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View Full Version : Can someone explain "Twilight Sedation" to me? Please?


CathrynRose
03-13-2007, 04:44 PM
Im a nervous nelly...

Im having surgery Friday - endometrial ablation! :scared1: And Im scheduled to have what they referred to as 'Twilight Sedation' - not general anethesia, not "tubed" - but an IV.

Alright...:confused: 'splain to this scared chic!

What am I going to *feel* like?

So scared - so scared, so scared!!:confused: :guilty:

Miss Jasmine
03-13-2007, 04:48 PM
I had twilight sedation when I had my wisdom teeth removed. I don't remember a thing except trying to talk about Gator basketball. :confused3 Kinda difficult to talk when they are yanking teeth outta your mouth, but yet there I was. I remember feeling warm and happy though. Drugs are good. ;)

DH was a talker, too, under twilight sedation, so you've been warned.

Anyway when I had it first I was given some nitrious oxide, after a bit then they did my IV, a little while later I was "out".

jx3smom
03-13-2007, 04:48 PM
You will not be in a deep sleep. It is very easy, very quick and you wake up very fast. You won't feel anything or remember anything.

oxfordcircus
03-13-2007, 04:48 PM
I had this for an oral surgery - I think I had Versed. It is used in conjunction with a local anesthetic, though I don't know how that would work with the ablution procedure. Anyway, it's a very sleepy, semi-consiousness. Like being very drunk without the sea-sick feeling. Enjoy!

oxfordcircus
03-13-2007, 04:51 PM
You won't ... remember anything.

I remember much of my procedure, though they're all pleasant memories. :hippie: Perhaps you and I had different dosing or medication.

LBAK
03-13-2007, 04:51 PM
It's good stuff! You'll think you were asleep. I had it to have a cyst removed and I was scared to death. They started my IV and next thing I know DH is next to me and I"m telling him I was starving. I went home about an hour later.

An the ablation will be the best thing you did. I work in a GYN's office and patients that have had it wish they did it sooner. Much luck to you, you'll be in my thoughts.:grouphug:

tiff211
03-13-2007, 04:53 PM
You will fell all warm and fuzzy and talk about things that make no sense. You will not feel anything or remember the procedure.

lovemygoofy
03-13-2007, 04:56 PM
From all the descriptions sounds like you are going to be high:lmao: :smokin: I think you'll be just fine and hope you don't feel any pain:)

Cool-Beans
03-13-2007, 04:58 PM
You are awake through the whole thing. You can answer questions and follow directions. But when it is over, most people have almost complete (if not totally complete) amnesia of the whole thing and many think they went to sleep. :)

CathrynRose
03-13-2007, 05:01 PM
An the ablation will be the best thing you did. I work in a GYN's office and patients that have had it wish they did it sooner. Much luck to you, you'll be in my thoughts.:grouphug:

Thank you for this info too! Ive had a few 'why am I doing this, what if it doesnt work and Im getting all scared and worked up and it will be useless' moments, too!! :rotfl:

Thank you everyone - sounds like it shouldnt be too bad. Sounds kinda fun! :woohoo:

Im scared of being 'knocked out' - thats why I ask.

Poohnatic
03-13-2007, 05:01 PM
I've never had twilight, just local or general. However, I've had an ablation done and have been very pleased with the results. It got rid of the monthlies for six months and now it's just spotting for a couple of days.

You'll be fine.

Suzanne

Briarmom
03-13-2007, 05:08 PM
My son had twilight when he was 6 so they could fill a cavity (he doesn't do well at the dentist). He did fine and didn't recall anything that happened. Good luck!:hug: Let me know how it goes. Ablation is something I'd like to do in a few years.

CathrynRose
03-13-2007, 06:13 PM
My son had twilight when he was 6 so they could fill a cavity (he doesn't do well at the dentist). He did fine and didn't recall anything that happened. Good luck!:hug: Let me know how it goes. Ablation is something I'd like to do in a few years.


Well, when I get my PM's back - April 7th, Ill PM you the results... that's a good three weeks of experience for ya! :thumbsup2

Thanks again everyone.

*still nervous.... :confused3 AHHHHH!!!*

Kimberle
03-13-2007, 06:21 PM
I had it when I had my wisdom teeth pulled. It just put me to sleep. I woke up after and felt like I'd taken a nap. I wasn't doopy or felt drugged at all.

Jpgirl
03-13-2007, 06:25 PM
I had it for a breast biopsy. I went to sleep but woke up during the procedure. No pain-they deadened the area. Had a conversatio with the doc-she showed me what she had just taken out. I just laid there and chilled. I was very relaxed and the Doc had great taste in music-good old rock and roll. I think she even asked if I had any request-but that may have been during my C sections. Good luck-I'm having a hysterectomy next Tues. A little anxious about the general anesthesia and being intubated-never had that before.

hopemax
03-13-2007, 06:27 PM
When I had it during my wisdom teeth extraction, I didn't remember a thing. I went from, "I wonder how long this will take to knock me out," to "bite down on this, we're all done" in about 10 seconds! DH had his wisdom teeth pulled about 6 months later, but he remembers being awake and hearing the crunching but thinking this was all perfectly normal. Afterwards he was like, "I can't believe I heard that and wasn't freaked out."

wdwmom2
03-13-2007, 06:29 PM
Which type of ablation are you having done??? I had the HerOption in the GYN's office http://www.fda.gov/cdrh/pdf/P000032d.pdf and another http://www.heroption.com/ . I had no type of anesthesia, and the only true discomfort was the 4 shots of Lidocaine they gave me in my cervix. That was last April. I am sooo happy I had it done:yay: !!

You will be fine. Did they prescribe anything like Valium for you to take beforehand?? They gave me the Valium but it really didn't help. And I made it through just fine:thumbsup2 .

Feralpeg
03-13-2007, 06:46 PM
Twilight is great! I had it in December when I had my ruptured implants removed and I had it yesterday for an endoscopy and a colonoscopy. I don't remember a thing. I remember the anesthesiologist saying goodnight and then I was awake. The really nice part of this type of anesthesia is that you wake up quickly without that drowsy feeling. I've had surgery many times and I always got sick from the anesthesia. I didn't feel sick at all with the twilight.

Don't worry about it.

wld
03-13-2007, 06:54 PM
We use twilight sleep or conscious sedation where I work all the time. We use Versed which is in the same family as Valium so I wouldn't take a valium beforehand unless ordered to do so.
Here is my spiel
This drug will make you sleepy and forgetful but it will not knock you out like you were having a major surgery. You will always be able to breathe on your own and move if you need to. Most people will remember nothing from their procedure and may in fact, sleep through it. Many simply do not remember or may sleep through part of it. Some of our patient's will remember small bits and pieces of what occurs and a very small percent will remember everything. These people remember everything because of one of two reasons. Either we have given them all the drug we safely can or they are relaxed and dont want any more. Reasons for not receiving more drug safely is a drop in blood pressure, heart rate or oxygen saturation (this doesn't happen very often)
I don't usually add, but it is also true that people who regularly take an anti anxiety or alot of narcotic pain meds may remember more as their bodies are already used to these types of meds.
Most people do very well with twilight sleep. You should not drive for at least 12 hours (or whatever they tell you) or make any major decisions. Some people will seem wide awake but will still ask you the same thing several times because of the amnesia effect. This is short acting, but people can continue to have some issues with coordination, concentration and thought processing for as I said at least 12 hours.

LadyyRedd
03-13-2007, 07:17 PM
I had it for a colonoscopy and due to the fact that I was so nervous and only slept about 2 hours the night before, I was out like a light in about 10 minutes and SLEPT!

Kimya

Jpgirl
03-13-2007, 07:33 PM
Thanks for the great info wld. I don't know why I wake up but I have with a D&C I had and with the breast biopsy. I wished someone had explained that to me during the breast biopsy because I was freaked out thinking I might wake up. I told the anesthesiologist about me waking up during other procedure and he just dismissed my concerns. Well when I woke up the first person I saw was him and I said through the mask- "I told you I'd wake up". That's when my doc and I had the conversation. It was great as I was relaxed. I just need an explanation for things and then I'm cool. I'm not on any of the meds you mentioned but maybe it's like you said and I'm just relaxed enough. I do freak out before hand though-geez my bp was 200/100 before the breast biopsy-afterwads it was 110/65. We'll see how I do next week under general. I'm thinking now that I've never had general because of waking up during my other procedures and not being intubated. The only other surgeries I've had were C sections done with spinals and I was totally awake for those. Thanks again for the info

redshoes
03-13-2007, 07:40 PM
I had it when I did IVF. I hate being out of control (I refuse to use nitrous at the dentist because of the fear of what I'll say), but in this case I didnt have a choice in this case. I don't remember the procedure, my DH says I was able to answer and indicate pain and such- but I don't remember a thing. I was a little groggy when I woke up but it wasn't horrible or anything.
I hope that all goes well for you. Be brave.

jann1033
03-13-2007, 08:00 PM
maybe i shouldn't ask this here as i don't want to upset op..so be warned op:rotfl: a question not a bad experience but maybe don't read this

i have a few problems that can cause cardiomyopathy, one of which is not detectable in the usual ways( what ever that is:confused3 ) and need to have a hernia repaired...is this twilight what they would use for something like that? is it safer if you have other health problems that might cause complications than general? one condition i have is very poorly understood and i am afraid they are going to do something and i'll have serious problems due to it..and if you have problems with anesthesia in general( I've had a few surgeries and never can wake up don't know if they have to give me more than usual or what) and stuff like Valium basically doesn't do squat will this still work?

Dakota_Lynn
03-13-2007, 08:02 PM
I have a history of waking up during general anesthesia, but I slept through he twilight sedation last year when they did a upper endoscopy. The nurses said I was really funny. Apparantely I told the doctor that "he was a great f-ing doctor" and everybody was very deeply amused by that. :laughing: Since they gave me amnesia drugs, I have no memory of saying that! But they said I practically yelled it while being rolled out of the procedure room and a LOT of people heard it. Ooops! Fortunately nobody in the area was offended by the f bomb. :eek:

So just beware, if four lettered words are part of your at-home vocabulary, those impulse control factors that keep you from saying them in public may not be there for your procedure. ;)

Daxx
03-13-2007, 09:21 PM
I had the twilight done for my wisdom teeth. All I recall was the IV needle, getting drowsy and closing my eyes. I could hear the Dr. talking about his trip to Africa, the safari and what he did/saw. I do not remember responding, did not feel anything and did not have the "strength" to open my eyes -- they seemed so very heavy!

I swear, that was the best sleep I have had in a looong time!!!!

JunieJay
03-13-2007, 09:25 PM
I had twilight sedation when I had my wisdom teeth removed. I don't remember a thing except trying to talk about Gator basketball. :confused3 Kinda difficult to talk when they are yanking teeth outta your mouth, but yet there I was. I remember feeling warm and happy though. Drugs are good. ;)

This has me rolling Miss J! :lmao: Sounds like something I would (and have) done. I told my gynecologist (who I have never been the slightest bit attracted to) that I was in love with him under twilight sedation, so I guess you could say I'm a talker too. :lmao:

Good luck w/your surgery CR! :grouphug:

Jpgirl
03-13-2007, 09:29 PM
Dakota Lynn that is too funny. Geez I can cuss like a sailor when I need to-hope that doesn't happen to me. :rotfl2:

LuvN~Travel
03-13-2007, 09:41 PM
They used it on me recently when I had microsurgery on my neck. They needed me awake to tell them if the needle going in hit the wrong thing, like a major artery or my esophagus. Of course they had to keep telling me to wake back up! lol And, they needed me to really stretch my neck out to help them. That's so hard to do when you want to sleep!:rotfl:
Kim

lucas
03-13-2007, 10:29 PM
I don't have any advice for you - but just wanted to say good luck! :shamrock:

DisneyfeverTN
03-14-2007, 02:43 AM
I had it when I had all four wisdom teeth pulled out at the same time. It was great. I was very worried about having it, but it turned out fine. I went under and then came to when it was over. No problems at all.

CathrynRose
03-14-2007, 09:17 AM
Here is my spiel
.

Perfect explanation, thank you!


Which type of ablation are you having done??? Did they prescribe anything like Valium for you to take beforehand?? .

The NovaSure: http://www.novasure.com/?src=aw&camp=S I think part of the reason it's being done in an ourpatient setting, is Im having a D&C, an endometrial biopsy AND the ablation, all at once. :confused3

And he gave me Xanax cuz I have panic attacks, but didnt tell me I could or couldnt take one right before hand.... more for the weeks which led up to the date of? KWIM?



I hate being out of control Be brave.

I hate being out of control, too. Thank you.



So just beware, if four lettered words are part of your at-home vocabulary, those impulse control factors that keep you from saying them in public may not be there for your procedure. ;)

Uh - oh... :rolleyes1

Seriously - UH OH! :eek:

:laughing:

mickeyboat
03-14-2007, 09:26 AM
I had it for my wisdom teeh, and I didn't feel a thing, and don't remember a thing. They said I walked from the chair where they did the surgery to another room, and I didn't remember that, either.

I also had it for my D&C when I had an ectopic pregnancy. I don't remember feeling much other than a little pressure, but I bawled the entire time. The nurse was very comforting, and told me that the meds made me let my guard down.

Good luck Mrs. CathrynRose. You sure have a lot on your plate right now!

Denae

CathrynRose
03-14-2007, 09:32 AM
Good luck Mrs. CathrynRose. You sure have a lot on your plate right now!

Denae

Thank you! I know!!! I said that to my (so cool to say it now) husband.... I dont like having so much to do!! I like just doing 'nothing' - coming home, watching TV, and the most I think about it "what am I gonna eat?" :rotfl:

IM TOO BUSY! Im too lazy to be this busy!!!! ;)

wld
03-14-2007, 08:30 PM
First of all in response to the hernia. No this could not be done with conscious sedation (twilight sleep) that I am aware of. There would be too much pain involvedwith the cutting unless it was numbed somehow.
We usually use general for our hernias.
However when we go on the medical missions to Guatemala we do many of our hernias with a spinal. These are usually big, big hernias as our patients carry everything on their backs or heads. They usually do very well with this. Our anethesia mds choose this option down there as our equipment is very old and well it just works better.

I have not had anyone swear but I am usually in pre or post op and not in the room. We had a nurse with a broken arm one time though and as the patient came through the door into post op was yelling that the one nurse in the room broke the other nurses arm. We were cracking up and so was he but later did not remember a thing. Some EGD patient's keep trying to talk around the tube and don't remember. We also get them up in a chair from the cart afterward and people wonder how they get there.

Glad I could help!! Good thing I'm better at nursing than I am the cut and paste thing, or however you get the comments there.

wld
03-14-2007, 08:52 PM
One more thing (man sometimes you just can't get a nurse to quit teaching) jpgirl mentioned waking up and seeing the anethesiologist. We do our conscious sedation with the RN and the MD but not an anethesia doctor. This is not required in MI but I don't know elsewhere.
There is another kind of anethesia (I keep spelling this wrong) we call a MAC that does require an anethesiologist or CRNA. It is delivered by IV only and will cause a much deeper sleep than versed. It is not commonly used for GI procedures. Now you would not be intubated but we usually use some kind of airway management like a lma which holds your airway open but does not go in your trachea. Normally you would not wake up during this procedure but it is certainly possible for it to happen. Usually its time for more iv meds!!! Then of course there is the general that starts with iv meds and then involves gas right into your lungs to provide the deepest sleep and paralysis. It would be very, very rare for you to wake up during a general. And scary too!

I just didnt want someone to worry if they didn't have an anethesiologist (how do you spell that, I just can't think tonight)when they go for their twilight sleep. Obviously jpgirl did, but this wouldn't be the standard of care at most facilities (in MI anyway) that are just doing conscious sedation (twilight sleep) and nothing more for the procedure.
Okay I'll stop now!!
And jpgirl good luck with your general next week, and here's to a nice, uneventful sleep!!!

Jpgirl
03-14-2007, 09:05 PM
Thanks again WLD. Maybe I didn't have an anesethisologist-I just know the guy who talked to me before was in the OR during. It really didn't matter to me one way or the other. I'm just glad of the clarification between general and twilight as I was worried about the upcoming surgery. Still a tad anxious about the general and being intubated and being sick afterwards. Nothing like tossing your cookies after abdominal surgery. I feel much more at ease now knowing that I'm not unusual waking up and remembering and that it won't happen during the general. I saw "that show" and it freaked me out-but since this thread I realize it's really rare to wake up under a general. Thanks again especially for the well wishes.

poohandwendy
03-14-2007, 09:15 PM
Just wanted to wish you luck with your ablation. My sister had it done a few years ago and was thrilled with the results.

Twilight sleep...awesome, you won't remember. I can't remember what it was like so I can't elaborate, LOL