Who should not receive anesthesia?

Generally, anesthesia should not be administered to patients with unstable blood pressure due to hypertension, those allergic to anesthetic components, physically frail individuals, patients with severe respiratory diseases, or those with cardiovascular conditions. The specific reasons are as follows:

1. Hypertensive Patients with Unstable Blood Pressure

In hypertensive patients whose blood pressure is unstable, administering anesthesia may cause significant fluctuations in blood pressure, leading to malignant hypertension or hypotensive shock, which can severely endanger life. Therefore, these hypertensive patients should not receive anesthesia.

2. Patients Allergic to Anesthetic Components

Some patients may have allergic reactions to components of anesthetics, such as skin rashes, localized itching, or rapid breathing. These can trigger severe allergic responses that may threaten life.

3. Physically Frail Patients

In patients who are weak or in poor physical condition, anesthesia may temporarily and reversibly affect the central nervous system, potentially causing adverse effects such as difficulty breathing, pneumonia, and low blood pressure.

4. Patients with Severe Respiratory Diseases

Patients suffering from serious respiratory conditions, such as pneumonia or severe asthma, may experience breathing difficulties after receiving anesthesia.

5. Patients with Cardiovascular Diseases

In patients with cardiovascular diseases, anesthesia may stimulate the heart or blood vessels, worsening their symptoms. Anesthesia is generally not recommended for these patients.

In addition, anesthesia should also be avoided in patients with elevated intracranial pressure, severe electrolyte and fluid imbalances, or those in shock. It is recommended that patients seek timely medical attention when experiencing discomfort and undergo standardized treatment under a physician’s guidance to promote recovery.