I have a question for a anesthesiologist or MD about upcoming surgery?

Question

I am having my gall bladder taken out also going to do a tummy tuck it will be approx 4 hours of surgery.I am so scared about the anesthesia.What are my options? is it general only?I have asthma and have terrible nightmares already also suffer from anxiety (can ya tell)I have also had a additction in the past YRS ago and caused a OD of drugs hallucenations ect I am also scared how the meds are going to make me feel.Any advice?what options do I have? I am thinking about skipping the surgery .Thanks for taking your time

Cosmetic surgery is already planned..that they can do under local and sedation gall bladder has 1 large stone but causes no pain or other symptoms surgeon rec'd taking it outfor precaution since I will be undergoing surgery anyways.Im more concerned about the general anesthesia

Answer 1

Some doctors will do spinal anesthesia but only for absolute high risk patients. You need to talk to the anesthesiloogist about this and see if it is a possibility.

Answer 2

I find it hard to believe that 2 procedures will take only 4 hours. Most abdominoplasties take close to that. Add in another hour or so for the gall bladder.

I can't imagine anyone going through a real tummy tuck under local. It must be some mini procedure, as a real tummy tuck involves removing the skin from the underlying tissue up to the breastbone. That would take a LOT of local, and you might be at risk for local anesthetic toxicity (seizures, cardiac collapse - it's serious)

Your gall bladder sits under your liver. If you have an open procedure, it's a big incision and a lot of retraction on the liver. Ouch. If it's done laparoscopically, the air under your diaphragm will be more uncomfortable than you will be able to stand. You need general for the gall bladder.

I tried to do local for a tubal once, with minimal air, all the way down in the pelvis, and the woman was uncomfortable the whole time. I will never try it again. A gall bladder - absolutely not under local.

Yes, you need general anesthesia. If that's a problem, postpone the surgery until you are comfortable with the anesthesia plans.

You need to talk to whomever is going to anesthetize you. Call the hospital/surgery center where the proposed surgery is going to take place and make an appointment to talk to someone from anesthesia.

Answer 3

In all forms of treatment, may it be surgical or medical there is always the RISK:BENEFIT ratio to consider. Simply put, will the benefits of treatment be worth the risk to the patient's well-being. Surgeons and doctors in general do not and should not recommend a form of treatment where in the RISK out weighs the benefits.

I am an ophthalmologist. I do most of my surgical procedures on awake patients with topical anesthetics only. Since it is generally safer for my patients, most of which are elderly.

I am not an anesthesiologists. Thus, my opinion regarding anesthesia is far from being an "expert" one, but I am an ophthalmic surgeon and I do guide my patients everyday into deciding for general or local anesthesia.

All things being equal, local anesthesia is generally safer than general anesthesia. However, there are definite indications for general anesthesia in spite of its inherently more risky nature. Which brings us back to the risk -benefit ratio.

Bottom line is: Do you trust your surgeon? Do you trust your anesthesiologist? Your doctors will not recommend a treatment course that they think will do more harm than good. I'm sure they have good reasons for recommending one form of treatment over the other. If you haven't asked your physician why remove the gall bladder, why general anesthesia, ask them now... before your surgery. Its the best time to ask.

In the end, all doctors can do is recommend. It is up to the patient to give consent or not.

Answer 4

First of you will have to get a GA fitness fitness from a cardiologist+ your Xray Chest PA view done.
Than your Blood PT and APTT should be within normal limits.
If all are within normal limits there is no problem in either doing a lapchole or minichole, and it's now upto the anesthetist to decide a Spinal or general anesthesia.
I will recommend you spinal as there are virtually no post operative complications. as I have assisted over 500 cholecystectomies.
Complications are rare in minichole as compared to lapchole.

Answer 5

Skip the cosmetic surgery and have a button hole gall bladder removal in a short time. You have too many problems for the proposed surgery.

Answer 6

I am a doctor with asthma. Recently I had back surgery and had the same worries as you have. I discussed at length my asthma with the anesthesiologist at length. Prior to surgery he will give you atropine and/or scopolomine; this will dry you out a tad and you will be fine.
Make sure that you tell the surgeon and the anesthiologist all of what you have posted here.
You will be fine...stop worrying

Answer 7

The anesthesiologist artwork throughout surgical operation is is somewhat mandatory. mutually as the healthcare expert does his/her artwork the operation on the actual factor, the anesthesiologist keeps and video demonstrate units necessary purposes that determines existence- somewhat the middle and lungs purposes.Securing a secure airway and holding sufficient oxygen grant, and secure heart purposes- are all laid interior the anesthesiologist's hands. in case you're on everyday anesthesia in maximum circumstances,there'll continuously be a tube inserted interior the throat (a respiratory tube called endotracheal tube,nonetheless there are circumstances that a laryngeal mask airway is used ). everyday anesthesia relaxes the organic reflexes that administration the respiratory,coughing and swallowing. The respiratory tube will function because of the fact the secure passageway on your lungs to acquire oxygen and anesthesia drugs throughout your operation. putting the respiratory tube will additionally dodge aspiration.