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Anesthesia Concerns...Should I use CPAP in Recovery?
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OpalRose Offline

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Post: #11
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 01:43 PM)trish6hundred Wrote:  Hi OpalRose,
I hope your surgery goes well.
I would put my little sleeper friend in it's bag and take it with me as a sort of a "security blanket."
Better to have it and not need it, than need it and not have it.
Good luck to you.


Thanks trish! I will have my "security blanket" with me!

OpalRose
07-23-2015 01:44 PM
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wp6529 Offline

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Post: #12
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
One thing to remember and ponder is whether general anesthesia is even necessary at all. Most surgeons will go to it by default for their own convenience even if it's not required, and in doing so they introduce extra expens and more importantly risk unnecessarily.

Background, I did a colonoscophy / polyp removal last year with no anesthesia and no issues. I did carpal tunnel release surgery last week with local anesthesia only (healing very well) and will do the other hand in a few months the same way.
07-23-2015 02:09 PM
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PaytonA Online
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Post: #13
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
According to what DocWils said and Opal found out, it is not a general anesthetic. LMAC apparently stands for Local Monitored Anesthesia Care with emphasis on local.
07-23-2015 02:20 PM
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OpalRose Offline

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Post: #14
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 02:09 PM)wp6529 Wrote:  One thing to remember and ponder is whether general anesthesia is even necessary at all. Most surgeons will go to it by default for their own convenience even if it's not required, and in doing so they introduce extra expens and more importantly risk unnecessarily.

Background, I did a colonoscophy / polyp removal last year with no anesthesia and no issues. I did carpal tunnel release surgery last week with local anesthesia only (healing very well) and will do the other hand in a few months the same way.


Hi wp6529,
payton is correct, it won't be general.

Wow, a colonoscopy/polyp removal with no anesthesia!!! That's what I call brave.
Wasn't it even a bit uncomfortable? Thinking-about

OpalRose
(This post was last modified: 07-23-2015 02:27 PM by OpalRose.)
07-23-2015 02:25 PM
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wp6529 Offline

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Post: #15
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 02:20 PM)PaytonA Wrote:  According to what DocWils said and Opal found out, it is not a general anesthetic. LMAC apparently stands for Local Monitored Anesthesia Care with emphasis on local.

My reply wasn't really to the OP specifically, but more generally to anyone considering surgery (and potentially using an xPAP).

Like C-sections, general anesthesia is very much over used largely for the doctor's/surgeons convenience rather than any medical necessity. Also in both cases they introduce significant unnecessary risk.
07-23-2015 02:25 PM
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DocWils Offline

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Post: #16
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 12:29 PM)49er Wrote:  Regarding meeting with the anesthesiologist before the surgery, someone should be willing to meet with you and address your concerns. I get the sense they don't like to do this but if you're persistent, someone will see you.
49er

Not only do they like to do it, it is S.O.P., but because of time constraints, it is either just before the op or the night before if you are overnighting. Getting the gas passer a week before is nearly impossible, also because the team assignments are only posted 24 hours before the op or less.
07-23-2015 05:37 PM
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DocWils Offline

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Post: #17
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 02:25 PM)wp6529 Wrote:  
(07-23-2015 02:20 PM)PaytonA Wrote:  According to what DocWils said and Opal found out, it is not a general anesthetic. LMAC apparently stands for Local Monitored Anesthesia Care with emphasis on local.

My reply wasn't really to the OP specifically, but more generally to anyone considering surgery (and potentially using an xPAP).

Like C-sections, general anesthesia is very much over used largely for the doctor's/surgeons convenience rather than any medical necessity. Also in both cases they introduce significant unnecessary risk.


Anaesthetic minimums are set by the boards and not at the doctor's convenience - we do arthroscopic meniscectomies under spinals, for instance, but the UK rules are for full narcosis. We don't consider it necessary, but their medical boards decided that is the rule there. Same in the US, although it may vary state by state.
07-23-2015 05:42 PM
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49er Offline

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Post: #18
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
(07-23-2015 05:37 PM)DocWils Wrote:  
(07-23-2015 12:29 PM)49er Wrote:  Regarding meeting with the anesthesiologist before the surgery, someone should be willing to meet with you and address your concerns. I get the sense they don't like to do this but if you're persistent, someone will see you.
49er

Not only do they like to do it, it is S.O.P., but because of time constraints, it is either just before the op or the night before if you are overnighting. Getting the gas passer a week before is nearly impossible, also because the team assignments are only posted 24 hours before the op or less.

DocWils,

As an FYI, even though I made it clear that I realized I wouldn't be meeting with my anesthesiologist because of assignments not being posted until close to the procedure, I still wanted to meet with someone to address my concerns because of extreme sensitivities to meds. Sorry, doing this at the last minute before an operation in a weekened state doesn't do it for me.

Anyway, even though I made that clear, I still sensed meeting with someone ahead of time was not standard procedure but because I was persistent, it did occur. As I previously mentioned, I met with a resident anesthesiologist before my septoplasty in March. When I considered having the procedure last year, the head of the anesthesiology department met with me. By the way, when I asked the nurse who escorted me to meet with this guy, how many people did what I did, she said very few and wished that more people did.

49er
07-23-2015 05:54 PM
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PaulaO2 Offline
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Post: #19
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
Here in the US, the anesthesia is usually handled by a "group office". Usually you will first see someone (a peon) from within that group then see the actual person just prior to the procedure.

Take your CPAP with you. Tell them ahead of time you will be bringing it with you. Make sure your family member knows how to work it.

My last colonoscopy, we chose to not take mine since the recovery room time was to be so short (less than an hour). It was longer than an hour and I won't do it again. I don't wake up from anesthesia well, never have. They always tell me "Oh, I know what I'm doing, I'll wake you up", but it always happens.

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07-23-2015 08:05 PM
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parkerdt Offline

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Post: #20
RE: Anesthesia Concerns...Should I use CPAP in Recovery?
I personally would want to know all their protocols before I signed the anesthesia consent form. And, if they do not wish to discuss it, I would seek treatment elsewhere.

My recent hospital visit I had just this discussion, and they were completely willing to work with me re my CPAP. Fortunately I did not need surgery this time, so the CPAP was in my room. And a respiratory therapist came by each day to check on me and record the serial # of my machine. So I was being monitored.
07-23-2015 08:29 PM
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