5 Things You Must Tell Your Anesthesiologist Before Going To Sleep | Ask An Anesthesiologist 

So I went in for glaucoma surgery...and of course went over all those questions...I loudly and specifically told him that I can NOT tolerate ANY kind of opioid...NONE....I will vomit for hours. Can't even take a vicodin. So just as I am coming to on the table, I hear my surgeon tell the anesthesiologist "well, I am almost finished here".....and I feel like I am going to get sick...they wheel me out and the nurse is looking at me shaking her head...and the vomiting started and I couldn't stop...he had given me FENTYANAL! I vomited that entire day....I was LIVID. AND.....on another occasion, getting ready for that procedure we all hate....the nurse says that the anesthesiologist wants the IV in my right arm....I told her she is not gonna get anything into that vein...she pokes and says she found a tiny vein and tapes it all up. Anesthesiologist comes in and I tell her the IV is extremely painful and I do not think it is in right....she shoot lidocaine into it, which of course numbs it from the pain.....in the middle of the procedure, I WAKE UP....the IV had failed. We know our bodies, why can't they listen to what we say? I am not stupid but that is how I perceived they felt. Hard to trust after some situations!

Before a second day surgery I was interviewed by the anesthesiologist. I happened to mention that after the previous surgery I had been knocked flat for days. He checked what I had been given, changed the formula, and on the second surgery I felt fiercely good afterwards. I then wrote to the hospital to ask for the "cocktail" used. They were happy to send the details to me and I have it on file should I ever need another, similar surgery.

I was prepped for back surgery, on the gurney and all pre-op stuff was done. However, the anesthesiologist cancelled it because of a cardiac issue of mine. I was very grateful that he did.

Let’s talk! As an athlete! In good cardiac condition!! I was once given too much..and woke up to them compressing on my chest! That was in America 20 years ago.. I had to have a follow up for scar tissue removal.. I pushed it off for years until I finally had it done in Italy and I spent a good deal of time speaking with Anaesthesiologist 😂😂😂❤ I sent him a beautiful gift basket, the moment I got home!!😂❤

Thanks Dr. Bradley! I have TMJ dysfunction and can only open my mouth about half as far are others. I made an appointment with the anesthesiologist prior to surgery so they could assess for any difficulties. It made me feel much more safe.

I wish more Dr's. Were like you! THANK you for sharing

Dr. Bradley, the questions you ask patients prior to surgery where anesthesia will be utilized are very thorough which I think is excellent and has the best interests of the patient in mind. I only recall the anesthesiologist for my surgery asking about the last time I had something to eat or drink and whether I had any allergies. That was it.

After cervical spine fusion (C4-5-6), I was told after awakening they had a difficult time waking me up! Talk about frightening! It took hours for me to be considered stable enough to transfer from Post Anesthesia to my room over the next 3 days. The Anesthesiologist visited me the following morning to evaluate how I was doing- possibly evaluating whether defending a lawsuit was in his future or other cause for concern filed against him. No such actions were taken on my part as I progressively continued to improve. Prayerfully, there will be no future need for surgery!🙏

Thank you. This was really helpful in understanding the need for fasting and what sort of information is necessary for the anesthesiologist.

Thank you, doctor. So glad I came across this a week before surgery.

You have a very relaxed and easy going approach towards getting your patients to let their guards down and allow for an honest conversation between two (+) people. 👍🏼👍🏼OR RN (Ret.) CNOR (E)

You are awesome, I've never been questioned by an anesthesiologist. Since I'm having a series of minor but sedated surgeries, I go in with a list and hand it to the anesthesiologist. With a history of hyper emesis after sedated dental work, and my current mental health status and medications I cannot go 12 hours without unless you want a combative patient, it's nice to hear you ask for details.

Have had several surgeries since the 2nd half of my life. Feel blessed to have had no complications. Such a sweet feeling to drift off and believing the problem at hand will be resolved when I awaken. L5-S1 was the worse pain. Great results! L Knee was easier. Carpal tunnel. Rods fused in foot with another knee is in the future. Plus, other more minor ones. Every anesthesiologist has listened to my concerns. They put me under just enough that I don't struggle to wake up. That being said...I am a firm believer in the power of prayer. In the weeks ahead, once the date is set, I begin to pray for the surgeon and the whole operating room team.😊

Thank you Dr. Bradley for sharing your info. You are appreciated.

Wow!!! Dr. Bradley!!! You are very thorough!!! I wish you were my anesthesiologist years ago. I coded on the operating table 7 years ago. Thank God my sister was there with me, but I was told due to bronchitis. I never had bronchitis a day in my life. So after i was discharged i asked for my medical records, they didn't have me listed as a patient as of that time and it was so hard for me to get them. Needless to say i got them and found out that i was given 3 different kinds of anthesia after my body reacted. I just wish i was told the truth. But Im thankful to be here!!!! God is so good!!!🥰🙌🙏💖

I wish more doctors were aware of this. I've had PTSD my whole life and have had a bad experience with nearly every surgery, 7 major so far. Spinals never work, I have had to have fentonyl, I coded during my c-section. The physical reactions of PTSD are real!

Patients should be able to watch videos from each doctor involved with his or her upcoming surgery before they undergo surgery. Being aware of the surgical process and post-surgery procedures are very helpful. The patient needs to know what to expect before and after. so they will be better prepared for what to expect. Thank you so much for this video.

Good to see you FAMILY!

Great presentation, thank you Doctor!

Thank you! This video was very clear and informative!

All of your questions seem reasonable to me, Doctor Bradley. I had L5/S1 fusion 11/21/22 and these were the same questions that I was asked. Thank you for this video.

Thank you so much for the information.

Excellent video, thank you!

I have become 'aware' during two different procedures under anesthesia. I repeated back to both teams their conversations during the procedures...they were shocked. I felt the scalple cut into me, but was unable to cry out. The idea of going under anesthesia for tongue and throat cancer Terrifies(!) me, most especially if it will include cutting my neck open and cutting through my jaw! Can the Anesthesiologist guarantee me that I won't become aware during this surgery, and that I will be kept in deep enough to not be aware of such drastic cutting??? Terrified...

thanks Dr. Bradley.

Dr. Bradley, I have a 4.9 cm ascending aortic aneurysm that will need surgery soon due to rate of growth. I'm in a very rural area with a travelling cardiologist whom I've only seen twice since he diagnosed me last June. I asked him about pseudocholinesterase deficiency that runs in our family and he said anesthesia is not his forte. I'm terrified that a long open heart surgery could be disastrous for me due to the length of time I'd be under. I was supposed to be anesthetized for approximately 45 minutes for a minor surgery in 1974 and finally woke up over 4 hours later. My father and siblings shared similar issues with surgeries. Thank you for any input.

Thank you for the very informal video. Awesome content. Blessings, Carlos ✝️🙏❤️😊❗️

Thank you! Good info.

Thank You Dr Bradley ! When a pt. I used to wonder Why all of the qusetions. Refreshing, to know , that Drs do care..the reason that they ask these questions.!

I love the anesthesia team . I learned so much from them when I worked in perioperative.

Great content and excellent information. Thank you!

Thank you for this information PEACE

Dr. Bradley: I must say that you presented your video in a very professional matter. I am impressed.

Great information!

1. When did you last eat/drink 2. Do you have any allergies 3. Any history of problems with anesthesia 4. What is your functional status 5. Any medical problems

Thank you for the thorough information. One thing I always wanted to ask an anesthetist: I have had four operations under general anesthesia in my life. The first two were about 20 and 10 years ago, at that times I felt very dizzy, nauseous after waking up, it was like a strong seasickness, would have even vomited if there were something in my stomach, it was very unpleasant, as I recall it lasted for 1-2 hours and then gradually went away. On the third occasion (it was in an expensive private clinic, so) the anesthetist had a chat with me a few days before the procedure, explained everything, and asked if I felt dizziness, nausea after my previous surgeries, I said yes, and then he made an X on his papers (unfortunately I did not ask what it meant). and that time I didn't feel dizzy after waking up. The same repeated the fourth time, but that time I was proactively warned the anesthetist about my tendency to dizziness because I had a hernia operation, and was somewhat worried that my vomiting muscle movement could do harm to my fresh hernia stiches (mesh displacement, whatever) but also this time I was OK, could even stand up and walk almost right after I woke up in my room. My question: have they changed my medication, is there some additional medicament I was given to avoid this waking-up-dizziness? ...or it was just some placebo effect or just luck?

I have severe apnea and was getting surgery for the inspire transplant, which is been a game changer, and I told the anesthesiologist I'm very sensitive to anesthesia. I have problems with nausea vomiting when I'm done and Shernoff I was overdosed they do it based on your weight, but they also have to listen to the patient. It was awful I almost back on the ER.

Thank you for the information 🙏.

Great channel, thank you Sir!

Thank you for creating this channel. I have often been troubled by the fact that the anesthesiologist only gets to speak with patients just before surgery, especially if the patient is older and has many issues. It would seem prudent to bring the doctor in sooner than later for that reason. I am now 65 and have many issues. I’m hoping to get surgery on both knees this year, but worry my overall health may be an obstacle. Would very much appreciate your opinion on this subject. I lost 100+ pounds over 2 1/2 years, and have plateaued for at least 6 months, but still need to lose another 100 lbs. Both knees have no cartilage. My car was hit by a bus in 2009. I have a traumatic brain injury that affects my eyesight with double-vision and abnormal saccades, also have recurrent corneal erosion. I have two kinds of sleep apnea, one diagnosed 100 lbs. ago, the other is caused by brain damage. Most doctors do not want to prescribe pain medication due to the brain injury and associated faulty memory. For years, my body would forget to breathe occasionally, and this would wake me with a BIG breath in when my body would realize I needed oxygen. I have a deviated septum. I don’t walk up stairs due to my knees. On occasion, if I’m moving a lot without breaks, I will feel chest pain, until I rest several minutes. It feels like a metal plate pressing down hard on my chest, but EKGs show no problem. I also have Barrett’s Esophagus and GERD, and must take a prescription for it daily. I have a hiatal hernia. Suffer from nausea vomiting often, vomiting several times per year. Had gall bladder + 50 stones removed in 1989, but still feel pain in my right shoulder blade a few times per month. Because of knee damage, I haven’t attempted stairs in years. I smoked for 15 mins. in college. No smoking as an adult. Both parents where heavy smokers. One died of COPD, the other from Cancer. Two great uncles had lung disease. What do you think. Would it be safe to have surgery?

Thank you, sir. Very helpful and informative.

Wow! You sound so caring! My experience with hospitals has been that once you are in the patient warehouse, they just throw you around like a piece of meat & do their jobs. Makes them mad if you ask questions or otherwise get in their way. The day might be life altering for you, but to them it's just another day on the assembly line.

Thanks doc. This really helps me understand the situation better.

Very informative. I never had an anesthesiologist ask me extensive questions like these. 🤷‍♀️🤦‍♀️🤯

I’ve had several surgeries, but never a great anesthesiologist like you!

Thank you so much

Thank you for your informative video. I have had numerous surgeries and am allergic to contrast dye. But what is most frightening is feel as if I am suffocating with gas anesthesia and even experienced difficulty breathing in recovery room which was very scary. Is it safe to take inhaler prior to surgery? Thank you for your commendable ethics in pre-anesthesia communication preparation with patients undergoing surgery.

The one surgery i had done my blood pressure went very low. And they gave me a medication for my BP meds because of my blood pressure of my heart and the one who made a real honest person.

Great content

Thank you

I've had 21 surgical procedures with anesthesia. The last one, took me 2.5 hours to wake up when it's usually 30 minutes. The RN seemed concerned. I have no idea why. I may have to have another one, and I plan on advising the anesthesiologist days before the procedure.

Good presentation.

I recently had carpal tunnel surgery and propofol was used. I don't want to go into detail but will say that I will refuse propofol from being used for surgery the rest of my life. I need to be completely out. I had to get the same surgery on my other hand and gas was used. The procedure and my recovery couldn't be more different and I'm so grateful to the 2nd anesthesiologist who LISTENED TO ME and heard my experience under propofol and thankfully didn't use it for the 2nd surgery.

Dear Dr. Bradley, I love these videos, I want to thank you for taking the time to inform the public of these important facts! I hate to complain, the piano in the beginning and end of your video drowned out your voice a bit and I am hard of hearing with background noises also, I do however love the music but was close to not watching when I thought it would be played through the whole video. When it stopped I subscribed and liked. Maybe just a few decibels lower might be better for some people!! Thank you

Very interesting !

Thanks for sharing this interesting video 🙏🙏🙏👍

Thanks, doc. You addressed something that worries me whenever I have to be put out. That is laying flat on my back. I can't sleep that way. My sleep gets interrupted. I adjust my bed to a slight angle but still only sleep on either side. I have mentioned it in the past before going under but never got a clear response. I may be getting anesthesia in a couple of months and wanted to get clarity. What are your thoughts?

My reactions to the drugs used to put me under are so bad that twice doctors told me I had such a severe asthma attack that they brought in a respiratory therapist to save me during the op. Then when I wake up at first all may seem normal but it sure is not. The first time was day op. sent home with my mother driving right after having wisdom teeth out. My muscles became so tight and I had so much energy that I had to make her stop the car on the side of a big highway so I could do push ups and jumping jacks. The other time I was so bad after being sent home that I went back to the hosp for help . The doctor in the ER said I was drug seeking which I was not. Then I went back again and they sent a psychiatrist to see me who admitted me claiming I was crazy . He gave me a med. combo that I later found out was never ever to be given . The result of those meds made me much worse I finally told a nurse the meds were making me worse and one nurse took me to another doctor who it turns out was there in that hosp. because the horrible doctor I had was so bad that he had to be watched . That doctor told me flat out I never should have been given that med. combo and I was suffering ill affects from the drugs used during the op. So bad was all of this that my living will forbids the use of a general under any circumstance. Doctors told me they never heard of such a reaction but my sister in law who is a nurse knew about it and it turns out her adult son has had the same reaction . My mother that was a nurse knew all about from her training way back in about 1940 . She said patients often were normal before ops. then ended up in the psychiatry hosp or ward for the rest of their lives. So clearly either the doctors now lie about it or know about it . The other case is just as bad because if they do not know about it then they should as nurses do know .

Unique case: family member has chronic pain and though many treatments have been tried, they wind up taking pain killers. So they went in for foot surgery for some related chronic issues. And the anesthesiologist on the day of surgery swore up and down a “team” of people would monitor their pain and would give them what they needed (including very specifically a morphine drip they could administer themselves when the pain was intolerable.) Anesthesiologist promised the pain wouldn’t be bad after surgery. I sat and listened with my family member and we felt pretty good about it. However, after surgery, that person vanished and there was no pain management team. And in fact, no medications to help pain. There was tylenol and like 15mg of morphine 2x day. FAR less than this chronic pain patient has on a regular normal day for their nerve damage and spinal trauma. So what’s the deal? This is the Q: do anesthesiologists simply tell patients whatever they need to hear to be calm for surgery? Or are they just saying whatever to get through the number of patients they have, then not caring to follow up? This was a major (MAJOR) Los Angeles surgery center.

Thanks for this, Dr. Bradley. A few years ago, I had abdominal surgery and came out of anesthesia in such a ridiculous amount of pain that I was almost jumping off the table. The post-op nurse was injecting pain meds as quickly as allowed, but it seemed to take forever to get this under control. I have had surgery before, and never experienced this immediate post-operative pain. I fully expect some pain to be normal, but to me, this was off the charts. I am now scheduled for lower back surgery in a few weeks and am so anxiety ridden, not because of the surgery and the subsequent healing, but because of the immediate post-op pain. Not asking you to "arm-chair quarterback" my experience, but can you offer some insight into how anesthesiologists mitigate and lessen post-operative pain? What do you do as an anesthesiologist to discern patient needs from surgery to surgery? Thank you again for these posts, it does help with my anxiety.

Thanks

Nothing. Except that I am freaking out every time!

I am a Type II diabetic who is planning on undergoing eye enucleation of the right eye in the near future. I have a surgical consult tomorrow scheduled for 3:30 pm. How does anesthesia affect those with Type II diabetes. Also if I am told not to have anything to eat or drink the night before surgery, how should I plan for and address a sudden sugar drop due to not having anything in my system since the evening prior. Does the 15 15 15 rule still apply or do I need to handle this differently should the need arise

Yes! You must be very careful no matter what.

Hello Dr Bradley, I have a very difficult time with Anesthesia. A few years back I needed knee replacement. I explained this to my surgeon and the Anesthesiologist. Long story short, I threw up daily for 28 days nonstop. I was being given injection every 4 hours to stop the vomiting. Nothing worked I finally could hold down Ginger ale then some mild chicken soup or broth. I could feel every organ in my chest, was extremely weak and reeked of chemicals that stained my sheets so bad I had to throw them out. My surgeons office would not tell me the Anesthesia that was used, nothing on my record showed any problems with surgery or recovery. I just pray I will never need surgery again I have completely lost trust in the medical system.

I have never been given the gas version. Mine has always been given through an IV. I've had a full liver transplant and going on 5 years strong.😊❤ However, due to the transplant, I am constantly getting massive abdominal hernias and keep getting them surgically repaired as the mesh doesn't work. I've had 3 really big abdominal surgeries already, and I am having another one, my 4th, here in about a month. I tolerate the anesthesia well, it's just the downside of waking up and seeing/ feeling the 50 or so staples they use to close me up. Yay. Good times.😜lol

Dr. Bradley, I have been under general anesthesia for around 10 major surgeries, plus various scopes and tests, plus cataract surgery. I have needle phobia. Ages ago, I had four rounds of IVF and I used hypnosis to send myself to a tropical beach while the doctors jabbed a hollow knitting needle into my abdomen. (I knew where I was and what they were doing, but I was totally relaxed on my beach and I didn't care!). Other than that, I self-medicate with valium to tolerate anything more than a quickie flu or COVID vaccine. IVs and dental shots are the worst, and unless I start with 30-40mg valium I turn into a kicking screaming four-year-old for either (I am in my 70s). Prior to surgery, I ask the anesthesiologist to put me under with gas, then they can do the IV without me pitching a fit. It's so easy.......they put on the mask, I start breathing the stuff and count down slowly 3...2..1...everything goes black, and in what seems like an instant later I wake up in recovery with whatever was operated on hurting like H*** and kind nurses putting warm blankets on me and telling me I did well. Heck, I didn't do anything - I just slept and I sure hope the Drs and Nurses did well! However, I was told that anesthesiologists don't like to use gas first. I honestly doubt that I could hold still for an IV , and I didn't think it was a good idea for me to add valium to the mix of whatever the anesthesiologist is using, so I called the hospital's anesthesiology department the day before my most recent operation (total knee replacement) and talked to a very helpful doctor. He said the problem with using gas is if something starts to go wrong before they have an IV in they would really have to scramble because normally I would be O.U.T. and they would have that IV port available for a quick intervention, but not if it's just gas. I mentioned Valium and he said that was just fine, it wasn't going to interact with anything, and he didn't think 40mg was too much. So, Dr. Bradley, what do you think? What do you see as a good solution for getting someone who is terrified of IVs anesthetized? gas, hypnosis, valium, or ?? thank you.

Can you do a video on GA for bariatric surgery in particular gastric sleeve and patients. Thank you.

Several family members, including me, have problems with anesthesia taking in our systems. I and a few other family members have gone through surgery and felt what was happening without being able to alert the medical team. It's terrifying to be trapped in your body, consciously aware, and not able to communicate that to doctors. "Twilight" sedation is a big NO for us. It makes us incoherent while trapped in it or (like me) we've woken up mid procedure while still on the table. How would someone convey this info in a way that communicates how painful and scary this is? Is there a fix for it? I've told doctors many times. Some listen, others don't. The ones who didn't have left horrible memories.

Sounds like a really good caring anesthesiologist

Dr. Bradley , I just came on your channel and seeing your brown face Makes me proud.😊

Does having sustained multiple concussions (we're talking 14 of varying severity) bring with it any special considerations when getting general anesthesia? The only times I've ever had GA were once when I was a baby and once about a year prior to the first concussion, but haven't had it since. Reason I ask is I might need it later this year.

For the life of me, I cannot understand why the background music is often so loud in one of the videos. Fortunately, on this video, the music interfered with what was being said only at the beginning.

I like your approach. It isn't filled with psycho delia. Just the facts to be best of your knowledge to be told to your anesthesiologist. Could be the difference in you being here or not.

I recently watched another video that explained the reasoning behind no food or drinks after mid night or 8 hours prior. But My question is as a patient with moderate to often extreme Gastroparesis Should I be fasting longer or making sure I have no food retained. I have thrown up food I ate 3 days prior and I have failed 3 gastric empty studies dramatically like 4 hours later none had left the stomach and I still had food in my esophagus. I have had many surgeries since diagnosed and no one has ever questioned me to ask if I felt empty or took extra time. I had hip replacement in Nov. & hindsite I would of skipped the surgery for a week or two but I did not and I was in a bad flare of nausea going into surgery. Well I did not asperate food into my lungs but I did wake up 3 times sicker and it snowballed. They sent me home the next day and 2 days later I ended up in the hospital 10 days due to non-retractable vomiting. Not saying it was all from the surgery as I have this disease this badly. Mine is non Idiopathic as well. My question is should I with my history maybe only have clear liquids the entire day before surgery and then cut them off 8 hours prior? I had never thought about it before and like I said no one has really seamed all that concerned for me either when I tell them I have GP. Thanks.... great video

I love the homecoming instrumental 🎵

After receiving General Anesthesia with Succinylcholine and breathing tube for an upper endoscopy, I was perfectly fine the FIRST day. The very NEXT day ALL my muscles were stiff as a rock and I literally couldn't bend to get out of bed or to sit down. I was stiff as a board. I went to the ER and was told I had a reaction to Succinylcholine and that it should resolve within 4-5 days. The doctor called it "severe myalgia." I was stiff as a rock for 4 days! I'm glad my heart (muscle) didn't stop. Now I'm afraid the next time I have general anesthesia because of Succinylcholine.

I usually mention I have sleep apnea and that my MP mallampati score is 3 . Also that I’m diabetic type 2 and I’m on an ACE inhibitor for the fifth question. And that I have anxiety to the point that I’m on an SSRI.

Anesthesiologists here also do chest x-rays and sometimes ecgs awhile before along with bloodwork. It's our preoperative work

Can I get you for when I have surgery ? You are a good and caring man and your good at your job !

I had no problem what so ever telling my anesthesiologist about what narcotics I use. This man has chosen to professionalize in narcotics so we have a bond 😂

so nice and honest of you to be telling all these factors i live in asia and i would love that these " medical " practioners" here would hear me once and for all,and they know it,because i ve been awarded 5 days with sepsis,that i m allergic to medications,and 3 members of my immediate family died as result of intubation and yet,,they are discard my claims and taking it all too lightly,so far was called three times for pre op,,preparation,and i did not showed up..because the last one i had a bad reaction..with burn skins,rash breathlessness,high fever and convulsion and sepsis,i told them ,they know ,and yet they are insisting for me to go for a trial,and go for npcnl and ureterecospia,but the problem are the medications,all these variants included in anesthesia first time i got anesthesized,was when i was 7 and i stayed in coma and nearly died and yet,,they are brushing it all over,because the operation will cost them 15 grand

I know this post is old but hopefully you will still answer. I’m having hip replacement in a month. I had gallbladder removal about 20 years ago and woke up from the anesthesia panicked, scared and delusional. I already suffer from health anxiety and anxiety in general. All I can think about now is this happening again and never going away. Can you give me some reassurance or insight on how to quell this fear ? Thanks.

Two questions. I had my wisdom teeth surgically removed when I was 21. I came out of the anesthesia half way through. What can be done to ensure that doesn't happen during back surgery? Second question. About that back surgery, spinal compression, I am very obese with a huge tummy, I don't lay on my tummy as it makes it hard to breathe. How can I have back surgery if I have this problem? We're talking over 450 lbs.

I have chronic pain for which I have been taking opioids and other medications for years. I had an emergency gallbladder removed. After the surgery they didn’t give me my prescription medication and my chronic pain was terrible. Even though I had explained all this to the doctor and given them the names and dosages of the medications, they were not prescribed after the surgery. The nurses refused to call the doctor to get my prescription drugs. Along with being in severe pain I also ran the risk of withdrawal symptoms. I have in the past gotten off some drugs cold turkey, but I still needed these ones. I had drugs on my person because I always carry them and my break out pills with me. I told her that if she didn’t get my pills for me, I would take all the drugs I had all at once and she would be responsible for it. She took the list and contacted the doctor. I did not have to overdose on that occasion. I hate to when medical professionals refuse to listen to the patient. The people who took me to the hospital, had no idea about my medical condition or history.

I always make sure my anesthesiologist and surgeon know that I have Sickle Cell Trait. I've was told that it is important to monitor oxygen blood levels. I was kept on oxygen a little longer after awaking in recovery the last time I had a major surgery.

Simple and concise! Thanks!

This video was very informative I really learned alot from this

In India they do a PAC - a pre-anaesthesia check-up. Every surgical procedure I've had has included a very detailed medical history and check-up including ECG and X-ray.

Can you start a practice in Louisville, Ky?

I have had 5 surgeries. Two were the full on general anesthetic and three were deep sedation. I always ask the anesthesiologist what they plan to use and what its for. I tell them I do really well with propofol, but it makes my veins feel like they are on fire going in, so they give me some lidocaine to help. I also ask about ketamine, not because I don’t want them to use it. I just want to know ahead of time if I’m going to have my ketamine alien dreams. 😂 I had something once that made me break out in hives, but they gave me benedryl and it cleared up. Wish I knew what it was.

What precautions would you take for a patient with copd, stage 3 kidney disease, pacemaker?

Hi Dr Bradley, I am planning to have elective surgery in a few months and I'm a bit nervous! To help me sleep, I usually take about 1.5 mg of melatonin. Is it okay to take melatonin the night before surgery with general anesthesia?

@ Stephen Bradley MD. How does hypothyroid effect anesthesia?

Sorry I hit thumb down by mistake. It was a great video. It provides excellent info . Thank you for making this video.

Okay, Dr. Bradley, I do have a serious question. What should a patient do, while laying on the gurney, and the anesthesiologist AND the CNRA walk up and bombard the patient with all of the pertinent questions (history, NPO status, allergies, family history, metal on or in body, etc.) about 5 minutes before surgery then when the patient answers those questions and then tried to ask some questions, specifically about anesthesia drugs and how the patient will be positioned, and the CRNA starts pushing drugs into the IV port BEFORE questions are answered, what is the patient to do? Isn't that a bit unethical? what should I do to prevent this scenario again? No, I did not have an anesthesia consult before the procedure.

I have had a total of 11 hip surgeries due to complications from infection. It is ok to be under anesthesia all those times. I am 66 years old and this went on since 2019.

What do I need to know as a person with Primary Aldosteronism before any surgery or what should my anesthesiologist know in advance

Thanks for letting us know! Please drop the music when you are talking. I can't hear you talking very well.

Thank you for this helpful video. I never knew who my anesthesiologist was. The CRNA basically told me to shut up, because she was reading the chart. Anyone in healthcare ever seen the wrong information on a chart? I have! No one asked me anything. Then she slammed some versed in, and I was unconscious before I got into the o.r.. I wonder if I was breathing at that point? I'm an o.r. nurse, and this is the hospital where I work. Never again. Don't worry though, U.S. News and World Report says we are one of the top hospitals! 🤣