It isn't really about technical difficulties, as the surgical procedure itself isn't overly complex to perform... however, the entire process—including anesthesia, the risk of bleeding, maintaining hemodynamic stability, and the subsequent recovery period—is quite demanding.
Performing a kidney removal in an outpatient setting is a reckless move unless you have absolutely no other choice, and frankly, that logic applies to most surgeries. That said, the priority now is ensuring the wound heals properly without any infection and managing a solid post-op recovery. Provided there aren't any major underlying heart or lung issues, the recovery should proceed smoothly, allowing for a return to a high quality of life with just some extra precautions...
The medications used during anesthesia are short-acting and don't leave lasting effects, so you shouldn't link your memory issues to the procedure. They are simply meant to ensure you don't remember the initial anxiety of going under. What kind of thyroid surgery was it? A removal? And how is your hormone level looking now?
There is a possibility that patients may take longer to wake up from anesthesia, essentially meaning the neuromuscular blockade lasts a bit longer. However, muscle relaxant antagonists work effectively even in patients with myasthenia, so there really isn't anything to fear. Depending on the specific procedure, an anesthesiologist might choose to proceed without any relaxation at all, which would reduce the risk to zero. I am speaking specifically regarding any direct negative impact on myasthenia...
Their approach to patient care essentially boils down to sales tactics and pushing specific OTC medications. Of course, they could choose to engage more deeply if they found their work fulfilling, but that doesn't involve the level of direct human connection you find with a medical doctor.
I agree with Angela Wright that seeking medical attention at an urgent care clinic or hospital—specifically seeing an anesthesiologist—is necessary for managing pain. If the issue involves back pain, a peripheral nerve block might be an option to reduce the reliance on analgesics, or at least help stabilize the medication regimen... Regarding this situation, I find myself agreeing once again with Angela Wright that you should have sought professional medical help. I don't mean to diminish anyone's expertise, but even a pharmacist isn't trained for these specific clinical scenarios; this is a matter of medicine rather than pharmacy. While they may seem similar to a layperson, they are two distinct fields of study designed for different purposes. That said, based on what you've described, this doesn't appear to be a life-threatening emergency. Ensure she stays well-hydrated, avoid giving her any sedatives or extra painkillers aside from Tylenol if absolutely necessary. If you have a blood pressure monitor handy, please check her levels. And again, prioritize plenty of fluids...
I can't recall the exact physiological mechanism right now, but I'll look into it. It's quite common for patients to report discomfort following laparoscopic surgery, likely due to the pneumoperitoneum... Anyway, it should pass... no worries
The relaxation techniques mentioned in the link aren't intended as clinical recommendations; they're simply meant to illustrate how relaxants function by reconstructing methods used roughly 200 years ago. It serves to demonstrate the powerful tools available to anesthesiologists today. While these principles could theoretically be applied in practice, modern monitoring methods for assessing consciousness during anesthesia are far more advanced...
haha, it isn't a Bier block 😁 I'll find the link and send it over to you... the whole point was just an experiment, to see what it feels like to be relaxed without any anesthesia or analgesia.
It’s possible; I actually saw 😁 once. The circulation gets restricted in the arm, but in my experience, it seems to recover after about 10 minutes... and you rarely reach a concentration of relaxant in that limb high enough to cause a neuromuscular blockade. I have a link here if anyone is interested 😁
That really depends on several different factors. If you are young and healthy, they might attempt deep anesthesia without using a paralytic, though if they decide to go the intubation route, most teams will likely opt for a relaxant. Many of these drugs wear off quite quickly—some are used strictly during induction because their effects fade in less than ten minutes. However, there is virtually no chance of you being awake while under relaxation; any anesthesiologist would have to be completely incompetent or intoxicated to fail at keeping you under... Don't worry.
Sepsis is a subject that could be discussed at length; it is a systemic disorder primarily triggered by an infection. There are various stages within this progression, one of which is sepsis itself, though the entire process is commonly referred to simply as sepsis.
Amnesia is one of the main reasons why Dormicum is used during premedication or during the induction phase of anesthesia; it effectively wipes away any unpleasant memories. That gap in your memory is perfectly normal, so there is no need to worry. In a day or two, you will feel like a whole new person!
It is quite likely that the Dormicum caused those "disturbances," though it might not be the sole deciding factor. Simply providing rehydration won't do much to help someone wake up from anesthesia, nor will oxygen, so there isn't a specific reason to administer them. As for premedication with Dormicum, it isn't strictly necessary if the patient feels fine and isn't experiencing excessive anxiety about the procedure. However, it can often be a very good thing. And honestly, you shouldn't worry about feeling sleepy after the anesthesia... for heaven's sake, just get some sleep! There is no need to be overly alert on a day when you have undergone general anesthesia. 😁The dreaming is likely not a direct consequence of the midazolam, but rather a result of the entire anesthesia and bronchoscopy process itself.
I agree regarding the workload; it really depends on the specific department. Within a hospital, some units are night and day compared to others in terms of the pace for both doctors and nurses. While there's naturally some variation among physicians, those gaps should ideally be smaller since everyone stays busy. It really comes down to individual commitment. For instance, a nurse in ophthalmology or ENT might find themselves with very little to do for their patients, whereas an NFL nurse likely handles more in a single shift than those departments see in an entire year. 😁 This is where I would suggest adjusting nursing salaries—not just based on education level, but also based on the intensity of the work environment.
I will be closing this thread shortly if the author fails to provide a proper clarification. He claimed in his opening post that the training duration is identical, which is a blatant falsehood... It's actually about half as long, to be blunt. Without trying to sound elitist, any nursing student who passes their exams—provided they've consistently attended lectures and clinical labs—can generally secure a passing grade on the exact same subject at a university medical program.
Nicole Jones12 said:I’d like to open this thread up to everyone on the forum. I hope the moderators won't mind... So, please feel free to ask anything; I am more than happy to help. My expertise lies in cardiology and emergency medicine. I am currently completing my residency. It would be great if other colleagues joined in as well. Looking at this PDF, there should be plenty of them here.🙂🙂