surgery options?

Question

i'm not due to have surgery any time soon, but its on my mind from time to time because i'm an undiagnosed emetophobe (fear of vomiting). if i were to have surgery, what types of surgery would require what types of anesthesia? for example, what procedures require intubation? what options do i have: general anesthesia, local anesthesia, etc. what side effects would i come across and what options do i have to avoid these side effects? thanks for your time.

Answer 1

That is SO much to cover here, but I'll do what I can.

If you ever have a procedure that lends itself to a regional (non-general) technique, there are many options in anesthesia that don't involve going to sleep. Spinals (best anesthetic EVER!), epidurals, nerve blocks, local + sedation are some of the choices.

If you have something that absolutely requires general anesthesia, there's a lot we can do to reduce your risk of post-operative nausea and vomiting. (PONV)

Scopolomine patches (Transderm Scop) are amazing, and I use them all the time in proven pukers. They can stay on up to 3 days to help with nausea from pain meds. There are IV drugs, including dexamethasone (Decadron) and ondansetron (Zofran) that work well. I would also avoid the use of nitrous oxide in someone prone to PONV.

Intubation is an entirely different topic and has nothing to do with PONV. It is a decision that is influence by the patient's physical condition, the procedure being performed, the anesthesiologist's preferences and the needs of the surgeon.

If you need to have surgery, it's not out of line to contact the anesthesia department ahead of time and share your concerns.

We don't like it when you throw up, either :)

Answer 2

anti-emetics are frequently used to counter the intense "emetergic" effects of fentanyl or opiates.

You'll be given strong anti-anxiety agents prior to surgery.

I had an adult tonsillectomy a few years back. I was given a painless IV . By the time I was wheeled into OR, I was so loopy that when shown the cauterizing electric scalpel which was used shortly after to cut inside my throat, I told the nurse "Cool!" I woke on intense Narcs and Phenergan. Going home with enough dope to keep NYC "well" for a century, I experienced a painless recovery, to say the least. Phenergan was a big part of the regimen . I never once felt nausea!
Know and trust both your surgeon and anesthesiologist. Be absolutely forthright in disclosure of drug-use and follow post-op orders! My experience has been that old Doctors are better Doctors. They are cooler under pressure, use better judgment and are not afraid to give you appropriate pain meds. There is a nasty trend in medicine to deny access to anything with abuse-potential. Younger Docs are more vulnerable to this non-sense. But not all.
Bottom-line: Know and feel comfortable with your Doc.

Answer 3

Well, that's a quite complex question and all the answers depends on several factors. The type of anestassia used depends on the type and location of the operation as well as you. For example, some people may react badly to general anaesthesia and would only be able to get local anestassia. For as side effects, different people react differently. Some people may act "drunk" as they wake up from general anaesthesia where-as on others, there are no effects.

But remember, I am no doctor, and the best person to discuss this with you would be your family doctor.

Answer 4

I have great news for you. Any time you go under general anesthesia, you can request anti-nausea drugs and thus NOT throw up when you awake!

Answer 5

Perhaps you could lessen your anxiety about surgery by working with a counselor on your fear of vomiting.

Answer 6

I thoroughly understand your factor of the argument asserting that merely one surgical treatment will fix a flaw that youve hated your complete existence and that i say thats effective. yet elegance surgical treatment such as you reported additionally, ought to or ought to no longer prove the way you needed it to be. and that i'm a sort of individuals to assert that this is "fake". Why substitute your self continuously to be somebody your no longer? God made us the way we are for a reason no longer so as that we could substitute the flaws we sense are not stable sufficient. this is what makes each and each individual unique. i understand that each and each individual accessible ought to discover something they do no longer discover "appealing" approximately themselves yet certainly is fixing that flaw going to get them "observed"? there is not any authentic definition of elegance. in case you asked each and each individual what their definition of elegance is, it may substitute each and every time. If there is something approximately your self which you somewhat % to alter with elegance surgical treatment, somebody else interior the international could kill for it. And why is it these days that elegance is the only ingredient that concerns? specific, those with greater elegance get greater interest, this is authentic. yet what somewhat concerns is the guy who you're below your pores and skin. Getting elegance surgical treatment will in basic terms enable you to think of that "oh, I fastened one flaw and look so plenty greater helpful, so why no longer fix others"? i'm merely expressing my opinion. wish you recognize what i'm attempting to assert.