r/Anesthesia • • 18h 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 • • 16h 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 • • 21h ago

Bradycardia 25

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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