IV Sedation January 09, 2023 12:43PM |
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Re: IV Sedation January 09, 2023 01:24PM |
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Pixie
I am going to be having cataract surgery in February (aging is so much fun!!). I just inquired about the anesthesia I will be getting. It is an IV sedation of fetanol and midazolam.
I am doing so well after my last touch-up ablation that I do not want to do anything to affect this wonderful normal sinus rhythm.
I intend to send a messenge to my EP team, but, with all of the knowledge in this forum, I wonder if there is any information you can give me about these drugs and AFIB.
Re: IV Sedation January 09, 2023 01:52PM |
Registered: 5 years ago Posts: 196 |
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Daisy
I am getting cataract surgery on January 20th and most likely will be given the same medications for conscious sedation. I have had them several times before and, as far as I know, there are not problems for Afib. Midazolam is a benzodiazepine (Versed) and fentanyl is used for short anesthesia (tiny dose, no worries). I have a clearance from Dr. Natale (required because of my recent ablation) and their only concern was that I not stope Eliquis—but you don’t even have that concern as you have a Watchman!
Re: IV Sedation January 09, 2023 04:33PM |
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Re: IV Sedation January 09, 2023 07:13PM |
Admin Registered: 6 years ago Posts: 5,365 |
Re: IV Sedation January 09, 2023 08:58PM |
Registered: 5 years ago Posts: 196 |
Re: IV Sedation January 10, 2023 12:01AM |
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Re: IV Sedation January 10, 2023 01:48AM |
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Re: IV Sedation January 10, 2023 07:26AM |
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Re: IV Sedation January 10, 2023 10:39AM |
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The Anti-Fib
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Also you have to ask them what they are giving you beforehand, or they probably won't tell you. When the anesthesiologist comes in 5-10 minutes before the Cardio Doc, he/she asks you several questions, and there is time to discuss this at this point.
Re: IV Sedation January 10, 2023 10:40AM |
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Re: IV Sedation January 10, 2023 10:46AM |
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Re: IV Sedation January 10, 2023 11:07AM |
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Re: IV Sedation January 10, 2023 11:08AM |
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Re: IV Sedation January 10, 2023 12:44PM |
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Carey
Fentanyl and propofol have become favored anesthetics because of their cardiovascular stability. Many other anesthetics can cause significant drops in blood pressure.
I'm rather surprised they used fentanyl AND propofol for a cardioversion. I've had a lot of cardioversions at 3 different centers and all used propofol only.
Re: IV Sedation January 10, 2023 03:09PM |
Admin Registered: 6 years ago Posts: 5,365 |
Re: IV Sedation January 10, 2023 04:47PM |
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Re: IV Sedation January 10, 2023 04:54PM |
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gloaming
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Also you have to ask them what they are giving you beforehand, or they probably won't tell you. When the anesthesiologist comes in 5-10 minutes before the Cardio Doc, he/she asks you several questions, and there is time to discuss this at this point.
Not at my hospital. In fact, when the nurse was flushing out my IV immediately after its insertion, I made a move to inquire and she interrupted and said she was just doing the flush. She added that she would never administer a drug of any kind without informing me first. The physicians all took the time to explain what they would do to me, step-by-step.
This is as it should be. Informed consent is the basement on which all ethical practices are constructed.
Re: IV Sedation January 10, 2023 10:21PM |
Registered: 4 years ago Posts: 741 |
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The Anti-Fib
Yes, but I think most of the time they would just say they were going to administer the Anesthesia (Propofol), right before they do it. In my expereience, (close to 45+ ECV's ) they don't get that precise to mention if they are specifically adding in Fentanyl. They have certainly always explained to me that they were about to knock me out.
Re: IV Sedation January 10, 2023 11:49PM |
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Re: IV Sedation January 11, 2023 01:05AM |
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Re: IV Sedation January 11, 2023 10:45AM |
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Carey
Good catch, Daisy. Informed patients are patients who stay alive.
Re: IV Sedation January 11, 2023 12:27PM |
Registered: 4 years ago Posts: 741 |
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Pixie
Good catch, Daisy. Informed patients are patients who stay alive.
I certainly agree with you, Carey. I do look up drug interactions, etc. I am learning so much through this forum. I consider myself fairly versed, but am not familiar with CYP2D6.
Now I have to research that. Being our own advocate overwhelms me at times! I am glad this was mentioned in Daisy’s post.