Do I live under a rock?

[meltoine]

My sister just sent me a long-winded email explaining how she was supposed to have minor bladder surgery today, but the anesthesiologist was not familiar with her heart condition so they decided they'd have to reschedule the procedure and do it in the hospital.

Um, I would never consent to general anesthesia for an in-office procedure under any circumstances. Is this something people do? WTMF?

[nsl]

Was it a laproscopic procedure?

[Deleted]

Uh... Wisdom teeth are way different than a bladder. That seems really odd. I wouldn't have done that in office.

[meltoine]

They don't do wisdom teeth under general. They use gas or sedation.

I don't think it was laparoscopic. I think they were planning to go in with a catheter through her urethra.

[basilosaurus]

Maybe she erroneously used "general" and thought that twilight sedation was general?

But, I'm also pretty sure general can be done in clinics. It's an option for a d&c so I would imagine it's an option for other procedures.

[Deleted]

When I had a D&C it was in a hospital but I also had other things done at the same time so my experience was dIfferent than most and they put me under general.

[G22]

Aug 7, 2012 17:37:49 GMT -5 killercupcake said:

I did for my wisdom teeth.

This isn't abnormal. It's done in an inpatient clinic.

I did as well.

[meltoine]

Aug 7, 2012 19:32:13 GMT -5 G22 said:

Aug 7, 2012 17:37:49 GMT -5 killercupcake said:

I did for my wisdom teeth.

This isn't abnormal. It's done in an inpatient clinic.

I did as well.

General anesthesia requires you have a breathing tube put in. If you were under general and had a breathing tube they couldn't ge to your wisdom teeth.

[basilosaurus]

Aug 7, 2012 18:28:41 GMT -5 meltoine said:

I don't think it was laparoscopic. I think they were planning to go in with a catheter through her urethra.

So, that's even less invasive. Maybe they need the general to relax her musculature for the procedure?

[meltoine]

Aug 7, 2012 19:41:29 GMT -5 basilosaurus said:

Aug 7, 2012 18:28:41 GMT -5 meltoine said:

I don't think it was laparoscopic. I think they were planning to go in with a catheter through her urethra.

So, that's even less invasive. Maybe they need the general to relax her musculature for the procedure?

I would assume so. She has severe bladder spasms from interstitial cystitis.

[meltoine]

I had no idea th could do general without a vent. Learn something new everyday.

I still feel like that's not something I'd be willing to do in an office, but I guess it's not as uncommon as I thought.

[Deleted]

Inpatient is where the pt is admitted for 24 hrs. When I had my partial thyroid surgery, I was outpatient because it was only 23 hour observation. So while it could be an inpatient clinic, I doubt your wisdom teeth were taken out in an inpatient procedure.

[YellowRose]

Aug 7, 2012 19:41:24 GMT -5 meltoine said:

Aug 7, 2012 19:32:13 GMT -5 G22 said:

I did as well.

General anesthesia requires you have a breathing tube put in. If you were under general and had a breathing tube they couldn't ge to your wisdom teeth.

Not entirely true. Nasal breathing tubes are used to allow access to the patient's mouth.

[baconlettucetomato]

I had my wisdom teeth out under GA in a tent in Kuwait. Heh. I think I'd be ok with it in a doctors office.

[Beeps (WOT?*)]

I had general for my implants, done in my oral surgeon's office; he brings in an anesthesiologist. I also had a ductectomy in the outpatient surgery center attached to my doctor's office done under twilight and my ablation at the surgery center done under general. It's not restricted to hospitals anymore.

[Dory1988]

General anesthesia =\= the use of paralytics. An endo tube (breathing tube) is needed if the use paralytics which means you can't breathe on your own.

[Dory1988]

By that I mean absolutely needed. They can still use it without paralytics.

[basilosaurus]

Aug 8, 2012 14:47:10 GMT -5 Beeps (WOT?*) said:

I had general for my implants, done in my oral surgeon's office; he brings in an anesthesiologist. I also had a ductectomy in the outpatient surgery center attached to my doctor's office done under twilight and my ablation at the surgery center done under general. It's not restricted to hospitals anymore.

I'm a complete wimp, and my implant was done under local. The (failed) previous surgery was under twilight, and the eventual extraction was under twilight (complementary b/c the surgeon felt bad for my weak self and the failure of the fixative surgery), but the implant was easy under local. And I'm, like I said, a wimp.

I loved that surgeon. He gave me far more versed (midazolam) than I got with my colonoscopies. I don't remember a damn thing beyond begging for jamba juice, despite them telling me not to talk. I think I wondered why I was at my friend's house, although that memory was about .5 seconds, and though she told me I talked to her throughout and was apparently coherent enough to impress her. With my most recent colonoscopy I woke up in the middle and still remember that conversation. Ow!

Moral of the story: versed is a wonderful beautiful drug

[Beeps (WOT?*)]

I had three implants done at the same time, in three different quadrants. I was also having some issues with vasovagal nerve impingement which caused my heart to seize and me to stop breathing if I was seated in a certain position. They wanted me under totally so that I could be more closely monitored. I had several root canals, extractions and all kinds of other stuff under twilight and local anesthesia. Drugs are goooooood.