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Thread: Plastic Surgery Anesthesia Question

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    Veteran Member boxingdoc's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    There are two types of anesthesia: Partial sedation and general anesthesia. Both require an IV. In conscious sedation, you are given a combination of medications that cause sedation, amnesia, and control pain. People can still talk and breathe on their own through it and do respond to doctors/nurses talking back to them. The whole point is that it is for short term, minor things and the patient wakes up and doesn't remember what happened without the risk of full sedation and intubation.

    General anesthesia is for prolonged and/or particularly painful procedures like open heart surgery, appendicitis, hysterectomy, etc. The patient receives such large doses of anesthestics and paralytics they require intubation. Intubation involves a tube in the throat that goes into the trachea. It does not go into the lungs. The tube and ventilator breathe for you while you were out. It also protects your airway in case you vomit from any of the medication. There's a balloon on the very end that gets inflated. It keeps air from leaking out and keeps vomit from dripping into your lungs.

    Bunny, Ask your GYN about conscious sedation in the office for your IUD change. They should be able to do it, or refer you to someone who can.

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    Veteran Member naughty_princess's Avatar
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    Default Plastic Surgery Anesthesia Question

    Im really considering having plastic surgery and have wanted it for years, and im not of afraid of the surgery or recovery......but i am terrified of the needle and iv they have to put in! I was watching Dr. 90210 and it looked like the IV was in her wrist? and he gave her a shot in her vein on her forearm. How did they do it when you had surgery? Do you have the option of not having an iv put in, and getting completly put to sleep with the shot in the normal place, in your upper arm (i had that done when i was about twelve for a non cosmetic surgery)? I just have a serious phobia on needles/veins/etc and don't know if i would be able to go through with it once i was there.

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    Default Re: Plastic Surgery Anesthesia Question

    In the upper arm like an immunization? I don't think so. I believe anesthesia must be administered into the blood stream, you can't just squirt in a muscle.

    Someone correct me if I'm wrong, but I don't think there is ANY way to avoid an IV during surgery.



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  4. #4
    Yekhefah
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    Default Re: Plastic Surgery Anesthesia Question

    It takes an IV, and in some cases a tube in your throat. General anaesthesia is a major deal, and it's the #1 cause of death in surgery complications. This is why anaesthesiologists make so much money.

    I share your concern. I want a tubal ligation and the state of California will cover it for free, but I'm afraid of the general anaesthesia. Most people do fine with it, but I'm paranoid about being that little statistic!

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    God/dess JustJayda's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    I had it numbed first (of course that's an additional, but much smaller needle) everytime I've had to get an IV. The first time I remember seeing how freakin' huge the IV was, I was like, hell no!!! I need to be numbed first please! Then, you're sleep in like a second, when its anesthesia, so you aren't really concerned at that point lol
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    God/dess Emily's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    I think you have to have an IV during surgery, but your PS can give you valium (or something like it) to calm you down before surgery.

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    Default Re: Plastic Surgery Anesthesia Question

    my ps gave me oxycontin before my surgery. That way I had painkillers already in my system when I came out of surgery and it had the added bonus of making me feel loopy before they administered anesthesia.


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    Default Re: Plastic Surgery Anesthesia Question

    Anesthesia rocks! A bit before my surgery they put and IV in my arm on the opposite side of my elbow. Next second Im being placed on the operating table. They asked me about my hometown and *BAM* I was out didnt feel a thing. The only scary part before you get the stuff was that I thought "wow Im really gonna have surgery." Just dont watch when they are about to stab you is all the advice I can give on the fear part.
    I think Yek is right though about having an IV in your arm only. Ive never seen the down your throat one - Id like to see that. Why would they put it down your throat though?
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    Default Re: Plastic Surgery Anesthesia Question

    i think the tube down the throat is for breathing.


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    God/dess FrustratedBunny's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    I had two nose jobs and wisdom teeth removal. The teeth and the first nose job where they broke bones they put me out. The second nose job was a touch up, no bones broken, and I was just on demarol and a local but I was totally out of it and didn't care that I wasn't really under. I think they always have to put an IV in though but I don't recall it hurting too badly and once they start in the drugs you won't care. Just tell them you are nervous and they'll be good about making it as easy as possible.

    I have to have my IUD changed in about a year and I'm terrified about the pain because it hurt so bad going in that I want to have someone put me under for it but I don't know if you can just elect to hire an anesthesiologist for a five minute procedure but I'll be damned if I can handle that pain again. I'll shoot heroin if I have to or something if nobody will put me under.

  11. #11
    Yekhefah
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    Default Re: Plastic Surgery Anesthesia Question

    Yes, the tube down your throat is for breathing. The general anaesthesia makes it necessary to cram a tube down your throat and (I think) into your lungs. This is such a terrifying and uncomfortable procedure that they wait until you're unconscious before they put the tube in. If they don't get it in there fast enough you can die - my mom's friend almost died this way because she was so fat it was hard to get the tube in.

    This is why you wake up with a sore throat after surgery.

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    God/dess JustJayda's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    Well shit, how do they decide who gets the tube down their throat, and who doesn't? I don't think I've ever had the tube!!!!!!!


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    Default Re: Plastic Surgery Anesthesia Question

    okay, this message board is all wacky with the time stamping being messed up and I know I posted something yesterday and it's gone. But I don't think I was under general anesthesia for my nose and teeth. I know one time it was just demarol but I think the other two it must have been what boxingdoc calls partial sedation. I am fairly certain there was no tube in my throat.

  14. #14
    Yekhefah
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    Default Re: Plastic Surgery Anesthesia Question

    The tube is for people who are under such strong anaesthesia that your whole body is paralyzed and you can't breathe on your own. I don't know if all general anaesthesia requires it or not, but partial sedation (aka twilight sedation) definitely wouldn't.

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    Default Re: Plastic Surgery Anesthesia Question

    Oooh I totally forgot about the tube down your throat to help you breathe. Now that I think hard back on it my throat and lips were a bit dry from the oxygen. I didnt care about that much I just wanted to stop shaking from the cold operating room.
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    Featured Member aviendha's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    I've had both an IV (recently, in fact) and general anesthesia.

    When I had general anesthesia (for my boob job--I wanted general, btw), they placed a sedative in my IV first, then explained to me what I would feel. I felt a coldness in my arm like I was getting cold water in my IV, and they placed the mask over my face and told me to breathe deeply and count back from 100. "One hundred...ninety-nine....ninety-eight....ninety-sev...." and I was out. It felt exactly like falling into a deep, restful sleep. The next thing I knew, I was waking up in the recovery room. I have to say that overall it was a very pleasant experience! Although the anesthesia made me barf later....you can get an anti-nauseal in your anesthetic to prevent this, so be sure and ask for it.

    An IV stings and is uncomfortable, but doesn't hurt very much. You can feel the needle going in, so it feels like any other shot, but then the needle will stay in your skin. It's a small-bore needle so as long as you don't move your arm, you won't feel more than a twinge every so often. (It hurts less than a paper cut, I would say.) It's more of an icky idea than an actually painful experience.

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    Veteran Member boxingdoc's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    With an IV, the metal needle does not stay in your arm. It is used to puncture the skin, get in the vein and provide a guide for the catheter. Once the catheter is in your arm, the needle is pulled out. The catheter is a tiny, flexible, semi-soft tube attached to the larger hub that sits outside your skin. Before they put the IV in, ask to see the difference between the catheter and the needle. In the past, I've always had more discomfort from the injections with immunizations, TB tests and simple blood draws than with an iv.
    Last edited by boxingdoc; 07-10-2006 at 12:06 PM. Reason: spelling error

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    God/dess FrustratedBunny's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    I've always had more discomfort from the injections with immunizations, TB tests and simple blood draws than with an iv.
    same here. I recall more pain from a simple shot than an IV.

    And every time I had surgery I recall waking up and having to pee like crazy! After my wisdom teeth I almost couldn't make it to the bathroom.

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    Veteran Member naughty_princess's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    thanks everyone! Hopefully I can take the pain pills before and get numbed or something first. I recently had a IV put in a few months before when I had to go to the hospital, and I know in my head that it doesn't hurt that much (the same with the needles), its just the thought of it and when they are getting ready to do it...i have almost like a panic attack, like my throat closes and its hard to breathe. Consciously i know its not a big deal, but when it comes down to it I just can't make myself feel that way. I will just have to talk to the surgeon and ask him about my different options I guess...
    And when I was about twelve years old, I had oral surgery. And I might remember this wrong since I was so young...but they gave me a shot in my upper arm, and within 3 seconds I was completely out, i only had a second to be shocked how quick it was. But the next thing I knew I woke up in a little recovery room, and didn't know where I was, I seriously thought i had died because I couldn't see anyone else around. LOL. but im guessing that was general anethesia? I didn't seem to have any problems/reactions then, so that's what I was hoping I could do, mostly with the shot in the arm part......ill tell them they can put the IV in once im out, lol

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    God/dess FrustratedBunny's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    when I had my wisdom teeth I was so terrified they gave me laughing gas and it made me totally paranoid and I thought I was dying but I couldn't rationally figure out to open my mouth and tell them to take it off. But if you don't react that way to it you could ask for that to calm you. It was SUPPOSED to calm me!

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    Veteran Member boxingdoc's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    Princess, when you are little, there are different drugs that can be used for conscious sedation that are just a shot into the muscle. General anesthesia will always require an IV because it requires a continuous infusion of drugs.

    A lot of people really freak out about the IV being placed. Freak out to the point of passing out. That's why I prefer people lay down when getting IVs placed. If they pass out, they can't fall over and hurt themselves.

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    Veteran Member piper_monroe's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    Quote Originally Posted by Yekhefah

    This is why you wake up with a sore throat after surgery.
    TOTALLY the worst part of getting my boobs done. Dreaded intubation sore throat!
    "Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that most frightens us. We ask ourselves, Who am I to be brilliant, gorgeous, talented, and fabulous? Actually who are you not to be?" -- Marianne Williamson.

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    Veteran Member piper_monroe's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    Quote Originally Posted by aviendha
    An IV stings and is uncomfortable, but doesn't hurt very much. You can feel the needle going in, so it feels like any other shot, but then the needle will stay in your skin. It's a small-bore needle so as long as you don't move your arm, you won't feel more than a twinge every so often. (It hurts less than a paper cut, I would say.)
    The needle doesn't stay in your arm, it's a plastic thingie called a catheter. The needle is only to make the way for the catheter's placement.
    "Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that most frightens us. We ask ourselves, Who am I to be brilliant, gorgeous, talented, and fabulous? Actually who are you not to be?" -- Marianne Williamson.

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    Featured Member aviendha's Avatar
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    Default Re: Plastic Surgery Anesthesia Question

    Oh, I see. I guess I always thought it was the needle, because I could feel a prickly thing in there. Learn something new every day! At any rate, it didn't hurt much.

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