Re: surgery meds

[Guest guest]

:

I had Dr. Pomp at Mt. Sinai. The anesthesiologist initially gave me

Versed (midazolam)IV. That's the last I remember until I woke up in

recovery several hours later. At that time, I was receiving IV

morphine, with Toradol IVPB. Toradol is an injectable NSAID, reduces

post-op swelling and potentiates the analgesic action of MSO4. I felt

little if any pain. I did have a button to push for a little " booster "

dose of MSO4. When I got back to my room, about 10:30 PM on Wed. 10/3,

I was able to watch TV and talk on the phone. Of course my

conversation was limited to " I'm stoned out of my skull " . It was true.

I hadn't been that stoned since the 1970's! I was changed to oral

pain meds on Friday, but only used the Percoset twice because it made

me too sleepy. I was given a RX for Vicodin for home use, but only

used it once or twice at night. Mostly at home I just used Tylenol.You

will speak to 2 anesthesiologists (commonly known as " gas passers " )

prior to surgery--the attending and the resident. They can answer your

questions about specific drugs.

Down 30 lbs in 6 weeks

DS, Dr. Pomp at Mt. Sinai 10/3

In duodenalswitch@y..., mkf5t@v... wrote:

> What do anesthesiologists usually use to put and keep you " under "

> DURING surgery? Does anyone know about Gagner's people in

particular?

> Fentanyl?

>

> Thanks,

>

>

> (who thinks she NOW understands the opiate/opioid ladder of

> parenthood, and will try to share later if anyone is interested)

[Guest guest]

I did a quite a it of research on the anesthesiology meds before

going to SPain.

It is quite a balancing act they perform. They put you to sleep,

paralyze you, keep you alive, and releive pain--there is a mixture of

meds they use to accomplish everything. Fentanyl is just one small

piece of the picture. Versed is great as the first line because it

induces amnesia--as well as sleep.

The main thing you need to tell them when you meet with the gas

passer is your previous history with surgery. Did you have any

adverse reactions when coming out of it? Do you have any pre-

existing liver problems?

My father and my girlfriend both wake up from surgery fighting and

trying to beat up the nearest person. They put my dad on versed for

a day and a 1/2 until the anesthesia cleared out enough. He woke up

fighting from heart surgery and had to be reoperated on becuase he

shifted the breast bone and caused it to start bleeding heavily.

Hope this gives you some insight.

Pammi

[Guest guest]

In a message dated 11/13/01 12:02:06 PM Eastern Standard Time,

c50684@... writes:

<< The anesthesiologist initially gave me

Versed (midazolam)IV. That's the last I remember until I woke up in >>

An amnesiac drug, given so you won't remember a thing!

Sheryl

[Guest guest]

In a message dated 11/13/01 12:26:18 PM Eastern Standard Time,

mkf5t@... writes:

<< I'm with you on the Versed (I DO enjoy my benzos);

Morphine and Toradol sound sensible as well (but throwing in Demerol,

too, as mentioned, sounds like overkill!). >>

Don't worry about overkill, worry about getting enough in most hospitals

that's how it is. They're very conservative with pain meds

Sheryl

[Guest guest]

SUSAN COMES THROUGH AGAIN!

BTW, before we talk drugs, let me say that your lie saved my butt

last night. Wouldn't you know, the pesky neighbors down the street

(both MDs, but psychiatrists--so who knew they'd know so much about

the Niss. Fund.?) started asking questions and I was able (barely) to

give them the story. The other ones on my block are nurses, one

married to a cardiologist and the other a orthopaedist, so they'll be

headed my way next! ARGHHHHHH!

OK, then. I'm with you on the Versed (I DO enjoy my benzos);

Morphine and Toradol sound sensible as well (but throwing in Demerol,

too, as mentioned, sounds like overkill!). I hope that they

will give me a prophylactic injection of Compazine as well, although

I just read that as of July THERE WAS A PRODUCTION SHORTAGE OF

COMPAZINE IN THE INJECTABLE FORM (thus my having on hand the

suppository form of Compazine and Valium, just in case!)

What must they use as a pain killer IN the OR? Versed's not enough,

so there must be more.

I remember getting sick with Vicodin, and can't remember my previous

reaction to Percoset (must not have been too bad if I can't

remember!) but why not just use pure, healthy Morphine in a lowish

dose for the very short term? It IS the most effective pain killer,

right? And if you can manage/avoid its addictive problems AND you're

not too worried about being overly sleepy, then why not? Is it

simply the old tirade about addictive drugs and the negative rap that

morphine has?

Best,

> > What do anesthesiologists usually use to put and keep you " under "

> > DURING surgery? Does anyone know about Gagner's people in

> particular?

> > Fentanyl?

> >

> > Thanks,

> >

> >

> > (who thinks she NOW understands the opiate/opioid ladder of

> > parenthood, and will try to share later if anyone is interested)

[Guest guest]

> I did a quite a it of research on the anesthesiology meds before

> going to SPain.

>

> It is quite a balancing act they perform. They put you to sleep,

> paralyze you, keep you alive, and releive pain--there is a mixture

of

> meds they use to accomplish everything. Fentanyl is just one small

> piece of the picture. Versed is great as the first line because it

> induces amnesia--as well as sleep.

OK, Pammi.

So Fentanyl IS the opioid/pain killer used IN the OR typically?