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General Anaesthetic

(85 Posts)
mrsblakey Wed 22-Jan-14 18:35:57

Am having surgery in a few weeks.
I haven't had a GA since I was young & can't really remember much about the procedure.
I am feeling more apprehensive about that rather than the surgery itself!
I have been told I won't be able to meet the anaesthetist until the day of my surgery so am bottling up more nerves.
I think my main fear is not waking up afterwards - I feel really silly admitting that!
Anyone had a similar anxiety?

fairykissesforyou Sun 26-Jan-14 23:10:24

InPursuit
I had an GA recently where I was put under using a continuous pump of IV drugs and was very sick afterwards. Soon after this I had another anaesthetic (for different type of surgery) and I said I had been very sick so the anaesthetist said they would give plenty me of anti sickness drugs to help. I was also given my anaesthetic by face mask this time and had a small amount of ?propofol to relax me prior to the inhaled gases- I had no sickness and felt more clear headed afterwards.

My question is- was my sickness better because of the inhaled anaesthetic (or does everyone get this after initial induction), or was it the type of surgery that caused the sickness (was ENT), or did giving the anti emetics in theatre make it better-though I was given antiemetics in recovery after the ENT op but maybe too late. I am interested to know before I have my next GA which is coming up to try to avoid the problem again.

Reading this back I hope it makes sense-basically what is better IV or inhaled anaesthetic?

What the hell is my ipad doing to my typing? Was supposed to say with my!

georgedawes Sun 26-Jan-14 23:15:40

I too was worried about waking up,but it was over very quickly, one minute going into theatre the next waking up.

I did need a bit of oxygen for a few hours after as my sats kept dropping, due to have another op soon is that worth mentioning to the anaesthetist?

Wednesbury Sun 26-Jan-14 23:16:27

I have a question that I have wondered about ever since I had an epidural for my first CS five years or so ago.

After the birth the anaesthetist, who was lovely and totally reassured me throughout the whole procedure, said to me 'Now I need to give you an injection which might make you feel like your heart is racing' and I said 'What? What is it, what is it for?' and he did reply but I can't remember what he said.

Do you have any idea what it was and what it was for?

Also, is is true that for a c section under GA you have more anaesthetic than for some other procedures? My second CS was under GA and it took me a very long time to come round properly and be able to sit up and look around, it was 36 hours after the operation before I made it into a wheelchair to see my DD in the NICU and I have always felt terrible about this.

Thank you for answering on this thread InPursuit

SusanC5 Sun 26-Jan-14 23:25:13

The only exception to this is if it were absolutely necessary and the patient were not able to consent themselves. (If they were in a coma for example)

I was involved in a road accident. When I came round from my GA, I was horrified to find out that I had a catheter and my operation was witnessed by student doctors. I only find out because one of them thanked me for alllowing him to take part in my operation. blush

I was unable to consent as I was unconscious. I had no problems with the GA and the whole experience didn't put me off having more surgery.

Good luck OP.

1944girl Sun 26-Jan-14 23:37:20

I have had two C-sections under GA. It was 44 and 41 years ago when all c-sections were done under GA.

I don't want to comment on all the details except to say they were both crash ones and I did not see either of my children until they were two days old and still feel upset about it.

I was the most scared one when my children had to have dental extractions under ''the gas''as my dentist said. I was shaking with fear when I had to leave them in the surgery room and seeing my unsuspecting innocent child being sat on the chair then I had to stay in the recovery room.The place reeked of aneasthetic and there were two children in the recovery room being sick. The aneasthetic was given by a GP. My elder child was carried out of the room afterwards, my younger one was able to walk out.It was a big relief when all was over.

I don't know if some dental extractions are still done under general aneasthesia these days, especially in high street dental surgeries.

ChestyNut Mon 27-Jan-14 07:04:02

inpursuit looks like I may have to have sinus surgery soon. Anything that will stop the wheezey can't breathe thing before it starts?

ChestyNut Mon 27-Jan-14 07:05:25

And can I request no propofol.....it hurt ? sad

PseudoBadger Mon 27-Jan-14 07:14:35

1944 - there's no way that any generals are given in high street dentists any more! I had all 4 wisdom teeth out under general at the hospital. What an awful experience for you sad

LineRunner Mon 27-Jan-14 07:19:34

I had a GA last week. It really did feel like seconds, and I recovered quickly.

I had an IV and face mask. The anaesthetist was so gentle and reassuring that I felt really safe.

I was scoffing tea and toast within an hour.

shouldnthavesaid Mon 27-Jan-14 09:23:06

When I was having surgery a couple of years ago an anaesthetist came to see me in the morning, and discussed a general. I said I was worried about the intubation. He said it's the most risky part (he wasn't a reassuring chap) and did an assessment to see how likely it was to go wrong with me.

Within minutes he had a senior person through, and they both said I needed special care. They said they'd place a tube down my windpipe, and a separate one down my stomach, whilst under conscious sedation. Both said I would remember it and I would feel considerable pain. They demonstrated by pulling my oesphagus forward, which hurt like hell.

They said I'd need this for all future anaesthetics due to the alignment of my jaws and teeth.

Understandably since then the idea has terrified me and both surgeries (that one and the next) I pushed for, and got, a spinal instead. This still I frightened me but not as much - I felt more in control.

I've never heard of that since, is it a normal procedure?

Also - when they give you a spinal, do they add some sort of sedative or morphine? First time I had continual infusions of midazolam but the second time I was assured no sedatives (as midaz sent me into a psychotic type state) but I did feel very odd. Told the anaesthetist things I wouldn't normally dream of, and felt very cuddly/snuggly? I wouldn't dream of taking sedation again - I was shaved and all sorts under that stuff, and watched by half a dozen students through a view panel. Awful.

mrsblakey Mon 27-Jan-14 10:16:06

Wow seems like my thread has triggered some interesting questions.
Thanks Inoblivion for offering to answer any queries I think most of mine have been covered by everyone else!
I am still apprehensive but can now see that for most it's nothing to worry about.
Thanks again to all of you for responding I will continue to watch with interest!

mrsblakey Mon 27-Jan-14 10:18:37

Sorry should read Inpursuit!!!

behindthetimes Mon 27-Jan-14 10:28:58

I had to have a GA in order to have the 'products of conception' sad removed following a miscarriage. I was really nervous as I'd had GA as a teenager and it made me feel sick and also depressed. I mentioned this to the nurse that wheeled me down to the operating theatre and she told me to make sure I was thinking happy thoughts as the GA was happening and I would wake up in a similar state. So I thought of DS1 smile, and woke up feeling completely fine, just a bit out of it in a nice way. I felt a little sick a bit later on, but told a nurse and a well timesd sandwich sorted that out.
Hope you are reassured by the posts on here at that the surgery goes well OP.

InPursuitOfOblivion Mon 27-Jan-14 12:47:46

Hi ladies,
Kids, husband, dog and neighbours are conspiring against me having any free time today! I promise I will get round to answering your questions but you'll have to bear with me!

If anyone else from team anaesthetics is reading please feel free to jump in! I'll send one of the ODOs to fetch us coffee! brew

ChestyNut Mon 27-Jan-14 12:48:55

Never heard of that shouldnt sounds awful sad

Think anaesthetics have moved on.

What's an ODO?

ChestyNut Mon 27-Jan-14 18:05:03

Operating Department.......

Practitioner or assistant are only ones I've heard of.

PseudoBadger Mon 27-Jan-14 18:07:20

Operative? Erm... Operator? grin

redspottydress Mon 27-Jan-14 19:03:58

Thank you for answering. I asked because I was unable to pee after surgery and I was told by a friend who works in hospital it was because they give you a catheter in surgery! I was in for hours so I believed her.

redspottydress Mon 27-Jan-14 19:04:09

Thank you for answering. I asked because I was unable to pee after surgery and I was told by a friend who works in hospital it was because they give you a catheter in surgery! I was in for hours so I believed her.

1944girl Mon 27-Jan-14 20:43:14

PseudoBadger Thankyou.

Thankgoodness those days are over. I still have nightmares of both my now adult children being sat in the dentist's chair, the big aneasthetic cylinders standing beside them, then having to leave the room and put their lives into the hands of an unfamiliar GP. All the preparation that was given was to starve overnight and don't bring them if they have a cough or cold.Neither of my sons can remember it now but I certainly can.

StillNoFuckingEyeDeer Mon 27-Jan-14 20:54:26

fairy - post-operative nausea and vomiting is generally worse with inhaled anaesthetics than iv anaesthetics. ENT, squint, gynae & abdominal operations also cause more nausea & vomiting. It's more common in women, non-smokers and people who suffer with travel sickness.
It's likely that the anti-emetics and different surgery reduced your post-op nausea rather than having inhaled anaesthetic.

I had the best most technicolor dream when I had gas at the dentist as a kid. I still remember it vividly. I also quite liked the wobbly bit after. Wouldn't have liked to have been my Mum though.

fairykissesforyou Mon 27-Jan-14 22:17:06

StillNo
Thanks for your answer, I'll ask for plenty of anti emetics next time then!

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