/r/Anesthesia

Photograph via snooOG

Welcome to r/anesthesia!

This subreddit is for the discussion of all things anesthesia. You may post questions or relevant articles related to this topic.

Please read the rules and the sticky at the top of the sub, "Anxiety and Anesthesia", before making a new question post.

This is the Reddit for seriously discussing Anesthesia.

*If you are a patient and wondering about your cannabis use and its effect on anesthesia please just be honest with your provider. It generally has no effect. Refrain from smoking anything in the days leading up to your procedure. *

/r/Anesthesia

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2

No premedication?

I’m based in Germany and on Monday I have leep procedure on my cervix under GA. It’s supposed to be outpatient. I’m so incredibly anxious so I asked the doctor during pre-op consultation if I will be offered any anti-anxiety drugs so they actually don’t have to chase me and I may reach the room without attempting to run away. And the doctor said that they don’t do it for adult patients. And he said that “yeah we got patients with anxiety or panic attacks but they have to cooperate, you need to be really psychotic to be given any anti-anxiety”. Is it normal procedure in this country? It’s university clinic so they are supposed to be good (I also work here), I trust them though this seems to be a bit inhuman treatment. My anxiety levels are really high, I’ve been having panic attacks since a week and I highly doubt I can manage it on my own, given that I’m in general anxious person with ADHD so it doesn’t help my overthinking, despite my greatest attempts. I’m seriously considering just calling them Monday and telling that yeah, that’s not gonna happen, I don’t know what we do about my precancerous cells but I’m too scared to even go to the hospital.

32 Comments
2024/11/29
20:49 UTC

1

Alcohol/drugs and Rhinoplasty

I tried to search online for an answer but I can't find any thing specific. I'm booking for a rhinoplasty in Turkey and I don't think my surgeons assistant understood what I was asking.

I don't want to be the rare inicident which wakes up or is paralysed and awake during anesthesia :(. I have to let them know how much alcohol I drink but I have no clue how much. I use to binge drink on nights out in university about 2 years ago. Since leaving I've barely drank, maybe if I rarely go out but I hate it and can't handle it any more. Maybe very rarely I will have a few drinks every few months. I just genuinely don't know what to put but I don't want to die because I've given them a rough estimate which is wrong.

I've also experimented with drugs in the past like ket at a festival last year one time and MDMA like 4 seperate occasions. Would I have to let them know about this ? Will this also affect how much anaesthesia I get?

4 Comments
2024/11/29
17:51 UTC

1

I had general anesthesia yesterday, and I had a ball! Some questions

Had some really bad anesthesia experiences in the past and looked for a way to improve this. Have some questions.

I'm in Germany and generally they use infusion pump kind of things for induction. Have a habit of holding my breath as soon as I feel something is happening because I enjoy freediving, and holding my breath is having control. So I asked for propofol to only be administered after the thumbs up from me. Which they agreed to. Success! Had a fab fentanyl high, thumbs up, they said they started it. I counted to 12 while getting progressively more tired, said that this is taking quite a while, then just enjoyed the ride. Cool! Much better than being out in a second or three. Do I have a very high tolerance or were they just very slow?

I had 2 GAs with fentanyl, and felt miserable thereafter, my breathing would continuously stop in recovery, no energy, could not stay awake. This one, and two others were with remifentanyl, and I was totally fit immediately. The rest of the protocol was nearly the same. All surgeries between 1-2 hours. Most opioid painkillers do less against strong pain than ibuprofen for me. Only tramadol works better. Btw, benzos are also a no, as they lead to extreme muscle weakness and breathing depression, thus had nothing before induction.

What was different: the first three were maintained with gas, the other two were triggerfree. I'm suspected of having a congenital myopathy. Genetically, RyR1 has been excluded but no other genetics done yet for reason. After the first three GAs I had super tight and weak muscles for days, which included muscles needed for breathing. This problem also shows up after too much physical stress, during infections and first vaccinations. No such problems after the triggerfree ones. Do you think this might be a coincidence or is there more to it?

2 Comments
2024/11/29
09:08 UTC

0

I had anesthesia yesterday and I feel traumatized

I got my wisdom teeth out yesterday, all four. I was scared to go under because in the past I haven't handled loss of control due to drugs very well. Anyway, it's been over a day now but when I think about what happened I feel like I'm going to panic. I know a lot about medicine and neuropsych but I don't know anything about anesthesia. I remember laying on the bed and having the IV placed in my hand, they put the tubes in my nose. I looked up at the ceiling and it started to look like the ocean floor. Then I was sitting in a wheelchair with my mom holding my hand. I was so confused and scared and started crying. If mom wasn't there I would've been inconsolable, but I managed to calm down. I really just blinked and it was like I fast traveled in a video game. Just thinking about it rn makes my chest feel tight. I just don't exactly understand what happened and it's frightening. I've never really lost consciousness to that extent, even when I'm asleep I'm aware of time passing and I pretty much always have lucid dreams, so I've just never lost awareness like that. And apparently I was awake before mom got to me, even though I don't remember anything before seeing my mom holding my hand. Which means I was somehow awake but not conscious? Like I remember very well the exact moment I came to, so I don't understand how I could be awake and not awake at the same time. And I was so scared and confused. I'm not exactly sure why I'm writing this, I would like to know what actually happened to me but I guess I'm also just venting how I feel. Is it normal to feel traumatized by anesthesia? I feel like it's not as big a deal to people and that I'm overreacting but I've literally never been so scared in my life, and I've been through a few things. Also, I tried googling about it but can't seem to get a good answer. I don't actually know if I was general anesthesia or not. Before the surgery they told me it wasn't general anesthesia but I wasn't conscious so it wasn't sedation right? And they said I'd be breathing on my own but pretty much every thing I read says that they would have put a tube down my throat which would explain my sore throat but I thought they weren't going to do that. Basically I'm just very upset about not understanding what happened to me. I hope someone can help me understand so that I don't feel as scared. I don't know why I still feel so scared thinking about it even though it's long been over by now.

17 Comments
2024/11/29
04:28 UTC

1

Bad reaction to nitrous oxide

Due to severe dental phobia I decided to go for inhalation sedation at the dentist for simple procedure, two fillings and a cleaning. Initially once I could feel my the gas take effect I could feel my body vibrating but managed to coach myself into letting go. I decided to keep my eyes closed.

Everything was OK until the dentist started using what sounds like some sort of grinding tool. I kicked my legs up into my stomach immediately and started scratching at my chest. It was my attempt at trying to get them off me. Things took a turn for the worse at the end when they switched off the gas. I could hear the dentist telling me to wake up. Despite all my might I could not for the life of me open my eyes or respond it anyway. Panic set in and so did the dentist. They started putting cold water on my face, tried glucose shots. They put me back on oxygen. Nothing changed. I started convulsing, spasming and shaking like crazy. I felt like i was chocking, i could hear myself gasping and spluttering. Dentist calls for an ambulance. I was responding to the dentist while the gas was on. They would ask If I'm alright I would give thumbs up at the start.

Now I am elliptic but its under control thanks to medication. Last seizure was March 2023 prior to that no seizures for 3 years. Usually when I get tonic–clonic seizures I do not recall anything, i get the most painful headaches afterwards and I'm in a state of confusion. However with this episode I was aware I was convulsing and I could recall everything from that day. No headache afterwards, no great deal of confusion just utter fear. The only simular symptoms I had are stiffness of my limbs and exhaustion afterwards. I can even recall them calling the ambulance and thinking "c'mon stop this, just open your eyes already."

What made me open my eyes in the end was a paramedic pressing down a pressure point on my chest. I remember them forcing my eyes open n shining a light. My vitals were fine, just low blood sugar as I didn't eat anything. Hospital can't say for certain if it was a seizure as I didn't get there on time for the blood test.

I'm just really confused as to what the hell happened? I can't find much information online either.

6 Comments
2024/11/29
02:41 UTC

4

emergence agitation

Not looking for medical advice, fiancé is okay now. This was a few hours ago.

My fiancé had a procedure done today where he underwent anesthesia. Post-procedure, I was called & told to pull up my car to a side parking lot. A nurse opened the building door and we made eye contact as he stumbled across the parking lot to my car. She went back inside before he was even seated in my car. He had a severe case of what I now know to be emergence agitation (screaming, yelling, confusion, punching the sun visor in my car, etc.) That’s not who he is at all- it was actually quite scary. I’m just shocked that the nurse didn’t ensure he got in the car safe. In my experience, whenever I’ve gone under, my “responsible adult” had to physically come inside the building to escort me outside. Given his agitation and anger, I’m surprised they discharged him at all. Is this typical? Thanks.

8 Comments
2024/11/28
01:52 UTC

1

Is it fine to get GA when you have a heart block?

I have a second degree heart block Mobitz 1 wenckebach block. My dr didn’t say anything about it and I was referred to a cardiologist but I can’t see them until January. It only happens when I’m sleeping as far as I know. I’m going under anesthesia for a venous sinus stent soon and I’m wondering if it’ll be an issue I have this block? I really need this surgery badly.

13 Comments
2024/11/27
19:48 UTC

2

Questions recent anesthesia

I've had a small procedure today and would like to know more about the timeline of events.

I was told the procedure itself only takes 10-15 minutes, but I was gone from 8:30 till about 10:15.

How long does it take till you are fully asleep?

What was happening before and after?

How was my breathing supported?

I remember the pain from the iv needle but nothing after that. There might have been a mask, but I'm not sure. The next thing I remember is waking up with a light metallic taste in my mouth. I asked for water straight away, and it disappeared with that. Almost no confusion, no nausea, and I ate the required piece of toast. Back out by 11:15

1 Comment
2024/11/26
18:46 UTC

2

Question about Anesthesia

Hey all,

So I’m set to have acl surgery soon. I’m quite nervous about it. But that’s not the point of this post. Last year, I had my wisdom teeth removed. I chose to go under anesthesia. I thought I would’ve knocked out and then came to immediately like everyone says. But that wasn’t the case for me. I did get knocked out but instead of waking up Immediately, I saw patterns and colors and could still somewhat hear the doctor and nurses. Then I as I was waking up, the colors and patterns started to go away like a curtain going up. I just want to know if that was a different type of anesthesia or if I had a different reaction to general anesthesia.

4 Comments
2024/11/25
16:36 UTC

0

Does anesthesia works for someone who has chronic pain?

I wonder.

Because of the pain issue. But also because of the details linked to it such as using constantly drugs to ease the pain; and some doctors prescribe weed even.

9 Comments
2024/11/24
23:24 UTC

0

Mobile Anesthesia

Hey friends!

I am here to find out the pros and cons about operating independent mobile anesthesia services (IV and GA) for outpatient clinics, including dental offices. I am very much looking forward to connect with you and get honest feedbacks before I put my step into this. TIA

7 Comments
2024/11/24
16:36 UTC

3

Nerve block issues

I got a popliteal nerve block 8 days ago and still having numbness below my knee down to my ankle. I called my doc and he wasn't concerned. Said since I'm on the smaller side, it may take a while for the numbness to fade. There's been minimal change since the nerve block. Can it take longer for some nerve blocks or should I be concerned about permanent nerve damage? I have gotten full motor and sensory back in my foot.

6 Comments
2024/11/24
03:25 UTC

3

Post surgery delirium

My dad had a 8hr surgery on November 7th, then he had to be reintubated 2 times, was pretty much sedated for 2 weeks on and off while an infection he had healed in his lungs. Then on Monday had to get a tracheostomy. Tuesday they woke him up

He’s been better,stronger every day, but I saw him last night and he was very goofy, funny, himself, and stronger in the hands of

However he was saying some wild stuff that obviously never happened, that he probably dreamt. But he believes it. He said the Cleveland clinic has a floor where they make pornos for $700k. And that he was on the roof with a helicopter pilot trying to leave, stuff like that .

Is this pretty normal for someone that went through what he did ?

5 Comments
2024/11/23
13:36 UTC

2

Messaging platform for anesthesia techs

Good morning, sourcing this question to an anesthesia community:

Problem: we do not have a way to communicate with anesthesia techs who are on shift, but prevent messaging to those that are not at work.

We all have work-issues iPhones, so we can send text messages. However, finding someone to bring something is a trial-and-error process. The OR suite is big and there is a moderate degree of anesthesia tech turnover. Knowing who is there in the morning is an extra step amidst all of the other things required to get the patient in the room on time.

Scheduling software used for scheduling of all anesthesia staff, including anesthesia techs is QGenda. A message has been sent to QGenda customer support to inquire about a capability that would leverage a messaging platform against the schedule. This would allow a message to be sent to a cohort, defined by whomever is currently on shift. All staff not working would not get the message, or at least, it would be silenced.

iPhones have the ability to silence messaging, but that requires a manual input by the user to enable/disable notifications. The risk would be that a user would forget to re-enable notifications when at work.

Someone could create an adhoc group every morning. However, anything that is not mostly automated or requires daily manual inputs would eventually fail, due to competing priorities.

Has anyone experienced a problem similar to this and/or is aware of a solution or an off-the-shelf product?

2 Comments
2024/11/22
14:33 UTC

0

paralyzing drug on contact

Hello friends, a friend of mine who works at the hospital said that there is a drug and when you touch the drug, the area you touch becomes completely paralyzed. He also said that when you touch another drug, you faint all day long. Are there such drugs? What are their names and active ingredients? It didn't seem very convincing to me, but if it really exists, I want to cut off contact with him.

6 Comments
2024/11/22
07:08 UTC

1

Question

I'm going under anesthesia tomorrow. I've barely ate today, and just puked up whatever remains were in my stomach. I'm incredibly nauseous from being so worried. Will this be ok tomorrow?

I am getting a nose job if that helps.

7 Comments
2024/11/22
04:02 UTC

1

Sedation question

I had my first surgery a few weeks ago and am surprisingly curious about something during the pre op stage. So once i got into my pre op room got an iv monitors etc, the nurse came in to get some paperwork finalized and a few other things. When she came back it was time to go back to the operating room, but on the way back i remember starting to feel a bit different and a little weak but after that it’s extremely hard to remember anything. Is there any reason as to why that happened was it a certain medication or something of the sort? Sorry for bothering but this question just keeps popping in my head.

3 Comments
2024/11/21
21:48 UTC

3

Is this fatigue post-op normal?

Will preface by saying I have never had any kind of surgery or anesthesia before. On Monday I had a D&C and hysteroscopy to remove a polyp. I was given general anesthesia and was intubated. The procedure went well and I went home that day feeling pretty good minus the cramps and bleeding; I wasn't sleepy or dizzy or anything. I came home and laid in bed the rest of the day but didn't nap.

The next day, Tuesday, I felt almost 100% normal, and I ran some errands. I noticed I was a bit shaky while at the grocery store but I still felt ok.

Wednesday and Thursday (today) - I am EXHAUSTED. On Wednesday I slept for 10 hours and napped during the day for 3. I feel like I've been hit by a truck. Having virtual meetings tires me out and I can't even muster the mental energy to order groceries. I have no dizziness or blurred vision, but my heart rate is a little high (~90) when I'm standing or just walking around the apartment, and my limbs feel so heavy. I can eat fine, and I was able to do a short 10 min walk in my neighborhood yesterday. I was tired during it, but I think it helped a bit.

My surgeon and the nurses said I should be pretty back to normal in a few days, but I definitely feel like my energy levels are in the ditch on the 3rd day after the procedure. Is this normal? I'm resting as much as I can, but I'm concerned about anemia or other post-op complications. I have no fever or chills or any other symptoms.

Here is what I was given:

  • dexamethasone (DECADRON) 
  • fentaNYL (SUBLIMAZE) 
  • ketorolac (TORADOL)
  • lactated Ringer's
  • midazolam (VERSED) 
  • ondansetron (ZOFRAN) 
  • phenylephrine HCl in 0.9% NaCl (NEO-SYNEPHRINE) 
  • propofol (DIPRIVAN)
  • rocuronium (ZEMURON) 
  • scopolamine (TRANSDERM-SCOP) 
  • succinylcholine (ANECTINE) 
7 Comments
2024/11/21
17:56 UTC

3

The hospital is insistent on GA for a circumcision, what do I do? UK

Hello all hope you're having a good afternoon.

To put this incredibly short, in 2 weeks I'm supposed to be having a circumcision for Phimosis. Tried the steroid cream and the stretching didn't work. All was well until today when I had a phone call for I guess Pre-OP? They asked me a lot of questions, before letting me know it was being done under GA.

For a 20 minute minor surgery this is something I wasn't expecting, and frankly not willing to do. They said they don't offer local anaesthesia for this surgery which is conflicting to what I've heard elsewhere.

Having being SA'd as a kid, being put in a vulnerable situation where I don't maintain cognitive awareness is a no go.

In this situation can I force them to use Local anaesthesia only? Or do I have no choice but to not go ahead with the surgery, I have a face to face appointment next week so I'm thinking about holding off until then before cancelling if it comes to it.

13 Comments
2024/11/21
14:23 UTC

8

Worried about SA during colonoscopy

I had a Colonoscopy on Friday. Afterwards I noticed I was bleeding from my vagina - almost like a period. It went away in 24 hours, but was bright red at the start.

The next day I had sex with my husband. It felt very tender. Part of me thought I didn’t use enough lube after being in the hot tub, but it hurt. I’ve never experienced that before.

I needed to schedule a follow up appointment, but I had this nagging feeling, so researched complaints about it my doctor. I found that a few years ago he got his license revoked from sexual assaulting patients. The legal doc listed 5 stories, all while they were just in normal appointments, not during a Colonoscopy.

Now I’m completely freaked out. Did something happen? I’m obviously going to find a new doctor to do my follow up with. But not sure if I’m just making this up or if there is a real concern.

22 Comments
2024/11/20
03:13 UTC

1

help me find an article

hiiii, i really really want to read this article “Depth of Anesthesia and Nociception Monitoring: Current State and Vision For 2050” i don’t know if anyone knows where i can easily find it

1 Comment
2024/11/18
17:18 UTC

1

Anethesthia Blue Lips

I had an issue in a surgery back in March where under Anesthesia, my lips turned blue. Is there anything that could be done to avoid this? I have to under for a TEE evaluation again, and its terrifying me that I might start suffocating again.

Furthermore, for a week after I kept waking up struggling to breath. Terrifies the hell out of me.

17 Comments
2024/11/18
16:05 UTC

0

Do Anesthesia Techs get to scrub into ORs?

6 Comments
2024/11/15
02:35 UTC

2

Low dose suboxone

Hello, I'm having oral surgery soon. I'm on .625mg of suboxone per day for 3 years. Any experience on the this? Advice? I could stop taking it and be in withdrawal before surgery if that would help. Thanks

2 Comments
2024/11/15
01:24 UTC

2

Normal symptoms?

Recently went under General anesthesia yesterday 11/12 first time ever for a hysteroscopy, D&C and IUD placement. I think due to the pain meds I was given I didn’t really feel anything till after I got home. My throat felt so tight that it felt hard to breathe last night and today my body feels as if I was hit by a semi. My whole neck hurts and my throat feels sore and swollen, also is it normal to have upper abdominal pain? Imagine doing a bunch of sit ups and every time you move to position your self sitting you muscles hurt in that area. Is this normal? I feel it when I cough too and I feel bloated more than normal.

2 Comments
2024/11/14
07:56 UTC

2

Question About Anesthesia Interactions

So, back in 2020 I believe I was given general anesthesia for terminating an unviable pregnancy. Unfortunately the place I had it done is no longer in practice - I know I was out cold and woke up hours later. I don’t know if this means I was just super susceptible to “twilight” anesthesia or if they gave me a general anesthesia. I do remember it wasn’t IV anesthesia, it was an inhaled one.

My concern is now, I may need surgery for endometriosis and they ONLY use general anesthesia. I had no adverse reactions before - does that mean I will not have any this time around? It’s not set in stone yet, the doctor is sending me a script to get an MRI first to make sure before just putting me under the knife.

If it helps - I’m 30, 180 lbs/5’5, and have had mild breathing issues since I had COVID in 2022 yet was cleared by a pulmonologist this year. I also saw a cardiologist in 2022 and they said everything looked okay - should I follow up with them as well before going further with the surgeon?

I’m sorry if this doesn’t make a lot of sense - I have a lot of health anxiety and fears around anesthesia, I just want to be sure I’m as cleared as can be to help ease the anxiety.

4 Comments
2024/11/12
17:47 UTC

3

Question about my parent coming off sedatives

My dad had surgery last Friday. When waking up the next day they had to reintobate him. And since then up until yesterday they were taking him off sedatives and waking him up every 4 hours, each time he would just move around a bunch and not follow any commands so they put him on a light sedative.

Now he opens his eyes when they try and wake him up but he still doesn’t squeeze their hand or anything. Follows no commands. The doctor said this is normal in most cases ? My dad drank a lot and is going through alcohol withdrawal as well. Also smoked cigarettes and cannabis frequently.

Guess I’m just trying to get more clarification to if this is a somewhat normal occurrence for someone coming out of an 8 hour surgery plus being on sedatives for days on end.

2 Comments
2024/11/12
11:26 UTC

1

(AUS) Is it normal for a dentist to insist on having fillings done under GA in the hospital for a patient medicated for schizophrenia?

5 Comments
2024/11/11
13:26 UTC

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