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Anesthesia Frequently Asked Questions

 

                             

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You, your surgeon and you anesthesiologist will all participate in choosing the best anesthetic for your situation.

 

 

 

The most common is nausea and vomiting. However, multiple protocols are being used to decrease the incidence of nausea and vomiting and are quite effective. While the risks of complications from anesthesia will never be completely eliminated, your anesthesiologist will do everything they can do to minimize them. 

 

 

 

 

ADULTS
  • No solid food and/or non-clear, full liquids up to eight (8) hours before surgery. This includes food, milk, juice, nectar, vegetable juice, Jell-O, gum and mints.
  • Only clear liquids up to four (4) hours before surgery. This includes clear apple juice, water, 7-up, Gatorade.
  • Nothing by mouth for the four (4) hour period immediately before surgery

 

 

 

 

Test results obtained from the medical record within 6 months of surgery are generally acceptable if the patient's medical history has not changed substantially. More recent tests may be needed if the medical history has changed, or if the test results play a role in the selection of an anesthesia technique.

Most plastic surgeons require their patients to have a pre-operative physical before surgery with their family physician or internist.  This normally will consist of a complete physical along with blood count and possibly a mammogram (if the patient is having surgery on the breast).

 

 

 

 

The evening prior to your surgery, your anesthesiologist may try to contact you by phone. If he/she is not able to contact you the night before, you will have an opportunity to meet you anesthesiologist after your arrival at the hospital

 

 

 

 

Some medications may need to be stopped before surgery. It is extremely important to discuss all medications you are taking with your surgeon and physicians prior to surgery.

See Complete List of Medication to Avoid Before Surgery

 

 

Medication to Avoid Before Surgery:

The following are examples of what should be discussed with your physicians prior to surgery:

  • Warafin (Coumadin)
  • Enoxaparin (Lovenox)
  • Clopidogrel (Plavix)
  • Ticlopidine (Ticlid)
  • Pesantine
  • Fosamax

 

 

Aspirin drugs- Below are examples of products containing aspirin:

 

Alka-Seltzer Empirin with Codeine Vanquish
Anacin Equagesic Verin
Anodynos Excedrin Wesprin
Arthritis Pain Formula Fiorinal Zorprin
Arthritis Strength BC Powder Gensan  
Arthritis Strength Bufferin Goody's Tablets/Powder  
Asa Enseals Halfprin  
Asa Suppositories Heartline  
Ascripton Lortab  
Aspercin/Extra Magnaprin  
Aspirin Measurin  
Aspitab Mefenamic Acid  
Adzone Tablets Momentum  
Back-Quell Norgesic  
Bayer Aspirin Norwich  
BC Arthritis Strength Powder P-A-C Analgesic Tablets  
BC Cold Powder Pepto-bismol  
Multi-Symptom /Non-drowsy Perodan  
BC Powder/Tablets Ponstel  
Buffaprin Regiprin  
Buffasal Robaxisal  
Buffects 11 Saleto  
Bufferin Solocol  
Buffex Sine-Off Sinus  
Buffinol Soma  
Cama Arthritis Pain Reliever Stanback  
Damason-p Supac  
Darvon Compound Synalgos-DC  
Dasin Talwin Compound  
Doans Pills Tri-Pain  
Easprin Trigesic  
Ecotrin Ursinus Inlay-Tabs  
Emagrin Valesin

Complete List of Medication containing Aspirin to Avoid Before Surgery

Actron Meloxicam
Acetnol Mobic
Advil Monogesic
Aleve Motrin
Anaprox Motrin-IB
Ansaid Nabumetone
Butzaolodin Nalfon
Cataflam Naprelan
Celecoxib Naprosyn
Celebrex Nuprin
Clinoril Orudis
Daypro Oruvail
Diclofenac Potassium  Osoxicam
Disalcid Oxaprovin
Dolobid Pamprin-IB
Etodolac Piroxicam
Evista Relafen
Feldene Rufen
Fenoprofen Salflex
Flurbiproben Sulindac
Ibuprofen Suprol
Indocin Tenoxicam
Indomethacin Tolectin
Ketoprofen Tolmetin
Ketorolac Toradol
Lodine Trilisate
Meclofenamate Vioxx
Melcomen Volatren

Complete List of NSAIDs to Avoid Before Surgery

 

 

 

 

Discuss with physician - fourteen (14) days prior to surgery. These drugs are used for the treatment of depression, obsessive-compulsive disorder, eating disorders, essential hypertension, chronic pain syndromes, and migraine headaches. They work by inhibiting nerve transmissions in brain that may cause depression.  MAO inhibitors can cause severe problems when combined with anesthesia, especially general anesthesia. The combination can cause dangerously low blood pressure during surgery.

 

MAO Inhibitors

 

 
Isocarboxazid Iproniazid
  • Marplan
  • Marslid
  • Iprozid
  • Ipronid
  • Rivivol
  • Propilniazida
   
Phenelzine Iproclozide
  • Nardil
  • Nardelzine
 
   
Tranylcypromine Selegiline
  • Parnate
  • Jatrosom
  • Eldepryl
  • Deprenyl
   
Tolozatone Nialamide

Complete List of MAO Inhibitors to Avoid Before Surgery

 

 

 

 

 

 

Dietary Supplements: Minerals, Vitamins, Herbal Supplements and Holistic Supplements- Discuss with physician.

Herbal Dietary Supplements to AVOID before Surgery - fourteen (14) days prior to surgery:

    Alpha Omega (fish oil) - (increase risk of bleeding)

 

    Bilberry - (has anti-platelet properties and may inhibit vital clot formation. These medications are normally taken to remedy edema (fluid retention).

 

    Cayenne -  (has anti-platelet properties and may inhibit vital clot formation. These medications are normally taken to remedy edema (fluid retention).

 

    Chondroitin  - (increases risk of bleeding) 

 

    Chromium Picolinate - (alters the blood glucose level)

 

    Echinacea - (reduces immunosuppressant effectiveness - may cause allergic reactions -  may have a severe impact on the liver when general anesthesia is used)

 

    Feverfew - (has anti-platelet properties and may inhibit vital clot formation. These medications are normally taken to remedy edema (fluid retention).

 

    Fish Emulsion - (increases risk of bleeding)

 

    Garlic - (increases risk of bleeding)

 

    Ginger - (has anti-platelet properties and may inhibit vital clot formation. This supplement is normally taken to remedy edema (fluid retention.)

 

    Gingko - (are powerful anti-coagulants - could increase bleeding time. They are considered to be 3 times stronger than Vitamin E.)

 

    Ginbko Biloba  - (are powerful anti-coagulants - could increase bleeding time. They are considered to be 3 times stronger than Vitamin E)

 

    Ginseng - (may cause hypoglycemia and increases risk of bleeding - may cause rapid heartbeat/and or high blood pressure in some individuals as well as coagulation disruption.)

 

    Glucosamine  - (mimic human insulin and may artificially cause hypoglycemia during surgery)

 

    Hydroxycut - (Stop taking these pills at least 2 to 3 weeks before surgery. Many of these pills contain anticoagulants and can seriously impede your body’s ability to clot sufficiently.)

 

    Kava Kava -(compounds anesthetic effect, may build tolerance to anesthesia -  have tranquilizing properties and should not be combined with other sedative agents. WARNING! Tell your anesthesiologist/surgeon if you take this supplement) 

 

    Licorice Root - (have a mild monoamine oxidase (MAO) inhibitory effect.)

 

    Ma Huang (Ephedra) - (affects cardiovascular function, may cause cardiomyopathy or thrombotic stroke. It is an amphetamine-like compound with the potential for stimulating the central nervous system and heart.) 

 

    Melatonin - (may decrease the amount of anesthesia needed for surgery.)

 

    Papaya - (has anti-platelet properties and may inhibit vital clot formation. These medications are normally taken to remedy edema (fluid retention).

 

    Salicin (Willow Bark) - (has anti-platelet properties and may inhibit vital clot formation. These medications are normally taken to remedy edema (fluid retention).

 

    Selenium - (are powerful anti-coagulants. They are considered to be 3 times stronger than Vitamin E.)

 

    St. John's Wort - (induces cytochrome enzymes, inhibiting effects of many surgical drugs)

 

     Valerian - (compounds anesthetic effect, may build tolerance to anesthesia - have tranquilizing properties and should not be combined with other sedative agents. WARNING! Tell your anesthesiologist/surgeon if you take this supplement)

 

    Vitamin E - (increase risk of bleeding - has anti-platelet properties and inhibits vital clot formation - recommended to stop taking this medication two to three weeks before surgery)

 

    Yohimbe (known as the "natural Viagra" - mild monoamine oxidase (MAO) inhibitory effect.)

 Complete List of Herbal Medication to Avoid Before Surgery

 

 

 

 

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