Posted by chemist on July 30, 2004, at 22:42:56
In reply to Re: Anesthesia ....Chemist??, posted by sooshi on July 30, 2004, at 22:23:01
> Thanks Sebastian!
>
> >>"Have you ever undergone surgery with no anistesia?"
>
> NO! I have never undergone surgery without anesthesia! We're talking major surgery here...opening up my abdomen! I wouldn't even consider one of the alternative forms of anesthesia, such as hypnosis....nope, not for me! Not with this kind of surgery.
>
> >>"In the past when you had surgery and depresion after, were you taking any meds like effexor or...?"
>
> Yes, I was on Effexor XR after each surgery. I was on a different mood stabilizer after each one though, and will be this time too.
>
> I have talked to my surgeon and pdoc and all they suggest is telling the anesthesiologist to "lighten up" with the anesthesia so that hopefully I won't get that kind of reaction again(bad depression afterwards).
>
> The pdoc said he could treat me aggressively afterwards if it happens again, but jeez, I just want to AVOID it happening...it's just too painful.
>
> I just thought someone might know the connection between anesthesia and it possibly messing with seratonin or norepinephrin, etc. or whatever would cause such a deep depression so immediately after surgery with general anesthesia.hello there, chemist here....i had read your post and Sebastian's reply...undertaking a surgical procedure that is grand enough to warrant anesthesia seems to indicate that the old ``tough it out'' suggestion is not appropriate here. i am assuming you will be getting gassed-up with the latest and greatest fluoronated anesthetics, and from what little i know about this area, the field has only progressed in a positive way. in re: interactions, i am not aware of any that include mood stabilizers or the other drugs discussed with frequency on this board. i can state that you might be subjected to a multiple-drug anesthesis, such as midazolam + phenobarbital (i.v.), if the procedure is along the lines of removing impacted molars. if you are talking *major* surgery - such as in this case - i would suspect that the compounding element includes the very powerful painkillers administered during the tail-end of the operation and/or immediately following. the heavy-duty anesthetics are useful for the time they are administered: that's why the anesthesiologist is the highest-paid person in the room, because a little change in administration can be disasterous. in summary: i am not aware of the (already known) contraindications with anesthetics and the ``common'' psychotropics (however, check with your doctor and if another poster is, press them, as i am far from the fount of knowledge on this); grill your doctor, pdoc, and anesthesiologist pre-op, and make sure you give them the whole list, from OTC meds to supplements to the kitchen sink. more informed = better outcome. inquire about the post-op sedation, and go from there. apologies for the non-answer, but this is serious business that you must address with all your doctors.....please keep us informed, and all the best, chemist
poster:chemist
thread:371976
URL: http://www.dr-bob.org/babble/20040730/msgs/372539.html