Question about general anaesthesia

Foxrac

Foxrac

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Hello, I will have surgery on May 22 to remove CI permanently due to headache and pressure pain that I have for many years. The general anaesthesia for CI surgery and reversal surgery should be similar unless patients want CI replacement.

I'm not sure if Ketamine or Propofol are blamed for agliation, hallucination and confused after wake up from surgery, but I did received Propofol without Ketamine before so just wake up fine without any problem, so I believe it could be Ketamine. I took combination of Propofol and Ketamine for major EGD last year and it was very awful.

I'm not sure if I did take pentothal before, but when I had CI surgery in 1996, I was given a gas mask to put sleep in. The result was bad as combination of Propofol and Ketamine, I threw up like crazy after wake up and feel very sick.

What kind of general anaesthesia that CI surgery usually used for adults?

I'm going ask my GI specialist to get full report about what medicines were used for me in OR when I had EGD and colonoscopy next week. If Ketamine is one of problem so I will going tell them to not put Ketamine in me.

Thank you for helping.
 
You need to discuss those issues with your anesthesiologist. Each person is different, with different sensitivities. Only the medical professional can answer your questions.
 
Reba said:
You need to discuss those issues with your anesthesiologist. Each person is different, with different sensitivities. Only the medical professional can answer your questions.
Click to expand...

Ok, I'm just curious about other's experience with CI surgery, reversal and replacement.
 
I've not had CI...but other major surgeries in general but I know in general most of the time these days they use Profofol as a general- better results and less side effects. But Reba is right. Talk to the CI surgeon and mention your problems in the past. The anesthesiologist will take your history before the surgery so be sure to mention that to them too.
 
Talk to your anesthesiologist about any questions you have and tell him about any problems you have had in the past when undergoing surgery. I told this to a good friend of mine many many times over the years (he's 53 and has been under general anesthesia 39 times!). Yes, he's a train wreck! Anyway until the last 4 surgeries he wouldn't wake up until the day after surgery. I kept telling him to talk the the anesthesiologist and it took him until the 36th surgery to talk to him and they used something else and he woke up in recovery which he never did in the past and his three other times since have also had him wake up the day of and not the day after. So talk to your doctor. For the colonoscopy with what they use, some people fall asleep and others watch the procedure. My last one I watched, usually I fall asleep.
 
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This may be a struggle because often anesthesiologists are assigned at the last minute, so advanced discussion could be useless in that way. However, if you have the docs put on paper whatever best recommendation they come up with, you will have it to shove in the face of whatever anesthesiologist shows up.

In my experience the anesthesiologist came around to introduce himself just beforehand, and my attending surgeon passed off all responsibility for the matter to him/her.

The second challenge I had was that the hospital assigned anesthesiologists without regard to whether or not that person was "in network" of my insurance plan. I could end up with a fat bill or not, without anyone willing to accept responsibility. Its a mine field out there...

Best of luvk and I fervently hope this surgery resolves the headache problem.
 
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