How is the type of anesthesia determined if you have occasional incidents of afib?

Doctor Answers 5

How is the type of anesthesia determined if you have occasional incidents of afib?

Each patient is different but the general guidelines are similar.

  1. You must get a written medical clearance from your cardiologist for surgery and any form of anesthesia.
  2. The Afib should be controlled as much as possible and any meds that would increase your health risks identified and avoided.  This may include the eipinephrine in the local anesthetic that is injected into tissue in order to control and minimize bleeding.
  3. In a common sense approach the time of anesthesia and therefore surgery should be limited to 1 1/2 to 3 hours max in my opinion.

 These are the bare minimum requirements, in my opinion and you must understand that an experienced plastic & cosmetic surgeon may still refuse to do the surgery if he/she perceives the risk, to you, as too high.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

cosmetic surgery with atrial fibrillation

   It is best to have atrial fibrillation controlled with medications prior to undergoing elective cosmetic surgery. Patient's cardiologist should also give clearance to undergo elective anesthesia and surgery. The medications given while the patient's are asleep under anesthesia Is up to each individual anesthesiologist.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Anesthesia and Afib

Thank you for your question. The anesthesiologists will change the main agents as needed, and avoid any more epinephrine than is absolutely needed.  Care will include making certain you are taking your medication as directed. I hope this helps.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

How is the type of anesthesia determined if you have occasional incidents of afib?

           There are a host of considerations here including the relative control of the afib, medications currently taken, and other medical comorbidities.  Each type of anesthesia can increase the stress on the heart in one way or another, and cardiac clearance will be necessary prior to consideration of surgery.


Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

What type of anesthesia should be used for a patient with a fib?

This is a great question for the anesthesiologist. It is important to make sure that your afib is well controlled and monitored by a cardiologist. Clearance from your cardiologist would be required prior to the procedure. The anesthesiologist would then review your chart and determine what the safest form of anesthesia is for you.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.