to regroup and be able to clear your secretions. Smokers have hyper reactive airways and would this behave like an asthmatic under anesthesia, should you be put off to sleep. Remember that if you stop smoking for 2 months, then your lungs behave as a normal non smokers lungs under anesthesia. Smoking also tends to delay wound healing which is why surgeons also recommend that you stop smoking. If your airways are reactive intraoperatively, you could end up with negative pressure pulmonary edema which is temporary, but usually requires and overnight stay in ICU on a ventilator (worst case scenario).
Can anesthesia cause a stroke?
Anesthesia itself does not cause a stroke. However, if you have risk factors that could lead to a stroke (diabetes, smoker, hypertension), and you have an anesthetic, you could READ MORE
Anesthesia itself does not cause a stroke. However, if you have risk factors that could lead to a stroke (diabetes, smoker, hypertension), and you have an anesthetic, you could have a stroke on the table or you could have one sitting at home watching tv.
Is anesthesia given during normal delivery?
Depends on your pain levels. It you need an epidural for your delivery, then you receive local anesthetic and some opioids which do no harm to your baby as they are going through READ MORE
Depends on your pain levels. It you need an epidural for your delivery, then you receive local anesthetic and some opioids which do no harm to your baby as they are going through an epidural
How long does it take to wake up after knee surgery?
Usually you would have a spinal for your knee surgery as this has significant benefits post operatively. You would then have a little sedation and should wake up fairly quickly READ MORE
Usually you would have a spinal for your knee surgery as this has significant benefits post operatively. You would then have a little sedation and should wake up fairly quickly after the sedation is stopped. If you have a general anesthesia , you would wake up but still have some residual effects of the medication and would be kept in the recovery room for about 45 minutes or longer.
It all depends on how each individual responds to the medications given. Some need more and some need less. Some patients wake up very quickly and others take a little longer to wake up.
It all depends on how each individual responds to the medications given. Some need more and some need less. Some patients wake up very quickly and others take a little longer to wake up.
Is knee surgery done under local anesthesia?
If you are having a knee replacement, it is usually done under a regional - which is local anesthesia via a spinal. If it’s a reconstruction of your ACL or a knee scope it may READ MORE
If you are having a knee replacement, it is usually done under a regional - which is local anesthesia via a spinal. If it’s a reconstruction of your ACL or a knee scope it may be done under General anesthesia or spinal depending on patient, surgeon and anesthesiologist
How soon can you walk after dental anesthesia?
You shouldn’t have any issues with walking once the immediate effects of the anesthesia have worn off. Depends on if you have anesthesia by an anesthesiologist or by the dentist READ MORE
You shouldn’t have any issues with walking once the immediate effects of the anesthesia have worn off. Depends on if you have anesthesia by an anesthesiologist or by the dentist in his office.
Is special anesthesia used for seniors?
The medications are the same, just in smaller doses, and we tend to use shorter acting drugs.
Why does my back still hurt after an epidural?
90% of the world's population will develop back problems at some point in their lives and studies have shown that it has nothing to do with the epidural. Being in labor, stretching READ MORE
90% of the world's population will develop back problems at some point in their lives and studies have shown that it has nothing to do with the epidural. Being in labor, stretching out ligaments, delivering a baby can all contribute as can the usual wear and tear.
