Can someone explain "Twilight Sedation" to me? Please?

[Jpgirl]

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]

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]

maybe i shouldn't ask this here as i don't want to upset op..so be warned op 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 ) 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]

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. 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.

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]

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]

I had twilight sedation when I had my wisdom teeth removed. I don't remember a thing except trying to talk about Gator basketball. 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! 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.

Good luck w/your surgery CR!

 

[Jpgirl]

Dakota Lynn that is too funny. Geez I can cuss like a sailor when I need to-hope that doesn't happen to me.

 

[LuvN~Travel]

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!
Kim

 

[lucas]

I don't have any advice for you - but just wanted to say good luck!

 

[DisneyfeverTN]

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]

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.

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...

Seriously - UH OH!

 

[mickeyboat]

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]

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?"

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

 

[wld]

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]

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]

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]

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