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Dr. Mario Nieto, M.D.
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Will general anesthesia harm my baby?
In short, no. It depends on several factors (current age of the baby, and pre-existing medical problems, the type of operation, the length of the operation, etc). The general consensus READ MORE
In short, no. It depends on several factors (current age of the baby, and pre-existing medical problems, the type of operation, the length of the operation, etc). The general consensus is that we just do not know what long term effects general anesthesia poses to babies whose brains and organs are still developing (even after birth). Even if there were some long-term effects, they are unlikely to be obvious years down the road as we just do not have reliable means of measuring the effects of anesthetics in the brain.
If the operation is necessary, do it. If it is something that can wait until the child is at least a year or more older, put it off. It is all about cost-benefit.
If the operation is necessary, do it. If it is something that can wait until the child is at least a year or more older, put it off. It is all about cost-benefit.
Sickness after anesthesia?
Nausea, or PONV (post-operative nausea and vomiting), is unfortunately a possible side-effect of anesthesia. Several factors determine your risk: age, sex, smoking status, type READ MORE
Nausea, or PONV (post-operative nausea and vomiting), is unfortunately a possible side-effect of anesthesia. Several factors determine your risk: age, sex, smoking status, type of operation, and length of the procedure. Lengthy abdominal procedures have a higher risk for PONV than, say, a short operation of the hand or foot. General anesthetics that use inhaled agents also increase that risk. If you have a prior history of PONV or are someone that is easily prone to motion sickness, you are likely more prone to developing PONV.
With these risk factors in mind, we typically employ several agents during the course of an anesthetic to help prevent PONV. These various drugs work at different receptors throughout the body and help prevent the transmission of noxious stimuli to the vomiting center of the brain. Prevention is the best course...some of these drugs are more effective prior to the occurrence of PONV, although we do have several others that work as "rescue" agents. The key is to let your anesthesiologist know ahead of time so that an effective plan can be formulated prior to the administration of the anesthetic.
With these risk factors in mind, we typically employ several agents during the course of an anesthetic to help prevent PONV. These various drugs work at different receptors throughout the body and help prevent the transmission of noxious stimuli to the vomiting center of the brain. Prevention is the best course...some of these drugs are more effective prior to the occurrence of PONV, although we do have several others that work as "rescue" agents. The key is to let your anesthesiologist know ahead of time so that an effective plan can be formulated prior to the administration of the anesthetic.
Nausea after surgery
Post-op nausea is unfortunately very common. Aside from IV medications administered in the OR, you might consider a scopolamine patch prior to your anesthetic. This patch works READ MORE
Post-op nausea is unfortunately very common. Aside from IV medications administered in the OR, you might consider a scopolamine patch prior to your anesthetic. This patch works in the background and can help prevent nausea.
Avoiding a general anesthetic is the most obvious choice. The use of blocks and spinals (depending on the type of surgery) can help reduce the likelihood of PONV.
If you do need a general, having a Total IV Anesthetic (no anesthetic gas is used here) is the best method to prevent this occurrence. Speak with your anesthesiologist about what options you do have available and see if a TIVA (total IV) is appropriate.
Go into surgery believing that you will do well afterwards. Your mindset is also very important. Don't assume you will have nausea just because it happened before. When you do find a combo that works, jot the details down and ask for it in the future.
Hope this helps. Best of luck to you!
Avoiding a general anesthetic is the most obvious choice. The use of blocks and spinals (depending on the type of surgery) can help reduce the likelihood of PONV.
If you do need a general, having a Total IV Anesthetic (no anesthetic gas is used here) is the best method to prevent this occurrence. Speak with your anesthesiologist about what options you do have available and see if a TIVA (total IV) is appropriate.
Go into surgery believing that you will do well afterwards. Your mindset is also very important. Don't assume you will have nausea just because it happened before. When you do find a combo that works, jot the details down and ask for it in the future.
Hope this helps. Best of luck to you!