Will be back in a few hours hopefully.

9/16/2008 5:25:08 AM

I always seem to cry for no reason when I come back from anesthesia.

[no homo]

9/16/2008 5:31:15 AM

Hmm... General or just local with sedation?

[Edited on September 16, 2008 at 5:34 AM. Reason : ]

9/16/2008 5:32:46 AM

man all i remember from having my wisdom teeth extracted was whatever the doc gave me hit me in the face

9/16/2008 5:34:43 AM

^^Once was when I had a tooth pulled and they put me under. I woke up crying like crazy. The other recent time was when I had my appendix removed.

9/16/2008 5:39:55 AM

Doctor gave me twice the standard dosage of the benzo used to sedate you during surgery and it did very little. He told me that he had to give me twice what he gives patients and kept asking me if I had used alcohol heavily. I think he could not believe that I wasn't a benzo addict. I kept forgetting that I was in surgery and I would start talking. Then they'd be like, "YOU CAN'T TALK RIGHT NOW!!"

I remember them saying that and replying "OH, OK!"

It was odd because he gave me the IV injection and stopped responding to me, as if I wasn't going to remember anything and I was already out. So I continued to talk, because I wanted him to understand that NOTHING was wrong with me at that point, I felt 100% coherent. So then he came back over, still not speaking, and gave me a second syringe full of the stuff. After that things got weird, but I never fell asleep. I remember feeling teeth crushing and hearing snapping noises, but finding it somehow funny or something. I seemed very detached, like the snapping shit it my face didn't matter or something. But I still tried to communicate nonetheless.

Hence the reason I asked about "anesthesia." Sedation with local anesthesia isn't really "going under." General anesthesia is "going under." It's more dangerous and shuts your shit down hardcore. According to wiki, the death rate under general anesthesia up until around 1980 was 1 in 10,000 (Quite high IMO). Now it's like 1 in 350,000. It will also make you feel like absolute shit, it's not a high or anything, you just shut down and then wake back up with back pain and a headache. You also can't really just wake up under general anesthesia. They always make sure they can quickly place you on a ventilator as well IIRC, since too much of the drug will cause you to stop breathing.

Quote :

"The progression of stages described here was devised for anaesthesia using diethyl ether and is largely replaced by the 3 stage classification. Stage 1 Stage 1 anaesthesia, also known as the "induction," is the period between the initial administration of the induction medications and loss of consciousness. During this stage the patient progresses from analgesia without amnesia to analgesia with amnesia. Patients can carry on a conversation at the time. Stage 2 Stage 2 anesthesia, also known as the "excitement stage," is the period following loss of consciousness and marked by excited and delirious activity. During this stage, respirations and heart rate may become irregular. In addition, there may be uncontrolled movements, vomiting, breath holding, and pupillary dilation. Since the combination of spastic movements, vomiting, and irregular respirations may lead to airway compromise, rapidly acting drugs are used to minimize time in this stage and reach stage 3 as fast as possible. Stage 3 Stage Three: during this stage excitement disappears, respiration becomes regular, the pulse slows down, and reflexes disappear. the 3rd stage of anaesthesia is divided into 4 planes. plane i - reflexes controlling voluntary muscles begin to go, pupil diameter return to initial size plane ii - respiration becomes more regular and the eyelid reflexes are abolished. plane iii- there is an incomplete intercostal paralysis. thoracic movement is reduced and lags behind abdominal movement. surgery is normally carried out at this stage. plane iv - there is a complete intercostal paralysis. the purely abdominal breathing is rapid and shallow, pupil dilate, the cough and vomiting centres in the medulla are depressed Stage 4 Stage 4 anaesthesia, also known as "overdose," is the stage where too much medication has been given and the patient has severe brain stem or medullary depression. This results in a cessation of respiration and potential cardiovascular collapse. This stage is lethal without cardiovascular and respiratory support."

[Edited on September 16, 2008 at 5:49 AM. Reason : ]

9/16/2008 5:40:04 AM

^ That's pretty wild.

With both situations I mentioned, I was completely out.

[Edited on September 16, 2008 at 5:42 AM. Reason : splane]

9/16/2008 5:41:52 AM

you should see people when we wake them up from anesthesia

you start convulsing like a mofo

9/16/2008 11:03:57 AM

i totally ment to post ITT when I got back but was so woozy I just passed out in the bed.

I must have been planning some hardcore sleeping my phone was off and the dog was locked out of my bedroom lol.

9/16/2008 12:58:43 PM

I AM FEELING VERY NAUTIOUS

9/16/2008 1:41:26 PM

brings back memories............not very pleasant ones


recovering post op patients.......my FAV part of the job

some folks cry when they wake up... for no apparent reason

some folks go bat shit bucket kicking insane when they first wake up

some folks are FUNNY

quite a few are whiny.....that whole regression to a "safer" period in life

most want to puke on you

all of them are freezing cold


and a lot of folks that had remifentanyl infusions.... wake up mean as a snake

9/16/2008 1:51:26 PM

i cry when i wake up. i think i may have anesthetized myself too much when i was younger

but seriously, i wake up bawling like i just sat there awake and experienced every painful and terrifying second.

9/16/2008 1:54:09 PM

i dont know why the part about all of them waking up freezing made me laugh so hard

9/16/2008 1:59:37 PM

when i came to after i got my wisdom teeth pulled, i was joking with my dad and gf about how fucking wasted i was. felt pretty much exactly like blacking out from too much alcohol. at the time i thought everything was hilarious, even as i was vomiting, and spewing blood from my mouth.

9/16/2008 2:02:57 PM

I'm a puker. It's really not attractive.

9/16/2008 2:04:21 PM

I am extremely obnoxious and will argue with you about whether or not surgery has taken place. I will also try to get up and leave. I will not remember any of it.

9/16/2008 2:53:40 PM

fuck anestesia. last time I went under when I came to the doctor said if they couldn't get the fluid out of my lungs I would die. retards fucked up when pulling the breathing tube out. sadly within a few weeks or mnths I will have to go back under

9/16/2008 3:09:32 PM

Quote :

"I am extremely obnoxious and will argue with you about whether or not surgery has taken place. I will also try to get up and leave. I will not remember any of it."

some folks are indeed like that esp where i work.......they usually have just come out of brain surgery.... they get restraints till they wake up enough to not hurt themselves.


also hate giving high dose steroids 20mg decadron every 4 hours for the first night after surgery sucks, especially if they:

A) projectile vomit from it

B) get psychotic from it hallucinations ftl

C) have blood sugars so whacked they have to have an insulin drip..... accuchecks every hour on the hour gets old my pt had one last night..........bleh

9/16/2008 4:30:17 PM

Quote :

"some folks cry when they wake up... for no apparent reason some folks go bat shit bucket kicking insane when they first wake up some folks are FUNNY quite a few are whiny.....that whole regression to a "safer" period in life most want to puke on you all of them are freezing cold "

I just asked hotcurlz24 and she confirmed I was FUNNY and a little whiny.

9/16/2008 5:00:15 PM

Silas has inherited the same drug tolerance as his mother. They gave my son ketamine to keep him still while they inserted a femoral line and they had to give him 3 times the amount that the doctor expected. I was assisting them during the insertion and couldn't help but be all like

Sedation is a problem for me and my son, but anesthesia always goes over very well. Silas wakes up happy instead of in tears like most of the kids in recovery. I am tough to intubate, but I usually go under talking away and wake up the same way. But yes, FREEZING cold.

9/16/2008 7:49:42 PM

Quote :

"remifentanyl infusions"

Remy Fentanyl, HAH.

9/16/2008 7:51:10 PM

Quote :

"all of them are freezing cold"

why is that?

9/16/2008 7:52:56 PM

^^^ Damn, ketamine?!

9/16/2008 7:54:58 PM

I'd like our resident nurse to tell us why everyone is cold when they wake up. They always have blanket warmers stocked in the recovery areas, so I know that they are expecting patients to be cold.

9/16/2008 8:01:27 PM

I don't think I did jack shit. From what I understand I was out of anesthesia almost immediately, out of stage one recovery in about 15 minutes and up and wanting to pee in about 30 minutes. They were expecting me to be ready to leave by about 5 PM but I was good to go at about 3 PM.

9/16/2008 8:11:01 PM

i figure if i'm having surgery and laid out spread eagle in an OR with half my guts hanging out I'm probably losing a lot of heat.. maybe they should provide more blankets during surgery?

...purely a completely uneducated guess from someone who has never had anesthesia

9/16/2008 8:15:10 PM

Those fucking paper robes don't do much to keep you warm. Laying bare assed and with an exposed trunk with slow breathing and pulse probably keeps you from staying warm.

9/16/2008 8:17:36 PM

i hope i never have to have any kind of surgery ugh

9/16/2008 8:18:31 PM

I always cry when I come out of it.

When I had my breast reduction I came out crying and the first thing I said after I stoped crying was "are my boobs gone yet?"

[Edited on September 16, 2008 at 8:21 PM. Reason : ]

9/16/2008 8:19:59 PM

Quote :

"some folks go bat shit bucket kicking insane when they first wake up"

me

9/16/2008 8:21:42 PM

Quote :

"Damn, ketamine?!"

it's one of the common induction agents

9/16/2008 8:23:04 PM

I still feel like blowing chunks every so often.

9/16/2008 10:07:18 PM

the best part is the fact that you dont remember a damn thing you said during and after surgery.

lol seen it plenty

9/16/2008 10:10:01 PM

12/14/2008 1:19:55 AM

damn is most of this from wisdom teeth? seems like general anesthesia just for cutting on your gums is a little bit of overkill

12/14/2008 1:46:32 AM

Quote :

"I always seem to cry for no reason when I come back from anesthesia."

pretty common

Quote :

"recovering post op patients.......my FAV part of the job some folks cry when they wake up... for no apparent reason some folks go bat shit bucket kicking insane when they first wake up some folks are FUNNY quite a few are whiny.....that whole regression to a "safer" period in life most want to puke on you all of them are freezing cold and a lot of folks that had remifentanyl infusions.... wake up mean as a snake"

and they're always like "omg is this normal?!"

Quote :

"retards fucked up when pulling the breathing tube out."

damn, they must have really fucked up... what did they do? pull it out without deflating the cuff? and why'd they tube you as opposed to an LMA?

Quote :

"I'd like our resident nurse to tell us why everyone is cold when they wake up. They always have blanket warmers stocked in the recovery areas, so I know that they are expecting patients to be cold."

anesthesia shuts down the vast majority of the temperature-regulating systems your body has - you don't vasoconstrict in response to cold and you don't shiver in response to a drop in rectal temp. operating rooms are typically kept fairly chilly for staff comfort - you're lying on the table partially naked with either drapes or a thin gown covering you, so you get cold as hell after laying there for a couple hours. when you come to, your body is still cold, so those mechanisms kick back in and try to bring your temp back to normal.

12/14/2008 1:48:19 AM

man i just wanted some fucking chickin minis from chick fila

i ate them all despite the nurse warning me i would want to blow guts if i ate anything heave

i wanted to blow guts

then took a bunch of heavily noarcotic pain pislll

dilaudide, darvocet, etc...

and pastsed the fuck out

12/14/2008 2:02:19 AM

Quote :

"some folks are FUNNY"

that's me, i am like "let's do that again it was fun"

12/14/2008 2:05:22 AM

12/14/2008 2:20:00 AM

I asked my doctor if I could keep my wisdom teeth after surgery b/c I thought it would be pretty cool. Apparently it's a biohazard, so I can't keep shit that had been in my own body for 18 years at the time.

Anyhoo, apparently after the surgery they showed me my teeth they had taken out. I don't remember this. Also, my mom didn't tell me that happened until like 2 years later hahaha.

12/14/2008 2:33:50 AM

^ not funnay at all, yo.

12/14/2008 3:10:43 AM

^^ My doc let me keep my two bottom wisdoms. The upper ones, he had to cut to pieces.

12/14/2008 4:56:41 AM

anesthesia shuts down the vast majority of the temperature-regulating systems your body has - you don't vasoconstrict in response to cold and you don't shiver in response to a drop in rectal temp. operating rooms are typically kept fairly chilly for staff comfort - you're lying on the table partially naked with either drapes or a thin gown covering you, so you get cold as hell after laying there for a couple hours. when you come to, your body is still cold, so those mechanisms kick back in and try to bring your temp back to normal.



pretty much what evan said.... ketamine makes people poikilothermic.. meaning you assume the temperature of the environment. patients are chemically paralyzed so they cant move and also they cant shiver.

for example this week i took care of a gunshot brain injury patient. we tried using narcotics and heavy sedation (precedex.....hate this drug anesthesiologists love it) to keep him from shivering. BUT he is a drug user and he started to wake up from the max safe dose of the drug... it also made his heart rate REALLY low at times. so low i almost had to code him a few times.

anyway we had to paralyze him with cisatricurium to keep him from shivering (violent shivering will make someone's intracranial pressures skyroket) while we tried to get his core temperature down to 33.5 C.......once he was neuromuscularly blocked (ooh 5 dollar word) he stopped shivering and we were able to induce hypothermia to try to keep the brain swelling down.



oh yeah food..... i dont even give post op cranis ice chips for about 45 min......no gut sounds no ice chips. patients beg for food and water and im like no no food for you! you will throw up.

they promise not to. but, they do. and then the headache they "thought" was 8/10 becomes 25/10.

love zofran.... and more importantly: droperidol

[Edited on December 14, 2008 at 6:03 AM. Reason : no ice chips for you!]

12/14/2008 5:59:17 AM

i heard 1/4 tablespoon of brainysmurf puts a nga out

12/14/2008 6:00:49 AM

after my appendix ruptured I woke up in recovery screaming that I couldn't breathe and I was drowning, I tried my hardest to rip my tube out, then, what I think was a black lady (no glasses and slightly delirious) came over and it looked like she pushed some buttons and then I woke up in my room!

i also claimed I was drowning and couldn't breathe as they were putting me under, they tried three times to put the mask over my mouth and nose, and I kept hitting them. then they tied me down.

12/14/2008 8:04:58 AM

Everytime I've been put under, I wake up pretty calm. I always have my wits about me, because when the nurse comes and asks if i feel any pain, i always say yes or something along those lines to get some more feel good juice in my IV. Then I make jokes and relax, the day after is always the day I generally feel like shit.

12/14/2008 8:23:30 AM

Quote :

"for example this week i took care of a gunshot brain injury patient"

good god people survive this?

^^and WOW

12/14/2008 2:05:39 PM

^"survive" is a completely subjective term

12/14/2008 2:52:37 PM

never had to be put under so i dont know

12/14/2008 2:58:02 PM

set em up

12/14/2008 3:00:46 PM