Mr. Alex Preston, M.D., Anesthesiologist
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Mr. Alex Preston, M.D.

Anesthesiologist

465 W Putnam Porterville CA, 93257
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About

Dr. Alex Preston is an anesthesiologist practicing in Porterville, CA. Dr. Preston ensures the safety of patients who are about to undergo surgery. Anestesiologists specialize in general anesthesia, which will (put the patient to sleep), sedation, which will calm the patient or make him or her unaware of the situation, and regional anesthesia, which just numbs a specific part of the body. As an anesthesiologist, Dr. Preston also might help manage pain after an operation.

Mr. Alex Preston, M.D.'s Videos

Education and Training

Celjabinsk Medical Institute MD

Celjabinsk Medical Institute 1983

Board Certification

AnesthesiologyAmerican Board of AnesthesiologyABA

Provider Details

MaleEnglish
Mr. Alex Preston, M.D.
Mr. Alex Preston, M.D.'s Expert Contributions
  • Is anesthesia used for thyroid biopsy?

    Usually its done with local anesthesia. IV sedation is optional. READ MORE

  • When is general anesthesia used for colonoscopy?

    Let’s say that it is unusual to have GA for Colonoscopy. Because this procedure is least painful and minimally invasive. That’s why it’s done usually either with IV sedation or monitored anesthesia care. Although GA could be a choice in pediatric population or developmentally delayed patients. READ MORE

  • What anesthesia is used for leg bone surgery?

    Usually it’s a combination of general anesthesia and regional nerve blocks. READ MORE

  • Surgery & Ashwagandha

    Ashwagandha is not FDA approved medicine, and there are no based on scientific evidence recommendations. It could potentially interact with sedatives and antihypertensives as well as thyroid function. But considered safe for anesthesia, despite the fact that some recommend holding it for 2 weeks preop. My personal opinion is that it is safe for your ACL repair and should not be a problem periop, especially after 1 week after stopping it. READ MORE

  • Adderall before surgery

    According to the recent studies, even the continuous use of Adderall for ADHD doesn’t interfere with general anesthesia. READ MORE

  • What type of sedation is used for toe surgery?

    Either Local Anesthesia with IV sedation or General anesthesia with local anesthetic infiltration as well, for postop pain. READ MORE

  • Does colon surgery require general anesthesia?

    Absolutely. And could be supplemented with regional anesthesia, such as TAP block, which is Transversus Abdominis Plane block for postop pain. READ MORE

  • Can sinusitis surgery be done with local anesthesia?

    Sinus Surgery calls for General Anesthesia. That’s the safest method, since a patient should be immobile. READ MORE

  • Which block is used in hand surgery?

    Hand is covered by three nerves: Median, Ulnar, and Radial. They could be blocked with one injection of a local anesthetic at the Brachial plexus, site of the origin of those nerves, for example by the Infraclavicular block, below the collar bone, or distally at the wrist, with the 3 separate injections of LA, to cover each nerve at that level. It depends on the extent of your hand surgery, and your hand surgeon's preference. READ MORE

  • What type of sedation is used for foot surgery?

    Could be monitored anesthesia care with regional block, or general anesthesia with local anesthetic application or regional ankle block. All of the above are equally acceptable with minimal risks involved. READ MORE

  • Is general anesthesia used for C-sections?

    For elective Cesarean Sections standard of care is Spinal Anesthesia. In case of emergency it could be general anesthesia occasionally. READ MORE

  • Can you be under anesthesia for eye surgery?

    Most common Eye Surgery is Cataract Extraction. Usually it’s done with monitored anesthesia care in a cooperative patient. Retinal Eye surgeries are more involved and require usually general anesthesia. READ MORE

  • Does the injection of anesthesia hurt?

    If you mean infiltration of the local anesthetic, the initial injection could give you a slight burning sensation, but no significant pain. The same goes for IV injection of medicine for induction of general anesthesia, such as Propofol or Etomidate. That’s why they gave in combination with local anesthetic Lidocaine, which reduces that burning sensation and instead could give a cool sensation on IV injection instead. Which is very tolerable. READ MORE

  • What anesthesia do you use for colon surgery?

    There are options. Most often for the colon surgery used general anesthesia, sometimes with the regional block, such as TAP block, that is a transversus abdominal plane block. The other options would be epidural or spinal neuraxial anesthesia. READ MORE

  • What type of anesthesia is the safest for a thyroid biopsy?

    Thyroid biopsy requires only local anesthetic infiltration. Thyroid lobectomy or total thyroidectomy calls for general anesthesia. READ MORE

  • What type of nerve block is used for foot surgery?

    Ankle block. Cowers all 5 nerves of the foot. READ MORE

  • Epidural for L&D

    Sometimes epidural could be difficult secondary to scoliosis, lordosis of the spine, after back surgeries etc. It might take a few pokes and several anesthesia providers to make it work. With applying sterile techniques multiple attempts are reasonable. Nowadays also ultrasonography is available to improve the success of the procedures. If all that fails and the situation is emergent or urgent for example for a cesarean section, general anesthesia should be a plan B. READ MORE

  • How long is sedation for a colonoscopy?

    On average procedure time is under 1/2 hour, recovery after sedation 1/2 hour as well. READ MORE

  • What type of anesthesia is done for lung biopsy?

    IV sedation + local anesthetic READ MORE

  • Vomitting

    Some patients, like yourself, are very prone to PONV, ie postop nausea and vomiting. In cases like that usually, combination therapy is used. It’s at least 3 anti-nausea meds, such as decadron, Zofran, and Reglan, that could be used. Also, perioperative use of a scopolamine patch could be effective. Some studies showed the effectiveness of wrist acupressure. And last but not least is the newest class of medications, so-called NK1 inhibitors, such as Aprepitant showed high effectiveness in late PONV, after ambulatory surgeries, when Pt was discharged home and still is nauseated 48 hours postop. READ MORE

Areas of expertise and specialization

Anesthesiologist

Mr. Alex Preston, M.D.'s Practice location

Practice At 465 W Putnam

465 W Putnam -
Porterville, CA 93257
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New patients: 559-784-1110, 559-784-1110, 559-781-5174

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Media Releases

Get to know Anesthesiologist Dr. Alex Preston, who serves patients in Porterville, California.

A prominent anesthesiologist, Dr. Preston works with patients at Sierra View Medical Center in Porterville, California.

As a 167-bed, full-service acute care facility, Sierra View Medical Center is Porterville’s premier hospital and healthcare center. Located in the foothills of the Sierra Nevada mountain range, their facility is equipped with cutting-edge medical technology and state of the art equipment.

Back in 1983, Dr. Preston earned his medical degree from the Chelyabinsk State Medical Academy in Russia. Upon relocating to the United States, he completed his internship at John Peter Smith Hospital in 2000, and his residency in anesthesiology at the University of Texas Southwestern Medical Center in 2003.

An authority in his field, the doctor is board-certified in anesthesiology by the American Board of Anesthesiology (ABA). As the certifying body for anesthesiologists since 1938, the ABA is committed to partnering with physicians to advance lifelong learning and exceptional patient care. Its mission is to advance the highest standards of the practice of anesthesiology.

Anesthesiology is the medical specialty concerned with the total perioperative care of patients before, during, and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. Anesthesiologists have the primary responsibility of monitoring the patient’s vital signs during surgery. In addition to basic measurements such as pulse, blood pressure, and temperature, they measure the patient’s respiration.

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PORTERVILLE DEVELOPMENTAL CENTERl

26501 AVENUE 140 PORTERVILLE CA 93257

Head east on West Putnam Avenue 432 ft
Turn right onto North Jaye Street 1368 ft
Turn left onto West Olive Avenue 1.0 mi
Turn right onto South Plano Street 5183 ft
Turn left onto East Poplar Avenue (CA 190) 1.5 mi
Turn right onto Blue Heron Parkway 2749 ft
Turn left onto East Worth Avenue 46 ft
You have arrived at your destination

4.3 miSee direction

TULARE REGIONAL MEDICAL CENTERl

869 CHERRY AVENUE TULARE CA 93274

Head west on West Putnam Avenue 413 ft
Turn left onto Carmelita Street 1299 ft
Turn right onto West Olive Avenue 2871 ft
Take the ramp on the right towards Olive Avenue 1364 ft
Merge left onto CA 65 12.2 mi
Continue straight onto Avenue 232 (CA 137) 4.7 mi
Continue straight onto Tulare Lindsay Highway (CA 137) 4.2 mi
Continue straight onto East Tulare Avenue (CA 137) 2.0 mi
Turn right onto North Blackstone Street 4614 ft
Turn left onto East Merritt Avenue 1382 ft
Turn left onto North Cherry Street 364 ft
You have arrived at your destination, on the right

25.4 miSee direction

KAWEAH DELTA MEDICAL CENTERl

400 W MINERAL KING AVE VISALIA CA 93291

Head west on West Putnam Avenue 413 ft
Turn left onto Carmelita Street 1299 ft
Turn right onto West Olive Avenue 2871 ft
Take the ramp on the right towards Olive Avenue 1364 ft
Merge left onto CA 65 12.2 mi
Turn right onto Road 196 (CA 65) 4.5 mi
Continue straight onto South Kaweah Avenue (CA 65) 3.5 mi
Turn left onto Avenue 296 (CA 198) 8.5 mi
Take the ramp on the right towards CA 63 North: Court Street 1611 ft
Turn right onto South Court Street (CA 63) 664 ft
Turn left onto West Acequia Avenue 977 ft
Turn left 347 ft
You have arrived at your destination, on the left

30.4 miSee direction