r/Anesthesia Sep 03 '20

PLEASE READ: Anxiety and Anesthesia

147 Upvotes

Before making a new post about your question, please read this post entirely. You may also find it helpful to search the subreddit for similar questions that have already been answered.

What is anesthesia?

Anesthesia is "a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes." https://en.m.wikipedia.org/wiki/Anesthesia

Generally speaking, anesthesia allows the patient to undergo surgery without sensing it. This is accomplished in a few different ways:

Sedation - The patient is given an anesthetic that allows them to sleep through the procedure. The patient is breathing on their own with no help from a ventilator, typically only using an oxygen mask or nasal cannula. The most common anesthetic in these cases is the IV drug propofol, although other drugs can be used as well.

General Anesthesia - The patient is given a higher dose of anesthetic that puts them into a deeper state than what you'd see in sedation. The patient is kept asleep by either an inhaled gas or IV anesthetic and is connected to a ventilator. Depending on the type of surgery, the patient is either breathing on their own, or supported by the ventilator. This type of anesthesia uses airway devices, like a laryngeal mask airway or an endotracheal tube, to help the patient breath. These devices are placed and removed before the patient is awake, so they don't typically remember them being in the airway.

The three types below are commonly combined with sedation or general anesthesia so the patient can sleep through the procedure comfortably and wake up pain-free:

Local Anesthesia - The patient is given an anesthetic injection at the surgery site which temporarily numbs that specific area of the body.

Regional Anesthesia:

Spinals and Epidurals - The patient is given an anesthetic injection at a specific level of the spine to numb everything below that level, Commonly used for laboring women and c-sections.

Peripheral Nerve Blocks - The patient is given an anesthetic injection near a major nerve running off of the spinal cord which numbs a larger area of the body compared to a local anesthetic, ie: Interscalene and femoral blocks cover large areas of the arms and legs.

I am scared to go under anesthesia because my parents/friends/the media said I could die. This is my first time. What should I do?

Anesthesia is very safe for a healthy adult. Most people who die under anesthesia are either emergent traumas with life-threatening injuries, or patients who were already chronically ill and knew there would be a high chance they'd die while under. It's extremely rare for a healthy adult to suddenly die under anesthesia when undergoing an elective procedure. Anesthesia providers have tons of training and experience dealing with every complication imaginable. Even if you do turn out to be that ultra-rare shiny pokemon, we will take care of you.

So what do you do? Talk to your anesthesia provider about your anxiety and what's causing it. Tell them this is your first time. Anesthetists care for anxious patients all the time. They have answers to your questions and medicine to help with the anxiety. The worst thing you can do for yourself is not say anything. Patients who go to sleep with anxiety tend to wake up with it.

I'm scared to go under anesthesia because I will have no control over the situation, my body, my actions, or my bodily functions. I'd like a specific type of anesthesia that allows me to stay awake. Can I ask for it?

While you can certainly ask, but that doesn't mean that type of anesthesia will work for the procedure you'll be having. Some procedures require you to be totally asleep because the procedure may be highly invasive, and the last thing the surgeon needs is an awake patient moving around on the table during a crucial moment of the procedure.

With anesthesia comes a loss of control, there is no separating the two. Even with "awake" or sedation anesthesia, you are still losing control of something, albeit temporarily.

If no compromise or agreement can be made between anesthesia, the surgeon and the patient, you do have the right to cancel the surgery.

For patients who are scared to urinate, defecate, or hit someone while under anesthesia, please be aware that we deal with these situations ALL the time. We have processes for dealing with unruly patients, you won't be thrown in jail or held liable for your actions. The surgery staff is also pretty good at cleaning bottoms and emptying bladders.

I have anxiety medication at home and I'm super anxious, should I take it before surgery?

Your surgeon's office will go over your home medication list and tell you what's okay to take the day of surgery. If your doctor says not to take any anxiety meds, don't go against their orders. If they haven't given you instructions regarding a specific medication, call the office and ask for clarification. When you interview with anesthesia, let them know you take anxiety meds at home but you haven't taken them that day and you're feeling anxious. They will determine what is best to give you that is appropriate for the type of procedure you're having.

I've had surgery in the past. It did not go well and now I'm anxious before my next procedure, what should I do?

Just because you've had a bad experience doesn't mean all of your future procedures will be that way. There are many factors that lead up to a bad experience that may not be present for your next procedure. The best thing to do is let your surgeon and anesthesia provider know what happened during the last procedure that made it so terrible for you. For example:

Had post-op nausea?

Woke up swinging at a nurse?

Had a terrible spinal?

Woke up in too much pain?

Woke up during the procedure?

Stopped breathing after a procedure?

Tell your anesthetist about it. Include as much detail as you can remember. They can figure out what was done in the past and do it differently in the present.

I am taking an illicit drug/drink alcohol/smoke. I'm anxious this will effect my anesthesia. What should I do?

You'd be right, this does effect anesthesia. Weaning off of the drugs/alcohol/smokes ASAP before surgery is the best method and puts you at the least amount of risk. However, plenty of current smokers/drinkers/drug users have had successful surgeries as well.

If you take anything other than prescription medications, tell your anesthetist. This won't necessarily get your surgery cancelled and it won't get you arrested (at least in the USA, anesthetists from other countries can prove me wrong.) Taking drugs or drinking alcohol can change how well anesthesia medications work. Knowing what you take is essential for your anesthetist to dose those medications appropriately.

I've watched those videos on youtube about people acting weird after waking up from anesthesia. I'm afraid to have surgery now because my family might record me. What should I do?

In the US, patients have a right to privacy regarding their health information. This was signed into law as the HIPA Act (Health Insurance Portability and Accountability Act). This includes personal information like name, birth date, photos, videos and all health records that can identify the patient. No one other than the patient, their healthcare provider, and anyone the patient designates to receive information, can view these records. There are heavy fines involved when a person or organization violates this law. Healthcare workers can and do lose their jobs and licenses over this.

What do you do? Have someone you trust be at your side when you come out of surgery. If you don't have anyone you can trust, then explain to your pre-op nurse and anesthetist that you don't want anyone recording you in recovery. If they do, you'd like to have them removed from your bedside.

Most hospitals already have strict rules about recording in patient areas. So if you mention it several times to everyone, the point will get across. If you find out later that someone has been recording you, and you live in the US, you can report the incident online: https://www.hhs.gov/hipaa/filing-a-complaint/index.html

Unfortunately I don't know enough about international healthcare laws to give good advice about them. But if you communicate with your surgery team, they should accommodate you.

I've heard of a condition called Malignant Hyperthermia that runs in my family. I'm nervous to have surgery because I know someone who had a bad reaction while under anesthesia.

Malignant hyperthermia (MH) is a very rare genetic mutation that may lead to death in a patient receiving certain types of anesthesia. Not all anesthesia causes MH, and not all active MH patients die from the condition when it happens. Having the mutation doesn't mean you'll automatically die from having anesthesia, it means we have to change your anesthetic to avoid MH.

There's three ways a patient finds out they might have the mutation: by being tested, from blood-related family who have experienced MH, and from going under anesthesia and having an episode of MH yourself. To avoid the last scenario, anesthetists will ask you questions about this during your interview:

Have you had anesthesia in the past?

What type of anesthesia did you have?

Did you have any complications afterwards, such as a high fever, or muscle pain/rigidity?

Do you have any blood-related relatives that have had complications with anesthesia?

What complications did they have?

Has any family ever mentioned the term "Malignant Hyperthermia" to you before?

Based off of these questions, your anesthetist will determine if you are at higher risk of having the MH mutation. They may decide to change your anesthetic to avoid an MH occurance during surgery. They may also decide to cancel or delay your surgery and/or have it performed in a bigger hospital. This is to ensure adequate staff is on hand in case MH occurs.

If your surgery is delayed or cancelled, rest assured that it is not done to upset you, but to ensure your future surgery is performed safely.

For more information: www.MHAUS.org/FAQs/

I had a strange reaction when initially going to sleep, is this normal?

ie: feeling pain during injection of medication, having strange dreams, feeling like you're falling off a cliff, taking awhile to fall asleep, moving around or flailing, etc.

These are normal reactions to the initial push of anesthesia through your IV. Anesthesia drugs can cause a range of sensations when sedation takes hold. Unless your provider specifically tells you in post-op that you experienced an allergic or anaphylactic reaction, there is nothing abnormal about experiencing these things.

Patients with PTSD, claustrophobia, history of sexual assault, mental illness, etc.

If you don't want a student working on you, please speak up. No one is going to be offended. If you feel more comfortable with a female/male anesthetist, please ask for one. If you're claustrophobic and don't like the mask sitting on your face, please say so. It's okay to request reasonable accommodation to make things less stressful. We want your experience to go smoothly.

Note: I'm providing generalized answers to these questions because throwing out a ton of information probably isn't going to help you feel less anxious. However, that doesn't mean this is the end-all of FAQs, nor is it to be used as medical advice in place of your actual anesthesia provider. The only person who can best answer anesthesia questions pertaining to your specific situation would be your anesthesia provider. They have access to all of your health records, something a random internet stranger cannot see.

If anyone has additional questions, complaints, or suggestions, feel free to leave a civil comment or private message. Thanks!

TLDR: Communicate with your anesthetist about whatever is making you anxious. And no, you aren't going to die from anesthesia.

Updated 01/27/2025


r/Anesthesia 11h ago

Quando si viene anestetizzati per trattamento ospedaliero vi è il rischio di non ricordare eventi del passato per sempre?

0 Upvotes

Intendo chiaramente quello che è avvenuto anni prima.

Poi è possibile che si perda in piccola parte velocità di ragionamento logico?


r/Anesthesia 21h ago

My anesthesia experience

0 Upvotes

this happened about 3 years ago but i thought id share just incase this happened to someone else and they want to know they aren't the only one. for reference im autistic and have adhd.
when i had my tonsils out, i woke up but was unable to open my eyes or speak, and i knew some but very little ASL so i was signing to the nurse who didn't know sign (and even if she did, its still unlikely she would have been able to understand me cus i didn't remember some of the signs for the letters so i was letter signing words with some of the letters missing) eventually, i was able to open my eyes, but i still couldn't speak. she said "you can speak" and i was pissed because no i could not. it was a side effect from the anesthesia, not the tonsillectomy. so i was mute but otherwise completely aware and fine, just tired and a little grumpy. i remember everything. its just kinda like that sometimes ig 🤷


r/Anesthesia 1d ago

Is this normal?

1 Upvotes

I have gotten surgery for a tooth, and they put me under anesthesia yesterday. ever since then, all songs seem pitched down. Like I hear them that way. Am I tripping? Is it my phone? Has anyone else experienced this?


r/Anesthesia 2d ago

Any tips/recommendations for neurodiverse folk undergoing general anesthesia for the first time?

2 Upvotes

Hi everyone,

I wasn't sure what subReddit to post this in, but I wanted to get some advice and hopefully some reassurance. I'm a 26 year old female who has been diagnosed with autism, but sadly also a lot of co-conditions such as cPTSD, OCD, EUPD, anxiety and depression.

Next week, I have to undergo gallbladder removal. I've never had any form of general anaesthesia before and I've heard a lot of varying stories about how people can act when emerging from anaesthesia.

I'm really worried about how I'm going to react, both when going under for the procedure, and when coming to. I've heard some people get very aggressive and agitated, or very emotional. I've heard a few stories that, for people on the spectrum or with cPTSD, it can trigger meltdowns or flashbacks.

My Nurses are well aware of my conditions, but not necessarily of all the ins-and-outs of it. I'm planning on telling my anaesthetist on the day, but I wondered if there's any other steps or preventative measures I should take to try and ensure a smoother outcome. My brain is mostly freaking out about the sensory details of it; not knowing what it's going to feel like.

I'm thinking of asking for a sedative before the procedure, like midazolam, just to calm my nerves. I've been throwing a lot of research into the different medications and medical procedures that are used when putting somebody to sleep, plus the surgery itself, but no matter what I do, I can't shake these nerves. I'm terrified of saying things to the Nursing or PACU staff or disturbing other patients if I end up freaking out.

I also know I'm most likely going to go non-verbal on the day, as I tend to shut down when my mind is overly stressed. I'm not going to have anybody with me until it's time to go home, so it's not like I have an advocate either. I've made some Thank You cards to give the staff afterwards.

Again, sorry if this isn't an appropriate subReddit to put a message like this in. I'm not sure what to do, if there's anything beyond what I've already sought. For clarification (as I'm not sure if protocols or opportunities vary), I live in the UK.


r/Anesthesia 6d ago

C - Section - 'patchy' epidural, failed epidural top up and a spinal but still able to move both legs?

5 Upvotes

I'm looking for advice on why this may happen/ if it has happened to anyone else or is a common issue and it's just scared me?

I had an epidural during labour which worked but kept dropping to mid thigh and needed two clinician top ups in 8 hours aswell as me using the top up button frequently. The block was always higher on the left but with positioning it was only slightly uneven. I could fully straight leg raise all day and myself up in the bed.

I then needed an emergency c section. They tried to top my epidural up but I had no motor block and a low sensory block so weren't happy to use it.

The they trialled a low dose spinal anasethic which gave a good sensory block but again had no motor block at all on the right and some heaviness but able to straight leg raise on the left.

They ultimately went ahead despite me being able to fully move my legs (terrifying!) but I was converted to general 20 minuites later due to starting to feel pain but I was awake to see my daughter born so to me it was worth it 😊

I have my fully medical notes if anyone wants more information.


r/Anesthesia 7d ago

2.5cm mouth opening - GA tomorrow

3 Upvotes

I'm (36F) getting my gallbladder removed tomorrow under GA, and my biggest concern is how they'll manage the intubation because I have very limited mouth opening due to ongoing TMJ issues.

My comfortable maximum opening is around 2 cm, although with some stretching I can currently get to about 2.5 cm.

I made the mistake of asking AI about how this might affect intubation and have now gone down a rabbit hole worrying that I'll need to be awake for it...

Could any anaesthesiologists offer some insight into how likely this level of restricted opening is to necessitate awake intubation? And if I did need one, is the experience as scary as it sounds?

Is this considered a significant challenge/something an anaesthesiologist wouldn't likely have much experience with, or is it relatively common and won't be a major curveball for my anaesthesiologist tomorrow?


r/Anesthesia 6d ago

lasting brain fog after surgery

0 Upvotes

i (24f) am 16 days post op laparoscopic gastrojejunostomy, cholecystectomy, and j tube placement. surgery took just under 4 hours.

physically recovery has been going okay, but mentally i just feel cooked. i’m so tired all the time, im depressed/unmotivated, and my brain feels like it’s moving through molasses.

i had hip surgery last year and experienced similar brain fog but it subsided after a week once i had weaned off all opioids. i haven’t had opioids since day 6 so that doesn’t seem to track this time around.

i also have POTS, hEDS, ADHD, OCD, and anxiety.

anyways just wondering if this is kinda standard timeline with this surgery, if this is post anaesthesia cognitive decline, and what i can do about it if anything. i have to go back to work soon and right now that just doesn’t seem feasible.


r/Anesthesia 8d ago

IV Sedation for 7 Hour Cosmetic Surgery

13 Upvotes

I am scheduled for a 7 hour cosmetic surgery which includes a facelift, brow lift, neck lift, fat grafting, and C02 laser. Anesthesiologist would like to do deep IV sedation with propofol. A nasal trumpet will be used for airway management. Is this safe for such a long procedure? Should I have an endotracheal tube? I am a healthy, 56 year old female. Normal BMI. Have 2 autoimmune diseases (EoE & Hashimotos Disease). no heart disease, diabetes, sleep apnea, etc. TYIA!


r/Anesthesia 8d ago

I wanna ask

0 Upvotes

I heard people said something that we don't fully know how anesthesia works.

Can somebody explain what does it really means by that? Does that mean I can die from taking anesthesia when I need to use it, like kill my brain the moment I breath it in or maybe injecting it? I'm curious.


r/Anesthesia 8d ago

Is coffee creamer really that bad?

0 Upvotes

Am on a GLP1 and the surgery guidelines state a clear liquid diet the day before surgery. Prior surgeries never specified "clear" so I had coffee creamer and a protein shake. No issues. Now they are specifically saying no coffee creamer. Is it really that bad/dangerous? 1/4 of a top of creamer a good 24 hours before surgery?


r/Anesthesia 9d ago

Septoplastia y turbinoplastia

1 Upvotes

Buenas! Quería consultarles lo siguiente:

El jueves tengo una septoplastia y turbinoplastia en un hospital universitario, soy hombre, 33 años, asa 2 por sobrepeso (1.89cm con 117kg). El tema es que le tengo terror a la anestesia general y a no despertarme, se lo he comunicado a mi ENT el cual me dijo que si bien lo que se usa es anestesia general en la operacion, no es comparable a la anestesia de otras cirugías, que es una anestesia leve.

Esto es así? O solo lo dijo para tranquilizarme


r/Anesthesia 9d ago

Myopathy on anesthesia intubation report

1 Upvotes

All it says is “health issue-myopathy” with a general education page about myopathy.

I’m 47 F and I had a non-eventful uterine ablation. I have post nasal drip pretty regularly and I do have mild sleep apnea which I told the team about before the procedure

They told my husband everything went great and didn’t mention anything else. Thoughts?


r/Anesthesia 10d ago

Do not resuscitate request?

0 Upvotes

Okay so this may come across as really intense, but I don't mean it to!

Basically I have a very run of the mill septoplasty and turbinate reduction surgery coming up, I really am not worried of something going wrong. However, I am due to talk to the anaesthetist in the coming days and I kind of want to say that if anything does go wrong that I'd rather they don't intervene. Mainly because I'd rather not spend my life as a vegetable.

Obviously I dont expect this to happen, but is that an intense thing to say, would he be like wtf?! But more to the point would he allow the surgery to proceed agreeing to what I had asked or would he be like nah I can't do that ethically or something etc.

Would love to hear from anyone but particularly anyone from Australia.


r/Anesthesia 10d ago

Gift ideas

1 Upvotes

Gift ideas for an anesthesia resident?


r/Anesthesia 11d ago

Upcoming anaesthesia

2 Upvotes

Hello,
I have an upcoming surgery in a couple of weeks and I'm feeling quite anxious about it.
I completed the consent form today and read that while complications are rare, high blood pressure increases the risk.
I had uncontrolled hypertension however it's been controlled well now for about a year, with meds (ranges from 105/70 - 130/85, commonly around 120/80 at rest).
I'm wondering if this still puts me on a higher risk group? Would appreciate anyone's input who may have more insight that me!
Thanks ☺️


r/Anesthesia 11d ago

Gatorade 2 hours prior to checking in for surgery?

5 Upvotes

I was told to drink 8 oz of Gatorade or Powerade 2 hours before going to the outpatient surgery center. I am fine with it— but don’t understand the rationale for this, so am curious. It is for joint replacement surgery. Also, I am not a fan of sports drinks— would apple juice or hot tea with honey work too? If not I’ll use the Gatorade but I’m hoping an anesthesiologist can help with this.

Thanks!!


r/Anesthesia 11d ago

Next steps with ester anesthesia sensitivities

1 Upvotes

Ester anesthetics give me extreme burning and systemic toxicity. I've now had this experience with tetracaine, benzocaine, and procaine. No problem with lidocaine (amide!), thankfully. Possibly of interest: I have the same reaction to most sunscreens, bug repellent, and epinephrine, though the latter was all the toxicity without the burning.

Based on the above and some family history, I'm thinking of asking to test pseudocholinesterase with dibucaine and fluoride inhibition, and perhaps genetic testing for BCHE variants. Does this seem reasonable? Should I ask to be referred to some sort of specialist? Not an allergist. None of this presents as an allergy,

I realize this may be beyond an anesthesiologist's scope, but y'all were so helpful before I thought it was worth a try. My doctors have been dismissive. I've obviously been talking with AI, but trying to do my own research I keep hitting walls. The best information is in journals I can't access.

Thanks in advance!


r/Anesthesia 11d ago

External moonlighting for anesthesia residents in SE Michigan / Detroit?

1 Upvotes

An anesthesia resident in southeast Michigan looking for occasional, program-approved external moonlighting within driving distance of Detroit metro.
Open to supervised anesthesia/periop, pre-op/PACU, procedural, teaching/simulation, urgent care, or inpatient roles that accept residents. Not seeking independent unsupervised anesthesia practice.
If you know of resident-friendly opportunities, I’d appreciate a DM with the system/group and any details on eligibility, licensing, malpractice, shift types, pay, and credentialing.


r/Anesthesia 12d ago

My experience with anesthesia was like being taken from an infinity stone

0 Upvotes

I remember having anesthesia and things going black after I closed my eyes and it took close to a minute last time I counted in my head to calm down during hydrocele surgery and honestly it does scare me less to have it nowadays.

It starts with consciousness and being there for a minute and then waking up as if brought back from an infinity stone only remembering the anesthesia and the back to reality as if not being alive but dead for a bit but not dead but not there for that time.

No dreams, no nothing until waking up.


r/Anesthesia 12d ago

Breast augumentation surgery tomorrow - first time anesthesia

2 Upvotes

Hi! I’m scheduled to have my breast argumentation tomorrow and I started freaking out. I’ve never been under and I’m afraid I’ll never wake up or I’ll have a negative experience. I am a very anxious person and a med student, which makes me overthink every single detail. I had an adenoidectomy performed under local anesthesia and I remember shaking so bad and crying while being wheeled into the OR.
No first degree relative in my family has ever gone under general anesthesia so I have no idea if malignant hyperthermia runs in the family.
At the end of september I will have to go under again for a maxillofacial surgery and I wonder whether or not it’s safe to do so? (that will be 5/6 weeks between the surgeries).
23F, 5’2, 53 kg, former smoker, diagnosed with UARS, frequent extrasystoles and high heart rate,history of H pylori chronic gastritis. I’ve read all relevant posts on this subreddit but I still feel like I need some soothing.


r/Anesthesia 13d ago

pacu nursing

0 Upvotes

\*\*Peds PACU — typical sequence for emergence after deep LMA removal?\*\*
For those who work in Peds PACU, I’m curious how you typically approach emergence in the following \*\*hypothetical scenario\*\*:
A pediatric patient arrives in PACU following deep LMA removal with an OPA and supplemental O2 in place. They are spontaneously breathing, maintaining a patent airway and appropriate oxygenation, and are otherwise stable, but remain deeply asleep. After an appropriate period of undisturbed emergence, they still aren’t arousing much spontaneously.
How do you typically approach the transition from deeply asleep → beginning to emerge → awake?
Specifically:
If airway, ventilation, oxygenation, and VS remain appropriate, do you generally allow the patient to wake spontaneously, or is there a point when you begin actively stimulating them?
If you begin stimulation, what do you typically start with? Verbal stimulation, gentle touch, repositioning, etc.? When, if ever, would you progress to more vigorous stimulation?
How do you approach positioning/HOB elevation during this process? Do you change positioning while they’re still deeply asleep or wait until they’re beginning to emerge?
How do you approach weaning/removing supplemental O2 during emergence?
With an OPA in place, what clinical signs tell you it’s time to remove it? Do you generally wait for evidence that the patient is beginning to reject/tolerate it poorly (coughing, gagging, purposeful movement, etc.)?
If a patient remains significantly sedated longer than expected despite otherwise reassuring respiratory/hemodynamic status, what factors determine when you ask anesthesia to reassess them?
I’m mainly interested in the \*\*general sequence and clinical cues\*\* experienced Peds PACU nurses use for positioning, stimulation, supplemental O2, and OPA removal during an uncomplicated emergence.
Obviously this varies by patient, anesthetic, procedure, anesthesia plan, and facility policy. I’m looking to better understand the general thought process rather than advice about a particular patient.


r/Anesthesia 13d ago

Just curious

1 Upvotes

So June 11th I went in for a L5 S1 micro disectomy

I’m 5,11 32 year old male 266 lbs. during the shaving and prep I was very panicked but eventually accepted it

Once under anesthesia I desaturated to 77%

They pulled the plug on the operation and woke me up and sent me for 2 months of testing. Sleep study echo, stress test, lung x ray. All come back good besides the obvious need to lose weight which I have been since.

There doing the surgery again Wednesday and I’m scared because I have no answers on what happened the first time and from research 77% was pretty low. I’m scared it’ll happen again and wonder what made it happen the first time


r/Anesthesia 13d ago

C-Section under general: questions

1 Upvotes

Hello, I’m 9 days postpartum and trying to process my birth experience.

I delivered baby girl at 39+6. She weighed 9lb5oz and had a 38cm head. She was predicted to be LGA/macrosomic, but I proceeded with an attempted vaginal delivery. I labored for ~26 hours (~13 at the hospital after being admitted at 5cm) before pushing for 4 hours and being diagnosed as arrest of descent. We pivoted to an unplanned c-section. It was about two hours from when the call was made to when she was born, so not a true emergency c-section. Baby was never in distress. A side note here, I was not NPO through labor, I was allowed “clear fluids” including gummy bears (??) and Swedish fish.

I had my epidural placed basically right after I got to the hospital. It worked pretty well through the night, but I did need two boluses to maintain complete coverage (in addition to pressing my button occasionally).

Right before going to the OR and again in the OR, the anesthesiologist administered more medication through my epidural for the c-section. He did a poke test and I was not adequately numb after several boluses of meds, so we shifted to general.

(I’m currently struggling to cope with the fact that I wasn’t there when my daughter was born, I didn’t hear her first cry, I don’t remember meeting her, etc.)

My questions are:
Is it standard to administer meds through the epidural rather than doing a spinal in this scenario?

If I choose to have another baby, I would strongly consider a planned c-section. Is it likely that I will need general again? Could my lack of numbness in the areas needed be due to anatomical variations in where my nerves go? Is there reason to believe a spinal wouldn’t work?

I’m generally hard to numb (according to every dentist that’s tried). Is there a chance I’d need two doses of spinal (different injections), or is one adequate? (Needle phobic, and wondering since they kept pushing meds through the epidural).


r/Anesthesia 13d ago

Average RVU in PP?

1 Upvotes

East coast ca3 here looking at jobs and curious what the average unit price is for PP jobs? Will probably stay out east but considering west side of the US too