Contraindications to surgical treatment.
According to vital and absolute indications, operations should be performed in all cases, with the exception of the pre-agonal and agonal state of a patient who is in the terminal stage of a long-term current disease, leading inevitably to death (for example, oncopathology, liver cirrhosis, etc.). Such patients, by the decision of the council, are treated with conservative syndrome-related therapy.
With relative indications, the risk of the operation and the planned effect of it should be individually weighed against the background of concomitant pathology and the patient's age. If the risk of surgery exceeds the desired result, it is necessary to refrain from surgery (for example, removal of a benign formation that does not compress vital organs in a patient with a pronounced allergic disposition.
126. Preparation of organs and systems of patients at the stage of preoperative preparation.
There are two types of preoperative preparation: general somatic sky and special .
General somatic training It is carried out for patients with common surgical diseases that have little effect on the state of the body.
Skin should be examined in every patient. A rash, purulent-inflammatory rashes exclude the possibility of performing a planned operation. Plays an important role oral cavity sanitation . Carious teeth can cause diseases that are severely affecting the postoperative patient. Sanitation of the oral cavity, regular brushing of teeth are highly advisable to prevent postoperative parotitis, gingivitis, glossitis.
Body temperature before the planned operation should be normal. Its increase finds its explanation in the very nature of the disease (purulent disease, cancer in the stage of decay, etc.). In all patients hospitalized routinely, the cause of the fever should be found. Until it is detected and measures are taken to normalize it, the planned operation should be postponed.
The cardiovascular system should be studied especially carefully. If the blood circulation is compensated, then there is no need to improve it. The average blood pressure is 120/80 mm. rt. Art., can fluctuate within 130-140 / 90-100 mm. rt. Art., which does not cause the need for special treatment. Hypotension, if it is the norm for a given subject, also does not require treatment. If there is a suspicion of an organic disease (arterial hypertension, circulatory failure, and cardiac arrhythmias and conduction disturbances), the patient should be consulted with a cardiologist and the question of the operation is decided after special studies.
For prevention thrombosis and embolism determine the protombin index and, if necessary, prescribe anticoagulants (heparin, phenylin, clexane, fraxiparin). In patients with varicose veins, thrombophlebitis, elastic bandaging of the legs is performed before the operation.
Preparation gastrointestinal tract patients before surgery on other areas of the body is uncomplicated. Food intake should be limited only in the evening before the operation and in the morning before the operation. Prolonged fasting, the use of laxatives and repeated lavage of the gastrointestinal tract should be performed according to strict indications, since they cause acidosis, reduce intestinal tone and promote blood stagnation in the mesenteric vessels.
Before planned operations, it is necessary to determine the condition respiratory system , according to indications, eliminate inflammation of the paranasal cavities, acute and chronic bronchitis, pneumonia. Pain and the forced state of the patient after the operation contribute to a decrease in the tidal volume. Therefore, the patient must learn the elements of breathing exercises, which are part of complex of physiotherapy exercises of the preoperative period.
Special preoperative preparation at planned patients can be long-term and voluminous, in urgent cases, short-term and quickly effective.
In patients with hypovolemia, disturbances in the water-electrolyte balance, acid-base state, infusion therapy is immediately started, including the transfusion of polyglucin, albumin, protein, sodium bicarbonate solution in acidosis. To reduce metabolic acidosis, a concentrated solution of glucose with insulin is administered. At the same time, cardiovascular agents are used.
With acute blood loss and stopped bleeding, transfusion of blood, polyglucin, albumin, plasma is performed. With continued bleeding, transfusion is started into several veins and the patient is immediately taken to the operating room, where an operation is performed to stop the bleeding under the guise of infusion therapy, which is continued after the operation.
Preparation of organs and systems of homeostasis should be comprehensive and include the following activities:
improvement of vascular activity, correction of microcirculation disorders with the help of cardiovascular agents, drugs that improve microcirculation (rheopolyglucin);
fight against respiratory failure (oxygen therapy, normalization of blood circulation, in extreme cases - controlled ventilation);
detoxification therapy - the introduction of liquid, blood-substituting solutions of detoxification action, forced diuresis, the use of special methods of detoxification - plasmaphoresis, oxygen therapy;
correction of violations in the hemostasis system.
In emergency cases, the duration of preoperative preparation should not exceed 2 hours.
Psychological preparation.
The upcoming surgical operation causes more or less significant mental trauma in mentally healthy people. At this stage, patients often have a feeling of fear and uncertainty in connection with the expected operation, negative experiences arise, and numerous questions arise. All this reduces the reactivity of the body, promotes sleep and appetite disorders.
Significant role in psychological preparation of patients, hospitalized in a planned manner, medical and protective regime, the main elements of which are:
impeccable sanitary and hygienic conditions of the premises where the patient is located;
clear, reasonable and strictly adhered to internal rules of procedure;
discipline, subordination in the relationship of medical personnel and in the patient's relationship to personnel;
cultural, respectful attitude of the staff to the patient;
full provision of patients with medicines, apparatusswarm and household items.
Surgical interventions are divided into
▪ Emergency operations performed for health reasons (eg, injuries complicated by internal or external bleeding; tracheostomy in case of obstruction of the upper airways; puncture of the pericardium in case of cardiac tamponade).
▪ Urgent (emergency) operations carried out within the nearest time from the moment of injury to prevent serious complications. To reduce the operational risk, intensive preparation is prescribed before the operation. Depending on the nature of the pathology, the permissible time frame from the moment of admission to the clinic to the operation is, for example: - with embolism of the vessels of the extremities up to 2 hours; - for open fractures up to 2 hours. ▪ planned
Absolute readings to surgery ▪ Open injuries. ▪ Complicated fractures (damage to the great vessels and nerves). ▪ Threat of complications during closed reduction in fractures. ▪ Ineffectiveness of conservative treatment methods. ▪ Interposition of soft tissues. ▪ Avulsion fractures.
Relative indications. Planned interventions after injuries suffered and previous surgical interventions (a preliminary outpatient examination of the patient is necessary).
For example: ▪ arthroplasty of the hip joint after a subcapital hip fracture; ▪ removal of metal structures.
When determining the indications for surgical interventions, the following factors should be taken into account: - diagnosis of damage; - danger of damage; - prognosis without treatment, with conservative and surgical treatment; - the risk of surgery; - risk from the patient (general condition, medical history, concomitant diseases).
In addition to complicated fractures and other life-threatening injuries requiring surgical intervention, absolute and relative indications for surgery must be justified, and at the same time the intervention, c. each case can be delayed or canceled.
Absolute contraindications:
- Severe general condition of the patient.
- Cardiovascular insufficiency.
- Infectious complications from the skin.
- Recently suffered severe infectious diseases.
Relative contraindications may arise primarily due to the following risk factors:
- elderly age;
- premature baby;
- respiratory diseases (e.g. bronchopneumonia);
- cardiovascular disorders (eg, refractory hypertension, BCC deficiency);
- impaired renal function;
- metabolic disorders (eg, uncompensated diabetes mellitus);
- blood clotting disorders;
- allergies, skin diseases;
- pregnancy.
If these risk factors are not taken into account, the execution of planned surgical interventions can lead to serious complications!
After the surgeon determines the indications for surgical treatment, the patient is examined by an anesthesiologist. The anesthesiologist prescribes additional studies to diagnose concomitant diseases and determines measures to stabilize the impaired functions. The anesthesiologist is solely responsible for the choice of the method of anesthesia and the conduct of anesthesia (after agreement with the surgeon).
With the help of different types of anesthesia, surgeons can carry out long and complex surgical interventions in which the patient does not feel any pain. Before carrying out any operation, it is necessary to conduct a complete examination of the patient in order to identify contraindications to anesthesia.
The main contraindications for general anesthesia
General anesthesia can be of three types: parenteral (intravenous), mask or endotracheal and combined. During general anesthesia, the patient is in a state of deep medication sleep and does not feel pain. For those patients who cannot use this type of anesthesia, the anesthesiologist selects another anesthesia, or the attending physician tries to cure them with conservative methods.
The anesthesiologist decides on the type of anesthesia for the patient
Below is a list of diseases for which it is strictly forbidden to carry out general anesthesia:
- Diseases of the cardiovascular system, such as:
- acute and chronic heart failure;
- unstable angina, or exertional angina;
- history of acute coronary syndrome or myocardial infarction;
- congenital or acquired defects of the mitral and aortic valves;
- atrioventricular block;
- atrial fibrillation.
- Diseases of the kidneys and liver - are prohibited for parenteral and combined general anesthesia, among them:
- acute and chronic hepatic or renal failure;
- viral and toxic hepatitis in the acute stage;
- cirrhosis of the liver;
- acute pyelonephritis;
- glomerulonephritis.
- Foci of infection in the body. If possible, the operation should be postponed until the infection is completely cured. It can be abscesses, phlegmon, erysipelas on the skin.
- Respiratory system diseases such as atelectasis, pneumonia, obstructive bronchitis, emphysema, and respiratory failure. Also, a contraindication is a cough with ARVI, due to laryngitis or tracheitis.
- Terminal conditions, sepsis.
Diseases of the cardiovascular system are a contraindication to anesthesia
There is also a group of contraindications for children under one year old. It includes such diseases:
- rickets;
- spasmophilia;
- vaccination carried out within two weeks before the operation;
- purulent diseases of the skin;
- childhood viral diseases (rubella, chickenpox, measles, mumps);
- increased body temperature for no known reason.
Contraindications to spinal and epidural anesthesia
Spinal and epidural anesthesia is a type of regional pain relief. With spinal anesthesia, the doctor injects the anesthetic directly into the spinal canal, between the 2nd and 3rd lumbar vertebrae. At the same time, it blocks sensory and motor functions below the injection level. When performing epidural anesthesia, the anesthetic is injected into the epidural space, that is, without reaching the structures of the spinal canal. In this case, an area of the body is anesthetized, which is innervated by the nerve roots passing at the injection site.
For spinal and epidural anesthesia, the drug is injected into the spinal canal
Contraindications to these methods of regional anesthesia:
- Infectious skin diseases at the site of the intended injection.
- Allergy to local anesthetics.
If the patient has a history of episodes of Quincke's edema or anaphylactic shock following the use of a local anesthetic, this type of pain relief is categorically contraindicated! Moderate or severe scoliosis. With this pathology, it is technically difficult to perform this procedure and identify the injection site.
- Patient refusal. When performing surgical interventions using epidural or spinal anesthesia, the patient is awake. He does not fall asleep during the operation. And there are times when people are afraid of such surgical interventions.
- Lowered arterial blood pressure. With hypotension, it is dangerous to carry out these types of pain relief, since there is a risk of collapse.
- Blood clotting disorder. With hypocoagulation, this type of anesthesia can lead to the development of internal bleeding.
- Atrial fibrillation and third-degree atrioventricular block.
Contraindications to local anesthesia
When performing local anesthesia, the anesthetic is injected locally into the area of the planned operation. This type of pain relief is most commonly used in anesthesiology. It is also used in surgery, when opening abscesses and panaritiums, sometimes in gynecological and abdominal operations, when there are strict contraindications to other methods of anesthesia.
Local anesthesia is used on the area of the body to be operated on
Local anesthesia cannot be used in such cases:
- For allergic reactions to local anesthetics. Before performing local anesthesia, it is better to do an allergy test. In this way, the doctor can save the patient's life and protect himself.
- In acute renal failure, since these drugs are excreted by this organ.
- When planning a long-term operation. The average duration of the local anesthetic is 30-40 minutes. With repeated administration of the drug, there is a risk of overdose.
Before carrying out any surgical intervention, it is necessary to conduct a complete laboratory and instrumental examination of the patient to identify possible contraindications to anesthesia. If there are contraindications, the doctor, together with the anesthesiologist, chooses another method of anesthesia or tries to cure the patient with conservative methods.
Name surgical operation consists of the name of the organ on which it is performed and the term that denotes the performed operational reception.
The following terms are used:
tomia- dissection, incision, autopsy;
ectomia- excision;
extirpatio- isolation, husking;
resectio- partial excision;
amputatio- removal of the peripheral part of the organ;
stomia- creation of an artificial fistula;
centes- puncture.
Hence the following names arise:
- rumenotomy(rumen - scar, tomia - dissection) - scar dissection;
- enteroectomy(enteron - intestine, ectomia - excision) - excision of the intestine.
- urethrostomy(urethra - the urethra, stomia - the creation of an artificial fistula) - the creation of an artificial fistula of the urethra.
Indications and contraindications for operations
Each surgical operation preceded by a diagnosis based on clinical, laboratory or radiological examination.
After that operation justify with appropriate indications. In all difficult and doubtful cases of determining the indications for surgery, it is necessary to resort to a consultation.
« A cleverly performed surgical operation does not qualify for the title of an experienced clinician. Only a physician with good clinical training can be a good surgeon».
Indications for surgery- these are the cases when surgical operations are necessary or can be performed.
Indications may be:
- absolute(indicatio vitalis) - those cases in which there is no other way to cure the animal (malignant neoplasms, bleeding, suffocation, pneumothorax, tympanic scar, prolapse of internal organs);
- relative- those cases in which the operation can be omitted without causing significant damage to the health and productivity of the animal, or when the operation is not the only method of treatment (benign tumor, not restrained hernia).
NB! It is impossible to resort to surgery when the animal can be cured in an easier and safer way, but also not to neglect the operation when it is the only method of treatment.
Contraindications to surgery- these are the cases when the operation is impossible or undesirable to perform.
They are divided into:
Contraindications due to the severe condition of the animal:
With exhaustion, old age, exacerbation of the inflammatory process, fever, infectious disease, a large amount of damage, the second half of pregnancy, sexual heat in females.
The exception is urgent surgery (strangulated hernia, phlegmon, malignant tumor). In these cases, the entire risk must be explained to the owner of the animal.
Contraindications due to economic and organizational factors:
- when imposing quarantine for an infectious disease inherent in this type of animal (erysipelas, plague, washing horses, Siberian whale);
- before moving and regrouping animals;
- 2 weeks before and within 2 weeks after the prophylactic vaccination;
- in the absence of appropriate sanitary conditions for the postoperative keeping of animals.
The exception is urgent cases that require emergency intervention, in which the operation must be performed in compliance with all the rules of one's own protection and preventing the further spread of the disease.
Mass operations cannot be carried out on farms that do not have proper conditions for the postoperative maintenance of animals (you cannot castrate bulls if they are kept knee-deep in slurry).
Any surgical operation that poses a risk to the life of the animal must be performed only with the written consent of the legal owner of the animal or his representative (head of the farm, private owner of the animal).
If we are talking about an animal that is state property, then the doctor, realizing the entire need for the operation, must insist on its implementation, and, if necessary, operate without waiting for consent.
Any surgery has a relative degree of risk.
Grade 1 - easy.The risk is negligible. The disturbances that exist do not affect the general condition and do not cause disturbances in other organs and tissues. This group includes planned operations.
Grade 2 - moderate.
This refers to emergency operations that cannot be postponed, and the animal has moderate cardiac or respiratory failure.
Grade 3 - severe.
A sick animal was found to have local lesions of vital organs (myocardial infarction, acute respiratory failure, diabetes).
Any surgical intervention is accompanied by the use of anesthesia. The introduction of potent drugs into the body, especially with deep anesthesia, often entails not the most pleasant manifestations for the body. However, there are situations when their use has contraindications. This means that general anesthesia is performed only for medical emergencies or when the risk to the patient's life is justified by the risk of using anesthetics.
Absolute contraindications
This list is conditional. In some cases, as mentioned above, deep anesthesia is used even if they are present. We list the main contraindications for anesthesia:
- The patient has a disease such as bronchial asthma in severe or progressive form. This condition is directly related to the danger of intubation of the larynx with deep anesthesia. This manipulation can cause closure of the glottis or the occurrence of bronchospasm, which are life-threatening. That is why it is a rather dangerous combination.
- Pneumonia. After surgery, in this case, pulmonary edema may develop.
- Serious diseases of the cardiovascular system. These include myocardial infarction suffered earlier than six months before, acute heart failure, as well as uncompensated heart failure. The latter is often accompanied by severe sweating, swelling and severe shortness of breath. Atrial fibrillation, in which the heart rate reaches one hundred beats per minute, is also an unacceptable condition.
- Epilepsy, schizophrenia and some other psychiatric and neurological diseases. Contraindications for such diagnoses are associated with an unforeseen reaction of the sick person's body to the use of anesthetics.
- For temporary, but absolute contraindications, for which the operation is usually not performed under anesthesia, is the state of alcoholic or drug intoxication. The point here is that the anesthetics will not work, so this procedure is impossible. Surgical intervention for a patient in a state of alcoholic or drug intoxication can be performed only after complete detoxification of the body. Often in this case, the help of a narcologist is needed. General anesthesia is used for patients under the influence of alcohol or drugs only for urgent medical reasons. However, in this case, large doses of anesthetics and narcotic analgesics are introduced into the body, which can subsequently lead to an unpredictable effect.
In what cases should mask anesthesia not be used?
It is worth noting that there are contraindications for long-term use. First of all, they include the presence of tuberculosis in a patient. It is also prohibited in diabetes mellitus and impaired renal function, including unstable adrenal glands.
In any case, the anesthesiologist decides which anesthesia is best for you. It takes into account all diseases and possible contraindications. Carefully approach the choice of specialists and be healthy!
I created this project to tell you in simple language about anesthesia and anesthesia. If you received an answer to your question and the site was useful to you, I will be glad to have support, it will help to further develop the project and compensate for the costs of its maintenance.
Questions on the topic
Olga 09/10/2019 05:50
Good day! Mom (73 years old) was diagnosed with a giant cystoma of the right ovary. CT scan was done, all organs were examined, no metastases. In the discharge, the doctor writes: cystoma? Disease of the right ovary (meaning oncology) ?, i.e., the diagnosis is not known. Due to the fact that the cystoma has squeezed all organs, there are failures in the work of the heart. We planned an operation to remove the cystoma, but after consulting the anesthesiologist, it was postponed. The anesthesiologist said there is a high risk due to severe tachycardia. Previously, my mother did not complain about her heart. I received a referral to donate blood for a tumor marker (I donated it earlier, there was an excess), we will wait for the choice of an alternative treatment. It is difficult for her to move, eats little due to the fact that food simply does not fit into a squeezed stomach, in other words, it loses strength. Should I insist on surgical intervention?
Inna 05/17/2019 09:50
Good afternoon. Tell me, with vertebroplasty, local anesthesia is done, I have 4 mature gastric erosions found on FGDS, I have been treated for 3 weeks, and soon again on FGDS. If they are not healed, will the operation be refused? After all, I continue to undergo treatment and during the operation, preparations for the stomach can be taken. Can there be bleeding from local anesthesia?
Yana 02/05/2019 11:57
Hello! A 3-year-old child has congenital dropsy of the testicles, soon there will be an operation under general anesthesia, the child began to often complain of the knee and we did an ultrasound of the knee joint, in the conclusion we wrote that moderate synovitis of the right knee joint with a slight effusion into the cavity, as well as ours adenoids of the 2nd degree. Can we go to surgery under general anesthesia, or should we postpone it for now? And what are the consequences?
Alexander Grigorievich 21.01.2019 16:57
Hello! I am 68 years old. Diagnosis: Chronic polyposis rhinosinusitis. The operation was performed using video endoscopic technology. There is a concomitant diagnosis: Arterial hypertension 3 tbsp 1 tbsp risk 4. Question. How relevant is the use of general anesthesia in this case? Thanks.
Svetlana 10/05/2018 20:03
The gynecologist prescribed the operation, my grandmother has a strong prolapse of the uterus! + the doctor found that the bladder seemed to be inverted. My grandmother has epilepsy (drinks benzanal) from about 23 years old, stones in the bladder, hypertension, the pressure in the evening and at night rises very high, it happened over 200, they were taken away by ambulance, 2 times over the summer. I am very worried about the bubushka. What tests need to be taken to test the body's reaction to anesthesia? Is it worth doing the operation at this age?
ANATOLY GRIGORIEVICH 24.07.2018 19:05
HELLO, DOCTOR!!! I am 69 years old, I was diagnosed with benign adenolymphoma of the right parotid salivary gland while I was advised to do the operation under general anesthesia, because of the facial nerve so as not to damage it, but I have concomitant sores, moderate chronic renal failure, dyslacia of the left heart, right ventricular cavity, aortic atherosclerosis, enlargement of the aorta 51cm. signs of ischemic heart disease cardiosclerosis stage 2 hypertension. Is general anastasia contraindicated for me? I'm afraid to completely plant the kidneys and heart. What do you advise the doctor? What kind of anesthesia is better for my sore? THANKS(((((((
Olga 07.07.2018 15:20
Hello, please tell me if it is possible to perform an operation to remove a 40mm aneurysm using a shunt delivered in 2013. On a leg 37cm long? Dad is 75 years old, flickering arthmia, pressure sometimes jumps, oncology was found on the lung about 60 mm. The doctor says general anesthesia is impossible, is it possible topically?
Roman 05/28/2018 10:13 PM
Hello. I'm 39 years old. Scheduled ear surgery (chronic suppurative otitis media, cholesteatoma). One kidney and spleen were removed (hit by a car in childhood), there was a contusion of the brain. I have heart problems (arrhythmia, tachycardia) - so for many years I have been taking Concor 2.5 mg every day. Plus, hepatitis C virus was found (how long I have it - it is unknown), ECG - sinus rhythm, 86 beats, atrial blockade; on the only kidney parenchyma 1.9 cm and in the middle segment hyperechoic formation 0.8 cm, plus, it seems. liver problems (heterogeneous structure). Is it safe to go for an operation? Formally, all the doctors in the local regiment (cardiologist, therapist, urologist, neurologist) gave the go-ahead, but a lot of sores opened up. Thanks in advance for your reply.
Oleg 05/17/2018 02:14
Hello. Please tell me, a 43-year-old patient will have planned laparoscopic cholecystectomy. Of the concomitant diseases, there is stage 1 hypertension, narrowing of the bifurcation of the carotid artery by 60% on the one hand with a history of ischemic attacks. How dangerous is general anesthesia in this case and is it possible to use regional anesthesia in this patient. Thanks.
Elena 05/03/2018 18:40
Hello, please tell me, breast plastic surgery is planned, for ecg sinus rhythm with a heart rate of 78 beats. in min. Diffuse myocardial repolarization disorders, is this not a contraindication to anesthesia? Thanks.
Karlygash 04/08/2018 16:21
Hello my aunt, 46 years old, they found kidney stones in her, they said they need to have an operation, but in one clinic they refused to do the operation, they said that we are now going to go to another city with a weak heart, I have a question if she has a very weak heart, can the operation be performed and will be under anesthesia to do or how? Will she be okay?
Marina 03/25/2018 10:36 PM
Hello. I would like to know. I have a 4-year-old child who wants to treat all teeth at once under general anesthesia for a day. But a pelvis was recently found in our right kidney, it is slightly enlarged. Can we have such anesthesia ?!
Svetlana 03/13/2018 13:28
Hello! I have instability of 5-6-7 cervical vertebrae, and a hernia of the cervical spine, at the moment the pains are aggravated, headaches and circulatory disorders are added to them. Is it possible to perform an operation in this state under general anesthesia (operation duration 1 hour)?
Natalia 02/27/2018 11:50
Is it possible to perform an operation to remove a hernia in case of heart block !? (If not, what are the consequences) (and if so, will this not affect the deterioration of the heart)
Larisa 02/03/2018 07:18
Hello! I have a planned operation to remove the gallbladder, but there are heart diseases such as extrasystole and paraxysmal tachycardia. I take sotagexal 80, magnesium. During treatment with sotagexal, paraxysmal tachycardia did not occur. Is general anesthesia possible for these problems? And can sotagexal be taken on the day of surgery, before surgery?
Sergey. 10/29/2017 9:25 PM
Hello. I would like to have some teeth removed under general anesthesia. I take cordaron, because there is atrial fibrillation. Does it make sense to apply to the dental center with this request? Or will it be denied anyway? Thanks.
Elena 10/26/2017 15:03
Hello! A 74-year-old relative was diagnosed with stomach cancer (initial stage). but he has COPD, the oncologist gave a conclusion that the operation and chemotherapy should not be done (he will not withstand anesthesia), is he right?
Marina 10/20/2017 10:42
Hello! Tell me, please, my mother made a conclusion on ultrasound of the kidneys: ultrasound - signs of cystic transformation of the right kidney. Expressed diffuse changes in the parenchyma and sinus of the left kidney. ICD. Pyelitis on the left. Cyst of the left kidney. Cysts of the right ovary, endometrium, uterine myoma. Can we get spine surgery? and how dangerous is it?
Ekaterina 10/19/2017 10:49 PM
Hello, my daughter is 3 months old. An ultrasound scan of the brain revealed enlargements of the stomachs of the brain. The liquid-retaining system is expanded D> S The depth of the anterior horns: right -7.8 mm, left 6.5 mm (N up to 5 mm) And also an open oval window. We are to undergo a cosmetic operation under general anesthesia (removal of capillary malfoliation) Is it possible to carry out anesthesia with such a diagnosis?
Natalia 10/13/2017 11:14
Hello, please tell me, we are going to have an operation to remove adenoids under general anesthesia, but the ECG showed sinusoidal arrhythmia (105 beats), the cardiologist did not give permission, said that the child has bradycardia. Is this a contraindication?
Oksana 10/11/2017 10:35 PM
Hello. Please respond urgently. A friend of mine has stage 3 lung cancer and metastasis at T7 with a pathological fracture of the vertebral body and compression of the spinal cord. At the moment, the legs have failed (sensitivity is preserved), the bladder does not work and constipation for 8 days, the enema does not help. They were admitted to the hospital to install metal rods instead of a vertebra, and during examination they found stomach erosion in the pain relief and postponed the operation. The question is, is gastric erosion a contraindication to neurosurgical surgery in such a situation? The condition worsens every hour. Symptoms of intoxication from constipation began. Or are doctors worried about developing pulmonary embolism? How to insist on a neurosurgical operation
Ivan 10/05/2017 11:17
Hello. I have a spring allergy for flowering (April-May), I need to do an operation to remove an intervertebral hernia. Can you have such an allergy? Thanks.
Dmitry 09/25/2017 20:02
Good day Dear doctor, I have an umbilical hernia that needs to be sutured, right now We wanted to do surgery, but the doctor came and said that I could go crazy in simple language before he came in the evening, I talked with the girl as an anastasiologist, told her the whole truth that I am very much afraid that I have panic attacks when I have a cracking heart beats for 10 minutes I go to wash and go to bed, told that since the age of 14 I have been smoking marijuana every day now I’m 19 no other drugs I didn’t use told to her that I have a very sympathetic character, so to speak, when we were sitting, I was crying after 30 minutes, I calmed down and was almost ready for the operation, told that I had a sick gallbladder (dyskenasia of the biliary tract and chronic cholecystitis, the gastroenterologist also diagnosed liver steatosis at the moment I have slightly yellowish eyes and my skin told her that I have gastroudenitis, she suggested spinal anesthesia, an injection in the back, after which I will not move my legs for 6 hours (but the hernia is along the white line of the abdomen above the navel), in general, today I was discharged from the hospital and told that it was dangerous for me to do anesthesia and, simply speaking, I could go crazy because I am so emotionally excited. so I'm just cracking ash + I waited several days until that day and was very much afraid, in general, they discharged me from the hospital and said come and do everything for you in 3 months.
Evgeniya 09/20/2017 2:44 PM
Good day! An MRI scan of the brain revealed a 2 mm saccular aneurysm of the anterior communicating artery. Upcoming laparoscopy. Are there any contraindications for anesthesia?
Ekaterina 09/16/2017 17:35
Hello child 6 years old has asthma 2 years basic therapy Seretide 2 times a day 25/125. and a violation of intraventricular conduction, the appearance of a slowdown in intraventricular conduction is noted; an operation to remove adenoids of 2-3 degrees is required
Polina 09/12/2017 06:35
Hello! My brother was diagnosed with a lung bull. He also has inflamed adenoids. They had to undergo an operation to remove them, but when they found the bulla, they said that it was a contraindication. Is it really so? How then to remove the adenoids? Can't use anesthesia? We also wanted to take him to stem therapy, because he has an ROP of the central nervous system, but he also needs anesthesia (mask). The clinic coordinator said that even with gentle anesthesia, it is not known how the body will respond. What can you do in this situation? Thank you in advance!
Alla 09/10/2017 15:58
Hello, my child, 4 years old, 2 days before the operation (phimosis) has upset the chair, tell me, in this case, the operation will be postponed?
Petimat 09.09.2017 23:13
Hello. I wanted to know if we had an adenotomy operation in five days. The boy is 8 years old, but yesterday he had a stuffy nose, snot is insignificant transparent, there is no temperature, his throat is slightly red. No cough, but I coughed a couple of times at night. Do we have any contraindications for the operation? It's just that if we are denied the operation, I will no longer wait for recovery. Then I'll wait until summer, since September gets colder, we are constantly sick. It's not like 10 days of days, we are sick again. Thanks in advance.
Elena 09/05/2017 14:12
Hello. I need to do a laparoscopy in 15 days. I have an VSD, I was waiting for a support for a long time and was nervous, it got to the point that I wake up at night because it is stuffy and how I begin to lose consciousness, coming out into the fresh air passes. I also prescribed the lutein hormone 200 ten days for me to adjust my body to the date of the operation. Maybe I wanted to do the operation, I wanted to know your opinion, I will ask my anesthesiologist, but it’s interesting to know your opinion.
Dmitry 08/17/2017 05:43
Hello! I would like to know if it is possible for me to undergo anesthesia if the diagnosis is "Violation of intraventricular conduction, accessory notochord in the left ventricle"?
Elena 08/07/2017 11:27
Good day! The child is 7 years old, diagnosed with bronchial asthma (mild form) of an allergic nature (to dust mites). We constantly take singular and flexotide courses. The neurologist sent for an MRI of the brain with anesthesia through a mask? Is such anesthesia dangerous for a child with asthma? How best to prepare for anesthesia? Thanks.
Marina 08/03/2017 06:35
Hello, please tell me what kind of anesthesia is possible for my child. I have a daughter of 9 years old. They diagnosed questionable laryngeal papillomatosis. She did not allow herself to be examined with a mirror without anesthesia. We were told that the examination would be done under anesthesia. She was diagnosed with LLC. By the time the school improved, the condition was said to be overgrown. The child is very nervous. Thank you very much for the information.
Daria 07/01/2017 05:40
Hello. Child 2g 10m. An operation to remove the adenoids under general anesthesia is presented. The ecg showed boadicardia. The pulse rate is 80 beats / min. The cardiologist said that the operation would have to be postponed. with such a pulse, they simply won't take us on it. Is it so?
Alexandra 06/27/2017 16:42
Hello. The child is 6 months old. The operation for vesicoureteral reflux of the 2nd degree is necessary. The child has increased intracranial pressure. (Moderate) and an enlarged thymus (3rd stage). Is it possible to use anesthesia?
Waag 06/26/2017 17:59
Good afternoon. The father is to undergo an operation to remove a cervical hernia, and he has a heart aneurysm. Is there a risk of surgery under prolonged anesthesia? Thanks.
Alexandra 06/25/2017 08:21
The other day, my son is 6 years old to remove adenoids under general anesthesia. ECG passed, conclusion: sinus rhythm. With heart rate = 87 beats / min., S type of ECG. Intraventricular conduction is impaired. Can they refuse anesthesia with such a result?
Evgenia 06/16/2017 10:48 AM
Hello! The child is one year and 8 months old and will have an operation under mask anesthesia. ECG sinus rhythm with heart rate 89-109, with periods of bradycardia. There is no way to get advice from a pediatric cardiologist. The pediatrician has doubts. Please tell me if it is dangerous to undergo surgery with such ECG data. We will survive. Thank you in advance.
Irina 06/09/2017 11:26
Good afternoon, my mother was discharged on 05/31/2017 from the hospital with the words. diagnosis: Cerebrovascular disease: cerebral infarction from 05/11/2017 Ischemic heart disease: postinfarction cardiosclerosis. Persistent form of atrial fibrillation Background disease: Hypertension grade 3, grade III, risk of CVC 4. Complication: NK 2A (Strazhenko-Vasilenko) on June 7, 2017, she was taken to the hospital with suspected intestinal hemorrhage. On the next day, the coloproctologist said that there was no more blood in the stool and most likely the mucous membrane was damaged due to constipation (Mom is lying down, the right side is paralyzed) Since you need to constantly take anticoagulant therapy, the doctor still advised to conduct a colonoscopy under anesthesia. What is the risk? Is it worth carrying out this examination under anesthesia, taking into account the above?
Elena 05/30/2017 00:34
Hello! A child of 1 to 7 months needs to undergo FGS under general anesthesia. ECG examination diagnosed grade 1 AV block. Can this be done? How does general anesthesia affect the brain of an actively growing child? Thank you in advance.
Natalia 04/24/2017 08:37
Hello, I have a planned operation (lipoma) under local anesthesia, I have a sore throat, I drink ingoverin, should I cancel the operation or not?
Arthur 04/11/2017 09:26
An operation to remove an inguinal hernia is pending. I am 56 years old, atrial fibrillation in a constant form. Two years ago, during coronary angiography, there was ventricular febrile. Now I am afraid to undergo surgery under general anesthesia. Help with advice, thanks.
Oksana 04/08/2017 12:28 PM
They did a laparoscopy of the ovary, the anesthesiologist said that there were problems with me: difficult to remove and narrow glottis. What does it mean?
Anastasia 04/04/2017 13:50
Hello. We have such a question? We go to the hospital for CT under anesthesia. We have staphylococcus since birth, and later found that there are also adenoids. The bottom line is that we have eternal problems with snot. anesthesia, if before that we blow our nose well?
Tanya 04/02/2017 23:51
Good day! An operation to remove the placental polyp is pending. I have tachycardia up to 90 beats per minute. Should I worry that it will take a long time to recover from anesthesia? Is it contraindicated for me? I now drink rose hips to regulate my pulse, does it really help? Thanks!
Oksana 03/19/2017 09:38
Hello, we are going to have colpoperineorrhaphy surgery under local anesthesia. At the moment I am treating acute bronchitis. Operation in a week. Is it possible to carry out the operation under such conditions
Irina Nikolayevna 28.02.2017 13:25
I am contacting you again because I did not find an answer. I need to have a colonoscopy and I would like to do it under general anesthesia. Is it possible to do this if I take the lyrics (pregalbin) zoloft and spitomin I will also add sirdalud. I have neuropathy with stenosis of the lumbosacral spine. Age 67 years old. With admiration, Irina Nikolaevna.
27.02.2017 14:26
Olga, all the comorbidities you listed are not a contraindication to anesthesia. Spinal anesthesia is also possible. Everything is at the discretion of your anesthesiologist.
Vyacheslav 02/26/2017 06:35
Hello, my father is 67 years old, he has coronary artery disease, 3 years ago he had a myocardial infarction, now he suffers from an inguinal hernia. Can he be given anesthesia, if possible, then what kind of anesthesia in this situation?
Abdurakhman 02/19/2017 10:39 PM
Hello, I have Parkinson's syndrome and I did not fall successfully and broke the neck of the hip and now I have an operation to replace the neck of the hip, please tell me whether anesthesia is contraindicated or not
Olga 02/18/2017 11:45 PM
Hello, what type of anesthesia is performed during the operation to remove the hygroma of the long muscle of the abductor thumb of the wrist joint? Are there risks? The child is 13 years old.
Olga 02/11/2017 00:09
Hello! Tell me please, I’ve already been pregnant for 2 years now with 3 children will be a cop. Is he scary at all? Thanks!!!
Natalia 02.02.2017 17:57
Hello, there is an operation to remove a tumor from the posterior part of the mediastinum, the child is 1 year old. The child has a runny nose, his teeth are beginning to climb. Is this a reason not to perform the operation at the moment?
Olga 01/20/2017 18:56
Thanks. But is it advisable to put it at risk for the sake of some kind of cardiogram? Why, in simple cases (which do not require sutures that do not touch the muscles, nerves, blood vessels), do not hold the child, fix it with belts (they did it for me, though for a long time) and do with local anesthesia? Sorry for the importunity, I am very worried about this issue.
Olga 19.01.2017 20:43
Hello. They want to remove a lipoma (5 mm) on the leg under general anesthesia for a 3.9-year-old child. Fat on the surface of the skin, under a layer of skin approximately 1 mm thick, the contents are perfectly visible with the naked eye, the size of a sunflower seed .. You don't even have to put stitches. Why do doctors go to general anesthesia for NO reason other than their own convenience? Why do they not commensurate the amount of work and offer other methods (for example, resorption by injection of the drug)? Help please, is this not a violation of the patient's rights?
Andrey 01/19/2017 00:38
Good day! The wife is about to give birth, and she has a polyvalent allergy (up to anaphylactic shock). Tell me what drugs for anesthesia are used during childbirth, and is it possible to make allergy tests on them in advance. If so, where? I will also be grateful for any recommendations in such cases.
Sima 12/17/2016 18:23
Hello, my son is 29 years old. He has dyangosis-PMD and he needs to remove the gallbladder. The doctor refused to do the operation because he cannot be given anesthesia. Tell me what to do? Thanks for the information.
Maria 11/26/2016 9:10 PM
Hello. The patient was scheduled for CABG (coronary artery bypass grafting) as planned. During a preliminary examination of narrow specialists, the ophthalmologist diagnosed suspected glaucoma. And he signed that there are no contraindications to the operation. But the patient in cardiac surgery refused to take on the operation, since Glaucoma is in question, they said that the patient needs to find out exactly whether or not there is glaucoma. Since Glaucoma is a contraindication to CABG. Is it so?
Tatyana 11/15/2016 09:28
Thanks a lot!
Tatiana 11/09/2016 10:12
Good afternoon! Patient 53 years old. The main diagnosis is stage 2 CCI (atherosclerotic, hypertensive). Postponed ischemic stroke in BZSMA on the right (cystic transformation in the occipital lobe according to CT). Transient ischemic attack in BLSMA a year ago .. Concomitant: GB 3 stage 3 degrees. Hypertensive heart. Aortic valve atheomatosis. Risk 4. Mixed nephropathy. BP C2. CHF 1. FC1 Diabetes mellitus 2. Obesity 1 tbsp. Hyperrumiyaricemia. Dyslipidemia. Type. Surgical treatment for atherosclerosis of the neck-extracranial abracheocephalic vessels was recommended. Occlusion of both VAs. Stenosis of the proximal segment of the left vertebral artery up to 60%, refused surgery On X-ray later, COPD was established. Diffuse pneumosclerosis, pulmonary emphysema. Can we count on surgery now or is it a contraindication?
Ulyana 11/01/2016 12:39 PM
Good day! My son is 5.5 years old, the result of an ECG is a local violation of intraventricular conduction, is it possible to do adenotomy under anesthesia?
Alina 11/01/2016 00:34
Hello. My child is 6 years old, diagnosed with cicatricial phimosis, and recommended surgical treatment. Also worried about the issue of general anesthesia. The fact is that the child suffers from BA and has MAC. Chordal anomaly. During examination by a cardiologist, bradycardia was recorded on an ECG. ECHOKG shows MAC. Exercise ECG, according to the cardiologist, is normal. This bradycardia is associated with VSD. The operation is due in 2 weeks, we are very worried. Can we get general anesthesia?
Marina 10/15/2016 09:02
frequent extrasystole 4 degrees, bigenimia, trigenimia, jogging of yellow tachycardia, ischemic heart disease. 58 years old, woman. Is it possible to have an operation to remove the gallbladder? What is the risk?
Evgeniy 10/08/2016 11:28
Hello! I want to do chin plastics + SMAS lift. A year ago, there were heart problems due to nerves, the ECG showed a scar on the back wall of the heart. In the conclusion it is written: "According to Echo-KG signs of atherosclerotic lesions of the aorta, cusps of the aortic vertae and mitral valves. Prolance (illegible word ?!) of the anterior cusp of the mitral valve grade I with symptoms of mitral regurgitation grade I-II. Moderate hypertrophy of the left ventricular myocardium with signs of diastomic dysfunction. Signs of an aneurysm of the s / s interatrial septum. Right type ". Is anesthesia contraindicated for me? Heart problem was in October 2015. (a year ago), the date of the above conclusion: 10/29/2015. Sometimes, once every few days, the heart can beat a little bit (2-3 "ukolchik"), there are no serious complaints about the heart now. I do not perform heart treatment. Well, what can be the consequences of anesthesia, if it is contraindicated for me, and I will hide the above from a plastic surgeon?
Aldyn 09/30/2016 12:49 PM
Hello, my grandmother is 70 years old, the cavity of her uterus is filled with purulent-hemorrhagic contents, curettage of the uterus is shown, but due to the presence of chronic bronchitis, it was refused (they said the anesthesia might not pull). Is it really so? Thanks for the answer.
Natalia 09/21/2016 11:56
Good afternoon. Question about anesthesia. She will have a gynecological operation, removal of a polyp in the uterus. Operation for the day after tomorrow. I have a broken hand, my arm has been in a cast for a month. Will they take me for an operation or can they refuse to operate? Thanks to.
Daria 09/16/2016 01:09
Hello. Question about anesthesia. Preparing for gynecological surgery, endometrial scraping. Is general anesthesia applicable to me, is it possible to minimize the risks? I have type 1 diabetes on insulin with concomitant diseases, chronic pyelonephritis, cholecystitis, anemia, low blood pressure.
Irina 09/13/2016 2:22 PM
My daughter was prescribed a laparoscopy operation (removal of a cyst on the left ovary), I have hepatitis B, they said general anesthesia .... I'm very afraid of contraindications and consequences. I am interested in your opinion
Valentina 09/08/2016 17:32
Hello. In 2013, I underwent a cesarean section in connection with a breech presentation of the fetus under epidural anesthesia. About 5 minutes after the start of the operation, it became very difficult for me to breathe. I had a feeling that half of my lungs were missing, I was dizzy, it was hard to speak, I felt faint. As the anesthesiologist said: the pressure dropped dramatically. After about 20 minutes, the condition returned to normal. Now again, by the way, I am very afraid of a repetition of this state, especially a lack of air. By the way, after the first CS, the feeling of lack of air passed only after 2 months. In the anamnesis, dzhvp, vd, mitral valve prolapse is hemodynamically insignificant, myopia is high. During the first pregnancy I had inferior vena cava syndrome, but now it is not. Age 28 years old. Tell me, what type of anesthesia is still preferable for me and what is the reason for this condition during the first operation? What is the likelihood of a recurrence of such a reaction now? Thank you in advance.
Love 09/02/2016 15:51
Hello! I will have a planned cesarean at 38 weeks, now it is 37 weeks and the migraine has worsened again. I have had migraine since 2014 in spring and autumn. During pregnancy, my skin is not as acute (without an aura) as it was before pregnancy. I also have tachycardia, the pulse rate from 100 to 110 reaches. I'm afraid of general anesthesia. left very hard the last time (fainting and vomiting). What kind of anesthesia is possible for me?
Elena 08/31/2016 10:45
Hello! we are preparing for the operation, we are undergoing tests and found sand in the kidneys and changes in the urine (protein) in the child, and expressed sinus arrhythmia in the ecg! Tell me, is this a contraindication to surgery with anesthesia? child 4 years old: the main diagnosis of muscular dystrophy is merosine-negative. anesthesia was said to be inhaled with sevuran (if you wrote the name correctly)
Natalia 08/28/2016 08:24
Hello. Please tell me if it is possible to use general anesthesia in my situation. In 2005, the following operations were performed: (first stage) - operation of right-sided ventriculoperitoneal bypass grafting, and the second stage - operation of right-sided paramedian access, removal of the tumor of the left cerebellopontine angle. Currently, the diagnosis of a neurologist: CVD, DE art. complex genesis (hypertensive, atherosclerotic, postoperative), hypertensive-hydrocephalic syndrome, left-sided pyramidal insufficiency, liquorodynamic disorders, moderate vestibulo-atactic, cognitive impairments. Chronic cholecystitis, Gallbladder polyposis. Dyslipidemia. Is it possible in my situation to use general anesthesia - gynecological surgery (endometrial hyperplasia), removal of the gallbladder. What consequences are possible after applying general anesthesia to the brain? Are there any contraindications in my situation for general anesthesia?
Natalia 08/18/2016 17:11
Hello. Please tell me, can oligophrenia become a reason for refusal to perform an operation on the gallbladder? A 63-year-old woman, a disabled child, mental retardation with mental retardation. There are complications after the treatment in the form of speech disorders, he stutters badly. Fully capable. She passed the examination necessary for planned hospitalization. There are no contraindications to surgery. Cholelithiasis, constant pain. Periodically nausea, vomiting, diarrhea. Several times she was hospitalized in an ambulance during an exacerbation. The gastroenterologist recommended surgical treatment.
18.08.2016 16:32
Julia, it is not clear from the question: whether we are talking about a planned vaccination, or about the treatment of the disease. If this is a vaccination, I cannot be 100% sure, but most likely there is nothing wrong, but it is better to transfer it to after the operation. And if we are talking about a disease, then additional consultations from doctors, an assessment of the risk and the need for an operation are needed.
Anastasia 08/16/2016 20:02
Thank you very much for your reply!
16.08.2016 14:51
Anastasia, if there is no lactation, there are no contraindications, then, of course, you can do it, but I would advise you to postpone the operation, to allow the body to recover - after all, pregnancy and childbirth is a strong stress for the woman's body, especially since there was a cesarean section, so there was anesthesia, or anesthesia. Now immediately again anesthesia. Of course, it happens that we do several operations and anesthesia in a row and everything goes well, but you need to understand that if there is no urgency, then it is better to postpone it so that at least a year or a year and a half has passed. Good luck to you!
Azat 08/10/2016 11:47
Hello, is it possible to perform an operation to remove the gallbladder with a closed-angle glocoma, and what kind of anesthesia is prescribed (anthropin is contraindicated)? What is the local or general anesthesia used during the operation?
Olga 08/03/2016 15:28
Good day! On August 11, she was appointed to reconstruct the cervix, the diagnosis was grade 2-3 dysplasia, the blood sugar was 7.1 mmol, can it be operated on?
Diana 08/02/2016 19:59
Hello, I have a drug allergy to all local anesthetics. Only ultracaine showed 30% (it, as I understand it, is possible, but with tavegil) Please tell me what other anesthesia options may be suitable for me. There was a need to remove a wisdom tooth. And also, for the future, because during childbirth, for example, anesthesia is used.
NATALYA 07/31/2016 15:40
hello August 12, daughter, 7 years old, removal of adenoids under general anesthesia, is it possible to get a tetanus vaccine (the time has come) before the operation or is it better to postpone?
Lydia 07/26/2016 16:39
Meniscus resection (arthroscopy): which anesthesia to choose? Good day! I would like to ask for help with choosing a method of pain relief for arthroscopy of the knee joint (the operation will take at least an hour). The surgeon recommends spinal anesthesia. But what stops me is that because of the neglected spine (osteochondrosis, hernia, etc.) it can be difficult. In addition, I heard negative reviews about this method, including from neurologists. There are opinions that the consequences may appear even after six months or a year. General anesthesia - everything is fine, but I have already undergone several operations under general anesthesia and I’m afraid there will be no overload. Her memory and reaction speed have worsened, she suffers from insomnia. In addition, I have arrhythmia, problems with blood pressure (there were cases when it dropped to 40 at all). Local anesthesia, according to the surgeon, is not an option at all. Conductive anesthesia (regional) remains. I would be very grateful if you could express your opinion on this matter. P.S. I have not yet communicated with the anesthesiologist, but I would like to understand what to ask him about.
Larisa 07/25/2016 21:07
Hello! My sister fell ill a month ago, and MRI revealed a sequestered hernia of the L4-S1 vertebra. They began to prepare for a neurosurgical operation. The ECG showed that there are changes in the heart. A cardiac examination (ultrasound) was carried out, which showed the presence of aneurysmal deformity of the N / C MPP into the left atrial cavity with an interruption of the echo signal of 3.7 mm with a slight pathological shunt of blood. Violation of the rhythm. Thickness of PS PZh 8.2 mm. The conclusion also says that there is a tendency to dilatation of the cavities of both atria. Concentric hypertrophy of the LV myocardium with a decrease in contractile function. Type 1 diastolic dysfunction Induction and indistinct calcification of the MV cusps and the aortic root. Mitral insufficiency 1-1.5 tbsp. Aortic regurgitation 0-1 tbsp. Tricuspid insufficiency of 1.5 tbsp. Pulmonary regurgitation 1 tbsp. Myocardial hypertrophy. Moderate pulmonary hypertension. R sist. Aircraft 40 mm / Hg. The neurosurgeon is ready for the operation, but the anesthesiologists twice categorically refused the operation, pointing out the presence of a heart defect, which greatly frightened us. We were consulted by a cardiac surgeon, who said that cardiac surgery in this situation is not indicated and there are no obstacles to neurosurgical surgery. Help me figure out, is it really impossible to give anesthesia or anesthesiologists simply insure themselves? Is there a real direct threat to life? The operation usually takes 3-3.5 hours under general anesthesia. I also write that the hospital is a base for training students of a medical university (maybe this is the reason?), Located in our city, a high-class neurosurgeon was supposed to operate, previously worked in one of the federal centers. I will also say that they found out about the existing heart disease only during the examination. For us, this is a "find", since there have never been any complaints about the heart.
Egor 07.25.2016 19:29
Hello. Father is 57 years old. After surgery on the carotid artery, progressive signs of stroke were recorded for a year. As a result, the right side of the body was taken away. They did an MRI of the brain a year ago and now - a tumor formed in the brain in a year of 4 cm (I suppose a post-stroke cyst), but the doctors do not make a conclusion and simply call it an education, a tumor (gliastoma). My father walked a little, but fell on his right leg, having received a subtrochanteric fracture of the hip with displacement. Everything would be fine, they wanted to do the operation and install braces on the thigh, but the hospital refused the operation, citing the impossibility of anesthesia in such a patient. We went to the Institute of Brain Neurosurgery (Tashkent) for permission, where they confirmed to us that no anesthesia should be done, even during leg surgery. The father lies for two months and suffers from a fracture, the bones naturally do not grow together on their own. Can you please tell me, is it really impossible to do anything? Maybe there is a way to anesthetize only the lower part of the body, for example, during leg surgery? Thanks.
Hello, Doctor! When I was treating my teeth, the doctor put me some kind of anesthetic, after which I cried. She asked if I was in pain and why I was crying. At that moment I was not in pain, but cried by itself, I even smiled, answering. She brought me to my senses with ammonia, and then said that she realized that it was an "adrenaline swing." She said it was a reaction to adrenaline, and I think she added that I ate something sweet before that, so this is the reaction. She did not consider it necessary to write me the name, since it was not a reaction to the anesthetic, she said, but she wrote something like "adrianol", I may be wrong. I have to undergo treatment at the dentist, which will be unbearable without anesthesia, and besides, I am breastfed, the baby is 1.2 months old, while I am not going to quit. I still have a question about the adrenaline swing and how dangerous it can be? Is it worth taking tests for the use of anesthetics, if so, which ones, because prices bite terribly. By the way, after this incident, I was already given anesthesia after childbirth, when the placenta, common placenta, was removed, but this is probably a different type of anesthesia. Transferred well.
Nikolay Valentinovich 06/10/2016 16:06
Hello. My wife was diagnosed with 4st. bladder cancer. A month ago, my wife (64 years old) made an unsuccessful suicide attempt (phenazepam-30tab. + 100g vodka). She survived, but with dire consequences. The first 10 days after the poisoning, I only slept, did not eat, only drank water. Then she regained consciousness, began to eat and drink a little, recognized her loved ones, spoke badly, tried to get up and walk herself, although she did not realize where she was and what had happened to her. But mostly she slept, often turning on one side, then on the other. In a dream, he often slowly raises his arms or legs, making smooth movements (as in ballet). We thought that a week or two would pass and everything would be restored, but every day her condition worsened: she began to speak worse (now she does not speak at all), does not get up, walks under herself, does not respond to our calls, I have to drink and feed in a dream. Now he sleeps all 24 hours a day. Eating has become bad, takes food from a spoon into her mouth and sleeps with it, does not chew, does not swallow, does not hear our calls. The oncologist asks us to urgently do an MRI of the brain. But since she can raise her leg or arm at any time, this must be done under anesthesia. The question is whether it is possible for my wife in this state to undergo anesthesia for an MRI examination, or in our case it is excluded. And if so, do we have any other option for examining the brain without anesthesia or not? Thanks. Nikolai Valentinovich is a pensioner from Moscow.
Elena 04/14/2016 01:15
Hello. Please tell me how important it is to inform the anesthesiologist about the periodic intake of amphetamine for two years, if the last dose was a year ago, and the use of marijuana during the last year, if the last dose was a month ago?
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