Anesthesia for a Colonoscopy/Endoscopy

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oldcitydave
New Member


Date Joined May 2009
Total Posts : 4
   Posted 5/21/2009 5:53 AM (GMT -6)   
Hello,
 
I am going in for a Colonoscopy/Endoscopy and I have a few concerns
about possible anesthesia drugs.
 
I wish to be put unconcious slowly preferably feeling sleepy first then just nodding off.  I feel very unconfortable with the fast acting sedatives where you feel like your falling off a cliff and then "boom" your "out".  I also wish to have a quick wake up and recovery response.
 
I know this sounds "crazy" but Is it possible to be "put out slowly" (not too slowly of course).  I suffer from anxiety and panic disorder so I want to feel like I'm falling asleep rather than being "put to sleep".
 
(I had a mentally traumatic trauma when I was a child with my first
experience of being put out and I am trying to establish a new "baseline".)
 
Does anyone have any reccomendations of drugs and what questions I should ask my Anesthesiologist.
 
Thanks in advance.
 
 

Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 5/21/2009 6:12 AM (GMT -6)   
You don't have to be completely knocked out for a scope. If you prefer you can go in what I call a twilight sleep. This is a light sedation. You can talk to the anesthesiologist for more detail.
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oldcitydave
New Member


Date Joined May 2009
Total Posts : 4
   Posted 5/21/2009 6:30 AM (GMT -6)   
Thanks for your quick response to my question.

I don't mind being totally out as long as I can reach that "totally out" phase
gradually (feeling groggy and then falling off to sleep).

Is there a drug I can suggest to my Anesthesiologist that will put me in that state.
Again I want to feel like I'm falling asleep not "put to sleep".

Thanks,

D_

hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 5/21/2009 7:08 AM (GMT -6)   
With twilight sleep you will "feel" completely out. Propofol is used where I go and you are in a really deep sleep. You do get put out quickly but it feels like you are going to sleep and when you wake up it feels like they wake you up from a long sleep. I like it because you feel fine in a matter of mins. It has a very quick half life. I refuse anything else because I want no chance of being awake at all!!!!

I also had bad experiences as a young child with being put out. I had several eye surgeries. One of my earliest memory was being put out and them putting a gas mask over me. I felt like they were killing me. It was very scary.

My first one made me very nervous and I did a lot of research. I almost started crying when they wheeled me into the room. I also have anxiety problems. ( I also started crying my first three gi appointments :)) My doctor puts up with me well! Now I feel like an old hand and it doesn't bother me at all. ( except for the prep!!!)
Jessica 27/F
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hana24
Regular Member


Date Joined Dec 2007
Total Posts : 354
   Posted 5/21/2009 7:10 AM (GMT -6)   
I should mention that a lot of places don't use Propofol because they have to have an anesthetic doctor there, which costs more and some insurance companies will not pay for it as it is more expensive.
Jessica 27/F
Remicade, Entocort 3/day, Rowasa ,
Apriso/4 pills
Citalopram 20 MG
Align


Bluize
Veteran Member


Date Joined Mar 2005
Total Posts : 635
   Posted 5/21/2009 10:32 AM (GMT -6)   
Hi, coming over from the Crohns board when I saw this post.  I just had a colonoscopy and endoscopy Monday and I insisted on propofol because I wanted to be out.  They dimmed the lights in the room and I fell asleep.  It wasn't this put to sleep feeling at all.
 
I woke up quickly and left within 20 minutes of waking up.  Quick acting and quick release.  That's why I like it.  The dopey feeling makes me nervous and I have anxiety issues as well.  With the propofol I didn't feel dopey at all. 
 
The doc originally wanted to use versed and demerol and I preferred the full out sedation.  Glad I did that because my IV line wasn't working right and the anesthesiologist was able to run another IV quickly and get me sedated.  If they used versed and demerol the GI administers it w/o an anesthesiologist.
 
Either way, you will be fine.  If you get nervous before it's totally normal.  Allow yourself to be nervous..it's an evasive procedure, of course you will be nervous no matter what.
 
Good luck.
 
 
Susan
 
28 years with Crohns in the term ileum.  Feb 07 Resection.  No meds currently..but there will be some I'm sure. Taking acidophilus.


oldcitydave
New Member


Date Joined May 2009
Total Posts : 4
   Posted 5/22/2009 12:59 AM (GMT -6)   
Thanks for all your input.

I did fine (after waiting 4 hours to be brought in and an hour or so to prep).
I was probably the most nervous and annoying patient the staff had ever had to put up with.

Had Versed and some other drug.
It worked OK though not as I wished. Since I'm taking Xanax already, the Anesthesiologist ended up giving me about 4 times the average dose of Veresed- for purposes I assume being they are both Benzodiazpines and I probably Ideveloped a tolerance to it (I'm not sure). I didn't crash, but I didn't feel I fell slowly asleep, though the Anesthesiologist claimed that's what it looked like on his end. I even dreamed. Don't remember what it was about though I do remember it was short and very weird.

The procedure went about 45 minutes and I was up and alert after about ten minutes. My throat is a little sore from the oral endescope, but I am hoping it's nothing a little Tylenol and a good nights rest won't "cure". I had a difficult time concentrating on people talking. The doctor told me my results of the test, I found it a little difficult to retain everything he said. I wouldn't call it a memory loss per se, more of a focusing and concentration issue.

I later rewarded myself with a nice Rib Eye steak at Chili's.

Thanks again.

D_ Siegelman from Philadelphia
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