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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Klavot on April 13, 2007, at 10:19:31
Aloha
Would anybody happen to know what kinds of drug they use to induce
(i) general anesthesia
(ii) deep sedationwhen doing surgery?
Klavot
Posted by Sebastian on April 13, 2007, at 10:34:22
In reply to Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 10:19:31
When I had ECT they told me they were giving me Morphine, through a needle in my wrist.
Posted by med_empowered on April 13, 2007, at 10:48:55
In reply to Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 10:19:31
I think it depends, but its usually a mix. For example, kids often give DPT--demerol, promethazine, and thorazine, mixed together. Mixing a narcotic with a neuroleptic and/or a sedating antihistamine/benzo helps the mix last longer.
Other drugs: the benzos (especially ativan and Versed), chloral hydrate, Nozinan, morphine, dilaudid, the barbiturates.......
Posted by Phillipa on April 13, 2007, at 11:47:39
In reply to Re: Drugs used to induce anesthesia, posted by med_empowered on April 13, 2007, at 10:48:55
Agree with med_empowered the chloral hydrate is usually small children, versed lovely for all, and then fentanyl? love Phillipa BTW is it okay to ask what meds you're on and the type of surgery. Don't want to pry
Posted by Klavot on April 13, 2007, at 12:23:27
In reply to Re: Drugs used to induce anesthesia » med_empowered, posted by Phillipa on April 13, 2007, at 11:47:39
> Agree with med_empowered the chloral hydrate is usually small children, versed lovely for all, and then fentanyl? love Phillipa BTW is it okay to ask what meds you're on and the type of surgery. Don't want to pry
Meds: none
Surgery: noneJust curious.
Klavot
Posted by gardenergirl on April 13, 2007, at 12:32:51
In reply to Re: Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 12:23:27
When I had surgery when I was a toddler, they used PCP. In recovery, apparently I hallucinated and tried to rip out all my stuff, so they restrained me. But then, coming out of anesthesia at two probably is scary anyway.
They don't use that anymore, for good reason. But I suppose if anyone asks me if I've ever done drugs, instead of my usual negative response, I could say I've had angel dust. At two. Might be fun just for the shock value. ;)
Namaste
gg
Posted by notfred on April 13, 2007, at 17:04:33
In reply to Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 10:19:31
The main stay are the inhaled anesthetics; sevoflurane, desflurane, isoflurane and halothane.
They produce anesthesia at once and can be quickly counteracted. Lots of other meds are used depending
on the opperation. During the course in an opperation the patient may need deeper or lighter
anesthesia.The anesthesiologists tend to pay the most for malpractice insurance as they take you quite close to death.
Posted by Phillipa on April 13, 2007, at 19:34:20
In reply to Re: Drugs used to induce anesthesia, posted by gardenergirl on April 13, 2007, at 12:32:51
GG using drugs at age two?????Just kidding love Phillipa
Posted by stargazer on April 13, 2007, at 22:17:53
In reply to Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 10:19:31
Propofol is one of the best anesthetics, ask for it by name. Expensive, but with little side effects. They use the cheaper ones first, cost cutting measures trump patient comfort and recovery from anesthesia, every time.
Posted by Honore on April 14, 2007, at 5:35:59
In reply to Re: Drugs used to induce anesthesia, posted by stargazer on April 13, 2007, at 22:17:53
From what they told me, they use various combinations, depending on the situation. They mentioned versed, partifcularly because that's for op and post op amnesia, fentayl, demerol, and others.
It depends a lot on how deep and how long you'll be under. Some agents are much more quickacting; also they use less of each agent, because of combos.
Seems like anethesthia has evolved a lot in the last 10 or so years.
General anesthesia covers a lot of different types of unconsciousness, using many different drugs in syngergistic combinations now.
Honore
Posted by kaleidoscope on April 17, 2007, at 16:06:54
In reply to Re: Drugs used to induce anesthesia, posted by Sebastian on April 13, 2007, at 10:34:22
Hi S
Morphine is not used to induce anesthesia, it would not be effective.
Ed
Posted by kaleidoscope on April 17, 2007, at 16:27:03
In reply to Drugs used to induce anesthesia, posted by Klavot on April 13, 2007, at 10:19:31
Hi
Various posters seem to be confused between the drugs used for premedication (eg. lorazepam), the drugs used to induce anesthesia (eg. propofol) and the drugs used to maintain anesthesia (eg. desflurane).
Propofol, an intravenous hypnotic, is one of the most widely used induction agents. Etomidate is little used outside emergency medicine. Thiopental (an IV barbiturate) is still used in some hospitals but is not as popular as it was because of the growing popularity of propofol.
In modern anesthetic practice, inhalational anesthetics are normally started only after the administration of the IV induction agent. As such, the inhalational agents are used predominantly to maintain anesthesia rather than to induce it. Induction of anesthesia using inhalational agents alone is slow and therefore unsatisfactory.
Fentanyl (or another potent opioid) is often given shortly before propofol but it is important to understand that fentanyl is not an anesthetic, but merely a supplement to anesthesia.
Deep sedation is induced by midazolam (Versed) or propofol, under the supervision of an anesthetist. Opioids are used as an adjunct during painful procedures.
Chloral hydrate was formerly a popular premedication for children but has been replaced by midazolam in most cases. Chloral was never used to induce anesthesia,. The Demerol/Phenergan/Thorazine premedication is obsolete. These days, a benzodiazepine is used as a premedication for very anxious patients. For everyone else, premedication is not usually necessary.
Ed
Posted by Phillipa on April 17, 2007, at 20:44:13
In reply to Re: Drugs used to induce anesthesia » Klavot, posted by kaleidoscope on April 17, 2007, at 16:27:03
Ed well I'm out of luck as a benzo wouldn't do it but how I love versed. Love PJXXXXXX
Posted by Sebastian on April 17, 2007, at 21:27:53
In reply to Re: Drugs used to induce anesthesia » Sebastian, posted by kaleidoscope on April 17, 2007, at 16:06:54
Why would it not be effective. I've heard that at high enough doses it can put you to sleep. I'm sure thats what they said it was.
Posted by kaleidoscope on April 18, 2007, at 16:44:34
In reply to Re: Drugs used to induce anesthesia, posted by Sebastian on April 17, 2007, at 21:27:53
Hi Seb
ECT is performed following the injection of a short-acting, rapid-acting IV anesthetic to cause loss of consciousness.
>I've heard that at high enough doses it can put you to sleep.
Sleep......sometimes, anesthesia.....no.
>I'm sure thats what they said it was.
They probably gave you a dose of fentanyl (an opioid with morphine-like effects) before giving you the actual anesthetic. That's probably what they meant.
Take care
Ed
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