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I am having an endoscopy and colonoscopy on Fri. and I asked my dr about sleeping under sedation without my cpap machine. He said it will be fine because I won't be asleep that long. Anybody familiar with this?

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I had an endoscopy last year. I told the doctor about my sleep apnea and since I was admitted to the hospital I already had the machine there. The doctor told me not to worry since he would have someone standing by my side the entire time, even when coming out of the anesthesia. When I woke there was someone standing by my side.
'Scuse me, but someone standing by your side whilst you are under sedation and there when you wake isn't a heck of a whole lot of consolation. There is a REASON they tell you not to drive or make any important decisions for 24 hours!!! It actually is NOT DURING the procedure that we are at greatest risk, we are closely monitored during the procedure, it is AFTER the procedure when they just check on us and we aren't closely monitored that we need our CPAPs. AND we need them when we get home and are still sleepy and groggy if we feel at all inclined to lay down, even if just "for a minute".

Propofol (diprivan) is being used more frequently for endoscopies, colonoscopies and other short outpatient procedures at hospitals. Most states require its adminstration ONLY by an anesthesiologist because altho a very SHORT ACTING drug THERE IS NO ANTIDOTE. Free standing clinics and doctors offices are unlikely to have an anesthesiologist and full life saving ER equipment on hand. At best most would only have resuscitation equipment to hopefully sustain you until you could be transported to an ER center.
Mine was done as an in patient procedure. I was hospitalized for chest pains and when they ruled out my heart did the scope to check on stomach and esophagus. That maybe the key to my experience since it was while a patient in the hospital. Although I had no after effects at all. Shortly after waking up I was up and walking around, never felt bad or drugged afterwards. I know once I woke up from the procedure, I walked out into the hallway and was escorted back to my room and since I didn't feel a need to lay down afterwards I didn't need any special monitoring,
It sounds like you quite likely had propofol then.
I just had one 2 months ago in my local hospital I just inform them that I had complex sleep apnea and they had a anesthesiologist there to monitor me the whole time the procedure was done they also used O2 and kept me on that till I came to. I did not have any issues from the procedure. They key is to make sure you inform them of you sleep apnea and you have it done in a hospital and not in a clinic.
Would it help to wear the CPAP during the colonoscopy? Or don't they allow that?
good question
I had both of those tests, and I have sleep apnea. They told me to bring my c-pap in case they need it, but they never needed to. They monitor you quite closely and know what to do if needed. Trust your technicians.
I've had both done. I did inform the doctor of my apnea and I had no problems at all. For the colonoscopy, you are on your side which helps a lot and the endoscopy, you have a scope down your throat. So that alone should hold it open enough. The only concern would be the recovery period. I remember coming to on the way to recovery, so you really are not in an unresponsive state long enough for there to be a problem.
I'm not a doctor, (the world is a better place because of that) just giving out my experience.
After everything I've heard recently about Diprovan, I'm not ever gonna want THAT drug for ANYTHING. It's scary, in and of itself...

I'm due for a colonoscopy too and have been wondering how it would be handled. My hospital has a huge professional building that's attached, but it's a separate building with direct access into the hospital. The colonoscopies are done in the clinic in that professional building. It's not a real fast trip to ER from there, but that's where they took me when I had chest pain during my first sleep study. I just don't know enough about sedation and CPAP to know how to think about it.....looking for input here from anyone else who knows about it.

I took someone for a colonoscopy, and he woke up completely right afterwards and wasn't sleepy the rest of the day. I've heard other people say the same thing. Judy makes a good point, though, about any procedure that leaves you sleepy afterwards. Jeez, even dental surgery knocks people for a loop. The more I get into these kind of concerns re: CPAP and other kinds of healthcare, the antsier I get.....not about CPAP, but about during and after procedures.....

Thoughts?..........

Susan McCord :-)

Judy said:
'Scuse me, but someone standing by your side whilst you are under sedation and there when you wake isn't a heck of a whole lot of consolation. There is a REASON they tell you not to drive or make any important decisions for 24 hours!!! It actually is NOT DURING the procedure that we are at greatest risk, we are closely monitored during the procedure, it is AFTER the procedure when they just check on us and we aren't closely monitored that we need our CPAPs. AND we need them when we get home and are still sleepy and groggy if we feel at all inclined to lay down, even if just "for a minute".

Propofol (diprivan) is being used more frequently for endoscopies, colonoscopies and other short outpatient procedures at hospitals. Most states require its adminstration ONLY by an anesthesiologist because altho a very SHORT ACTING drug THERE IS NO ANTIDOTE. Free standing clinics and doctors offices are unlikely to have an anesthesiologist and full life saving ER equipment on hand. At best most would only have resuscitation equipment to hopefully sustain you until you could be transported to an ER center.
Makes a great case for ALWAYS having a family member or close friend WITH you during and after any procedure until you're fully awake..........

Susan McCord

susan mccord said:
After everything I've heard recently about Diprovan, I'm not ever gonna want THAT drug for ANYTHING. It's scary, in and of itself...

I'm due for a colonoscopy too and have been wondering how it would be handled. My hospital has a huge professional building that's attached, but it's a separate building with direct access into the hospital. The colonoscopies are done in the clinic in that professional building. It's not a real fast trip to ER from there, but that's where they took me when I had chest pain during my first sleep study. I just don't know enough about sedation and CPAP to know how to think about it.....looking for input here from anyone else who knows about it.

I took someone for a colonoscopy, and he woke up completely right afterwards and wasn't sleepy the rest of the day. I've heard other people say the same thing. Judy makes a good point, though, about any procedure that leaves you sleepy afterwards. Jeez, even dental surgery knocks people for a loop. The more I get into these kind of concerns re: CPAP and other kinds of healthcare, the antsier I get.....not about CPAP, but about during and after procedures.....

Thoughts?..........

Susan McCord :-)

Judy said:
'Scuse me, but someone standing by your side whilst you are under sedation and there when you wake isn't a heck of a whole lot of consolation. There is a REASON they tell you not to drive or make any important decisions for 24 hours!!! It actually is NOT DURING the procedure that we are at greatest risk, we are closely monitored during the procedure, it is AFTER the procedure when they just check on us and we aren't closely monitored that we need our CPAPs. AND we need them when we get home and are still sleepy and groggy if we feel at all inclined to lay down, even if just "for a minute".

Propofol (diprivan) is being used more frequently for endoscopies, colonoscopies and other short outpatient procedures at hospitals. Most states require its adminstration ONLY by an anesthesiologist because altho a very SHORT ACTING drug THERE IS NO ANTIDOTE. Free standing clinics and doctors offices are unlikely to have an anesthesiologist and full life saving ER equipment on hand. At best most would only have resuscitation equipment to hopefully sustain you until you could be transported to an ER center.
I had two outpatient surgeries and the docs asked me to bring the CPAP equipment to be used only if I had to spend a night in the hospital. The first surgery was a septum correction/turbinates resectioning with an anesthesiologist in attendance who made sure I breathed continuously. In the recovery room was a personal recovery room attendant. He kept me sitting up while I was still asleep. He told me I stopped breathing just a few times and he immediately "jiggled me around" and the breathing restarted.

The procedure was pretty much the same for the endoscopy except the doctor and assistants took care of the anesthesia. The recovery room attendant handled me the same as for nasal surgery.

In both cases I believe their accounts of keep me breathing because I felt fine when I woke up and fine when the anesthesia wore off .

Make sure your doctors are aware of your concern about apnea. Then you have to trust them to take care of you.

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