r/Anesthesia • • 12h ago

C Section with PTSD

0 Upvotes

If someone has intense PTSD and doesn’t want to remember their c section would they need general anesthesia or could they be sedated enough with a spinal? Particularly if the feeling of being numb/paralyzed is an issue (and therefore would need said sedation throughout the time the block is still active and making it impossible to walk even after surgery.) I know they try to avoid sedatives until the baby is delivered but if the option is basically either sedate the person to give them amnesia from the start or use general anesthesia what happens? What about if they panic for the prep that occurs in the OR? I know for other surgeries most of that is done after being put under but with c sections you have to wait until the last minute to go under general to minimize exposure to the baby. Could a spouse come in just for the prep part before general anesthesia is given if their presence avoids heavy sedation beforehand? I know they generally aren’t allowed stay when someone is actually out under. I’m not asking for reassurance about c sections. I’m asking how a case like this would actually be handled.


r/Anesthesia • • 15h ago

Bradycardia 25

0 Upvotes

I had endometriosis excision last week and my surgery notes said that I had bradycardia to 25 during insufflation. Is this common? Is it something I should bring up to the anesthesia team if I ever have future surgery


r/Anesthesia • • 10h ago

10mg Midazolam and 0.1mg Fentanyl for 45kg Patient’s Bronchoscopy and Bronchoaveolar Lavage - Excessive?

0 Upvotes

I had a Bronchoscopy and Bronchoaevolar Lavage done. The nurses told me that they had given me extra sedative/anaesthetic due to me not being completely unconscious. I saw what they gave me and have the exact names/dosages written in the bill. I’m not well-versed in substances, but isn’t this quite a lot for my body weight and exceeds the usual dosage by quite a lot for such minor procedures?

  1. FENTANYL 0.1MG/2ML INJ (HAMELN) - Ampoule
  2. MIDAZOLAM 5MG/5ML (DORMICUM) - Ampoule
  3. MIDAZOLAM 5MG/5ML (DORMICUM) - Ampoule

Note: I have never used benzodiazepines or fentanyl (that I am aware of)

If so, it’s quite fascinating to me as I seem to have a natural high tolerance for quite a number of substances, particularly the recreational types. I’ve never gotten drunk despite drinking a mug or two of beer and i’ve never successfully gotten high on cannabis. Would love to hear thoughts on this.


r/Anesthesia • • 23h ago

Movement Limitations?

1 Upvotes

Hello! My first time going under sedation for a colposcopy and tissue biopsies is coming up next week. I have a slot in my local parade for that same night, so I was wondering what the post-op experience is like regarding sedation. Would I be able to walk the route? And if not, can I ride in a vehicle? How soon after waking up can I expect to start feeling normal again? I'm a bit of a public figure in my area, and it would pain me to both waste 12lbs+ of candy and break my promise to the kids that I'd attend for them. TIA!


r/Anesthesia • • 23h ago

Doctors, since you deal with death every single day, I am incredibly interested in your perspective.

1 Upvotes

Is there anyone among you who does not fear absolute eternal nothingness after death at all? Those who are not frightened at all that they will completely cease to exist, completely finally disappear FOREVER, and will never exist at all anymore?


r/Anesthesia • • 23h ago

Woke up after surgery in agony, enraged, and felt violated. Why?

0 Upvotes

I had a sinus surgery where they used propofol and I woke up in horrible pain and was absolutely livid. The whole experience afterwards was extremely distressing I felt like I had been violated. Was this a bad side effect or was I not sedated enough and the pain/stress signals were going haywire?
The doctor mentioned my heart rate going up during the procedure but that was it. I don’t remember waking up during it. This was a couple years ago and I have to have another procedure with propofol next week and I’m worried about the mental stress afterwards. I actually needed therapy after that I don’t know why but every time I’m reminded of it it stresses me out and my thoughts just spiral and I get that violated feeling again.
I’ve had more invasive surgeries and I felt fine afterwards with no stress, but they used general anesthesia for those.


r/Anesthesia • • 2d ago

E-conceptual

1 Upvotes

How's E-conceptual platform for Anesthesia? Finding it very difficult to read after a long day. Does passive learning really help??


r/Anesthesia • • 2d ago

Surgery better in the morning or afternoon?

1 Upvotes

I’m very nervous about an upcoming surgery (laminotomy) and would prefer to have it in the morning. I’ve heard surgery can have more adverse complications if performed in the afternoon. Is this true?


r/Anesthesia • • 5d ago

Teeth tingling after surgery

1 Upvotes

Has this happened to anyone else? I had a surgery requiring anesthesia and a breathing tube back in April 2026. A few days after the surgery, I developed a strange tingling sensation in my front teeth and roof of mouth behind the teeth. The dentist said my teeth were structurally fine. My primary doctor believes that the breathing tube bumped my teeth and caused nerve damage. She said it can take 6-12 months to fully heal

The sensation has slowly changed over time. It’s been 6 months and I’m still experiencing this tingly feeling constantly, although it’s not as “loud” as it was before. I’ve been referred to a specialist and just waiting for that appointment

Just wondering if thus has happened to anyone else and what the outcome was. I know nerves heal painfully slow. But I can’t find much about this particular issue and others who have experienced it


r/Anesthesia • • 5d ago

Friend planning to undergo anesthesia for MRI. Potentially serious complications to consider.

0 Upvotes

I have a friend planning an anesthetized MRI appointment but I'm concerned about potential complications. Her metabolism is so crazy fast it's caused issues with burning through medications too quickly before and I'm concerned that could cause her to need dangerous levels of anesthesia to be kept under for hours.

Can anyone more knowledgeable about the subject weigh in?


r/Anesthesia • • 6d ago

How would sevoflurane being released into a room work?

3 Upvotes

I'm kinda new and I'm not sure whether this is the right place to ask this (kinda specific) question, so feel free to addess me to the right subreddit if it isn't. Just please don't remove it before telling me where I'm supposed to find out 😅

I'm writing a story where the main character is a redhead, and I've read that redheads generally need like 20% more of general anestheics like sevoflurane to have the same effects.

At a certain point in the story, she finds herself in a rather enclosed space fighting enemies, and needs some way to escape, so I thought she could, like, break a vial of sevoflurane (she owns a chemical/pharmaceutical company so she could be able to have obtained it earlier on, and she would be aware that she needs higher doses than most because she's been hospitalized before, when she had surgery after being stabbed in the abdomen) and use the fact that others would be more quickly incapacitated than herself to climb a ladder with her teammate and escape.

Would it be realistically feasible? What kind of side effects would she experience? What would be the effects on everyone in the room, and how long would it take for these to begin? How long would it take for side effects to disappear? If it's any use for doses and stuff, she's a fit 5'6" twenty-three year old who weighs 135 lbs.

Thank you!


r/Anesthesia • • 6d ago

Question

0 Upvotes

Hi. I’m a veterinary nurse student and I do one day a week placement & I’m wondering, with anaesthesia being given through tubing/mask, is there a high risk of being exposed/what are the risks to us getting sick from this?
What should I look out for?

Also, I kept smelling a really strong mentholly/deep heat smell on and off today it’s stuck in my nose! Is this cleaning chemical? I couldn’t pinpoint where it came from!

Thankyou.


r/Anesthesia • • 7d ago

Can I become a nurse anaesthetist/ODP while taking Ativan PRN?

3 Upvotes

I am a high school student wanting to become a nurse anaesthetist/ODP. I have social anxiety and sometimes need to take Ativan. Can I work in this job while sometimes (rarely) using Ativan or is it absolutely not? I also take 'major tranqilisers' (specifically Zyprexa and Abilify) but my psychiatrist said he knows doctors who take them.


r/Anesthesia • • 7d ago

Propofol alone for surgery

1 Upvotes

I’m having appx five hour surgery for Brachioplasty and abdominoplasty. I’ve been told the anesthesia is Propofol alone. I’m very skeptical of having a medical assistant recover me (long time ER nurse here). Looking for experiences and or thoughts? Thank you all!


r/Anesthesia • • 8d ago

Anesthesia was the worst experience I had in my life

9 Upvotes

Heck of an experience, man. I broke my radius and ulna bones and also one of the thumb tendons and went into surgery two times within two weeks

Anesthesia is a really really bad thing that happened to me. My mind felt corrupt. I never did any addiction thing in my life but during anesthesia I was in another world, completely different. I was flying in different scenes in front of my eyes endlessly, i was aware there is an end, there's a destination but i was flying flying. Talking anything. I do remember the things I experienced under anesthesia. I remember some questions I asked doctors during the operation. I remember them inserting the rod inside the bone. My brain was fu+cked up. And after the operation my entire world was spinning.


r/Anesthesia • • 8d ago

Anesthesia with ptsd/did

0 Upvotes

I have ptsd and did. I do not do well with sedatives as I have trauma from being drugged and become dissociated and disoriented. How can i prepare for anesthesia and prepare to wake up. My surgeon said i will have a chance to speak with anesthesiologist day of surgery but i would feel safer with some preparation in advance and talking/safety points or things should need upon wakening. Anybody have experience ir ideas?


r/Anesthesia • • 8d ago

General Anesthesia for Wisdom Teeth?

Post image
0 Upvotes

Not a dentist, but a worried partner

My boyfriend (22M, generally healthy/ASA II) had a wisdom-teeth consultation today with an oral and maxillofacial surgeon. He has three completely impacted third molars, one partial (photo attached) He does not have dental phobia, is cooperative, and has no major medical conditions that I know of.
I had all four of mine removed about 3–6 months ago under IV moderate sedation, and general anesthesia was never presented to me as necessary.

At his consult, the nurse initially just said he would “go to sleep,” and it was only later after they showed the treatment plan that we understood they meant GA.

We were shown a video covering risks, but the surgeon did not personally walk us through the procedure, risks, benefits, and alternatives.

They said it would be FULL general and he would be intubated or they’d use an LMA.

When I asked why GA instead of moderate sedation, the explanation was essentially that if the patient moved during a difficult extraction and a nerve were injured, that could create liability for the surgeon, but under GA he would be still.

That explanation did not sit right with me. I understand nerve injury is a real risk with lower third molars, especially if the roots are close to the inferior alveolar nerve, but I didn’t think “patient might move” was a reason to use GA if the patient is otherwise calm and cooperative. I also thought moderate sedation would be generally be less invasive and risky because he would maintain his own airway and breathing.

I pushed back in the office (probably more intensely than I should have) and asked for his records to be emailed to us. They said they have a CRNA and that they have not had anesthesia complications in 10 years.

So my questions are:

  1. ⁠Is GA a normal/reasonable recommendation for four impacted wisdom teeth, even for a calm, healthy 22-year-old?
  2. ⁠Is “we prefer GA so the patient does not move and we do not injure a nerve” a legitimate clinical reason, or does that sound more like surgeon preference/liability avoidance?
  3. ⁠If the teeth are fully bony impacted and rotated, is moderate IV sedation still usually feasible?
  4. ⁠Should a patient be able to request moderate sedation if there is no clear contraindication?
  5. ⁠What questions should we ask before consenting especially regarding airway management (ET tube vs LMA), anesthesia provider, monitoring, emergency equipment, and hospital transfer?
  6. ⁠Is it a red flag that the office said they have had no anesthesia complications in 10 years? I find it hard to believe they’ve never called EMS in 10
  7. ⁠years.

I’m not anti-anesthesia or anything and I’m not saying GA is never appropriate I just felt like the actual anesthetic plan was not clearly explained, and I want to make sure we are not agreeing to a higher level of anesthesia than he needs. Would you get a second opinion, or is this pretty standard OMFS practice?


r/Anesthesia • • 8d ago

High propofol tolerance?

1 Upvotes

Hi all quick question. Just completed my first colonoscopy (all normal thank god). The sedation was midazolam (4mg) and propofol (340mg). I didn’t really fall all the way to sleep and as they rolled me out and into the recovery room the crna said “wow, you are lively, your tolerance for sedation is pretty high, you were chatting with us most the time”

The question is, are these higher dosages for an otherwise healthy male weighing 250lbs at 6ft aged 38? I know the doctor did what was best so I’m not asking “was this too much” or whatever. But I I’m curious why she made that comment.


r/Anesthesia • • 9d ago

Anaesthesia with potential malignant hyperthermia?

3 Upvotes

I had a pretty bad reaction to my first general anaesthetic, and was told by an anaesthetist afterwards that I should be tested for malignant hyperthermia (which I had never heard of before) but he didn't refer me for testing himself, and I've struggled to get a referral from anyone.

One of my siblings managed to get a referral citing family history of it, and they've then asked for me and my other siblings to be referred, but after the first email I had with them detailing my reaction they've said they don't think it's malignant hyperthermia, and apparently there's no information in my medical notes from the first surgery, so I have no documented reactions, which means they're unlikley to offer any testing to find out...

So... is there a protocol for anaesthesia if you have no idea if you have malignant hyperthermia or not? Am I just supposed to wait to see if I have another reaction and it actually gets documented?

Unsure if it's relevant but the anaesthetic reaction included: tachycardia, hypotension, full body muscle stiffness/cramp-like issues making it hard to move at all or even speak, low oxygen, fever that lasted 30+ hours despite nurses covering me in ice and giving me medication to try and bring it down (which felt like I was on fire, though I'm not sure on the exact temperature) the heat also turned my skin red and I had moderate swelling around most of my body

I did orignally think it was an allergic reaction, but I have since been allergy tested for all of the drugs that they used, and they all came back negative, so I don't really know what else it might be!


r/Anesthesia • • 11d ago

do all redheads have issues with anesthesia? or only some?

0 Upvotes

sorry if this is a dumb question but i’ve heard that redheads usually need more anesthesia. i was born with red hair (not like super red but definitely ginger) and it turned light brown when i was about 5 or 6. i’ve only needed anesthesia twice and to my knowledge i didn’t require more than usual. so is it only some redheads that need the extra anesthesia or do u need to actively be a redhead lol?


r/Anesthesia • • 11d ago

Anaesthesia and depression

1 Upvotes

Hi all I was hoping to gain advice!

I had surgery in 2024. about 6 months later i started getting low mood, anxiety, and it slowly slid into full depression. got out of it eventually with cbt, diet and exercise.
I has another op under general in feb 2026. from july onwards, same symptoms again, getting progressively worse. I didn’t connect the dots until my mum pointed it out.
so now i'm wondering if there's a link to the general anaesthetic. two ops, two episodes, both a few months after. feels a bit too neat to ignore.
has anyone had something similar, or know if there's any research on this? any thoughts welcome.


r/Anesthesia • • 12d ago

Alternatives to general anesthesia for older patients?

3 Upvotes

Is there an alternative form of anesthesia that would be appropriate for an elderly patient to get gallbladder surgery?


r/Anesthesia • • 13d ago

Sinus bradycardia associated with the respiratory cycle after spinal anesthesia with intrathecal morphine , has anyone encountered this?

3 Upvotes

Hi everyone, I’d appreciate your thoughts on a case I encountered.

36 YO Female 60kg, going for endometriosis surgery.

I had a patient who developed episodes of sinus bradycardia and extrasystoles shortly after spinal anesthesia. I administered intrathecal morphine at a dose of 100 micrograms (0.1 mg)+ 1.5ml of NaCl. And Only that. We usually do that and then go in with GA.
I usually do the poking ( i used #27 needle. One try) with just SAT and BP on the patient and then put on the electrodes when they are laying down. Because the cables get all jumbled, and also the Preop ecg was perfect. She also had an ECO that was good aswell. ( Lesson learned )

The patient’s heart rate intermittently dropped to approximately 45 bpm, ( the case was canceled) and I noticed that the bradycardia seemed to correlate with the respiratory cycle, particularly during expiration. Cardio made her hold her breath and went to 39.

5 hours later she was still arrhythmic, no other symptoms. Cardio insists it was a response to opioids.

The patient was breathing spontaneously and regularly, and blood pressure remained stable.
I’m trying to understand the possible mechanism. Could this simply represent pronounced respiratory sinus arrhythmia or increased vagal modulation?

I understand that intrathecal morphine can cause delayed respiratory depression, (this was not happening ).


r/Anesthesia • • 13d ago

TMJ and Anesthesia

0 Upvotes

I’m supposed to have surgery in 3 days and my jaw decided to tighten up today. I can open it wider if I force it and kind of shift my jaw around but for regular opening I can only get two fingers in. Can anesthesiologists intubate when people have this?


r/Anesthesia • • 14d ago

Reason for looking sickly pale after anesthesia?

0 Upvotes

37F, history of migraines, “inappropriate sinus tachycardia,” and a tendency to go vasovagal fairly often for unclear reasons

Went under general anesthesia for the first time for an elective procedure (breast Aug + lift) yesterday. I’ve always kind of had this instinct that going under anesthesia was a bad idea for me and opted for surgeons who offered the option of either local only or only IV sedation for the few fairly minor procedures I’ve had in the past (labiaplasty, egg retrieval, wisdom teeth). I actually met with some other plastic surgeons for the breast aug who did IV sedation only, but i felt most comfortable with the surgeon I chose overall and everyone told me that I was young, healthy, and low risk and would be fine. So I decided to try to overcome my fear of general and just go for it.

I was completely confused, out of it, and nauseated when I woke up, which I know isn’t unheard of, but it was pretty scary because I was aware of the fact that I wasn’t being normal idk. I tried sending some friends some texts to let them know I was out of surgery…felt like I was making sense at the time but looked back and I sent them gibberish lol.

Everyone at the surgery center kept telling me everything was fine, everything I was feeling was normal, my vitals looked great, etc. But then when I got home, my friend who came over to stay with me told me that when I initially came in the door she was very concerned because I was as pale as the white walls in my house, looked like I was literally dying, and kept either repeating myself or stopping talking in the middle of saying something. I had a nurse there who I paid to stay with me a bit as well, and she then told me that yeah, I was in bad shape both at the surgery center (she picked me up) and when we got home :/ My friend said that once I puked a bunch, I started to look and act more normal.

I also have a vague memory of someone in the post-op area telling me that the anesthesiologist was surprised at how little medicine he had to give me…not sure if that means he didn’t even give me all of the agents or what.

I still feel pretty out of it today but think I’m mostly coherent. But then I thought I was coherent yesterday then learned I wasn’t haha. Just really worried about what this reaction means, if anything, and scared about the possibility of getting future surgeries now.