Local anesthetic question - anyone have this kind of experience?

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rcenters
Regular Member


Date Joined Oct 2007
Total Posts : 259
   Posted 9/13/2010 8:28 AM (GMT -7)   
I saw a surgeon about removing a large lipoma I have, and because of its size and how much local anesthetic(lidocaine) it would require, he says it is right in the gray area between local anesthetic being OK and being forced to use conscious sedation.    Now, the surgeon is willing to use local anesthetic if I so choose, though he" doesn't recommend it".  Even though it is only going to be a 20 min or so procedure(and most of that suturing after the actual removal) if you do conscious sedation that puts you in the hospital so you can be properly monitored during the sedation, and that means a LOT of cost.    It will be less than $1000 to do it with local...
 
So a question for anyone who may have been in this situation, where you did a skin based surgery where you go in knowing you might have had a little less anesthetic than would technically have been required....how bad can it possibly hurt to have used(RANDOM number here) 20 cc of lidocaine when it would technically have needed, say, 25 or 30cc?  Is anesthetic an all or nothing proposition, I mean, 75% numb of what you should have been isn't going to have you screaming bloody murder, surely?
 
If I wasn't clear, this is completely skin based, the surgery will not go deeper than that.  It's just that it is a 3 inch long area and the lipoma has stretched the skin outwards about 3 inches as well.  To be honest, I'm more worried that the suturing afterwards will hurt than the cutting of the lipoma itself. 
 
And I'm pretty sure this lipoma is one of the wonderful features/gifts I've gotten from Lyme, if anyone wondered about relevance to this forum.

Post Edited (rcenters) : 9/13/2010 9:32:07 AM (GMT-6)


Mamyou
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Date Joined Aug 2010
Total Posts : 317
   Posted 9/13/2010 9:20 AM (GMT -7)   
I'll give my opinion although I have nothing in this. My pain tolerance is ZERO. I had a deep/large breast biopsy with a local only. I've had my jawbone opened and scraped several times with a local only. An important factor is what part of the body is going to be cut and stitched! What I don't know is how many buckets of the anesthetic were used so maybe I was given too much and nobody knew it. If cost is the factor, then talk to the doctor. He might be able to goose up the amount of Lidocaine a little and you might be able to take something prior to the "procedure" to help offset the pain and anxiety, etc. (Used to be valium but there may be something new these days????). Whatever you decide, good luck....

rcenters
Regular Member


Date Joined Oct 2007
Total Posts : 259
   Posted 9/13/2010 9:37 AM (GMT -7)   
Well, that's the thing...he says, I think it was 20cc, was the max lidocaine he would give to avoid possible toxicity(I don't know what concentration per cc he meant, didn't ask). I'm sure he's being conservative(meaning that IN THEORY a person could probably tolerate more than that), but I like conservativeness when dealing with this kind of thing. If the pain is tolerable it's better than having lidocaine toxicity seizures...I just don't know if the pain will, in fact, be tolerable :(

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35859
   Posted 9/13/2010 3:47 PM (GMT -7)   
I'm with Mamyou on this one!!! My pain tolerance is quite low & if I have a way to get by with a little less pain - I do it!!!

I had to have several teeth on my bottom jaw removed surgically back in Jan. & asked the doc to be sure he was using enough drugs to keep me in the conscious sedation & to be sure to send me home with a good pain killer!!!

smilewinkgrin Go ahead and call me chicken - I'll sure squawk like one!!! smhair
Blessed are we who can laugh at ourselves, for we will never cease to be amused!!!! :)
May we all find peace along the journey to find healing.
"Absence of proof is not proof of absence" - Dr. Edwin Masters, great LLMD & researcher -RIP
Trav

Post Edited (Traveler) : 9/13/2010 4:54:10 PM (GMT-6)

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