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Went in for a procedure with twilight sedation
Hello all.
I went in today for a procedure with twilight sedation today. In the anesthesia screening phone call ahead of time I told them that I have sleep apnea and use CPAP. They didn't say to bring it in and even tho I drag that thing around everywhere with me it just did not cross my mind to take it with me when I was going to have a procedure where they knock me out.
In the office today, as we were setting up the procedure, they asked me about my sleep apnea. It was then that it was discussed that I need my CPAP when I get knocked out. We were actually thinking about canceling today and doing this another time. I wasn't really happy about that. So after talking with the CRNA and doctor we all decided I could drive home and get it and set it up and use it during the procedure and I still got it done today. It is a good thing they were flexible, it is hard scheduling things like this into my life.
It would have been nice had we all figured that out during the screening phone call, or it would have been even nicer had my brain been in gear and I just took it with anyway. I am glad it all worked out. Probably for the next person, they will do better after this experience with me. And after this, that CPAP will always be on my mind.....in fact I may need to have some repair done on my right knee soon....I will certainly keep the CPAP on the forefront when talking with the docs about that!
Thought it may be worth the mention here to save somebody else some trouble who it may apply to on this forum.
I went in today for a procedure with twilight sedation today. In the anesthesia screening phone call ahead of time I told them that I have sleep apnea and use CPAP. They didn't say to bring it in and even tho I drag that thing around everywhere with me it just did not cross my mind to take it with me when I was going to have a procedure where they knock me out.
In the office today, as we were setting up the procedure, they asked me about my sleep apnea. It was then that it was discussed that I need my CPAP when I get knocked out. We were actually thinking about canceling today and doing this another time. I wasn't really happy about that. So after talking with the CRNA and doctor we all decided I could drive home and get it and set it up and use it during the procedure and I still got it done today. It is a good thing they were flexible, it is hard scheduling things like this into my life.
It would have been nice had we all figured that out during the screening phone call, or it would have been even nicer had my brain been in gear and I just took it with anyway. I am glad it all worked out. Probably for the next person, they will do better after this experience with me. And after this, that CPAP will always be on my mind.....in fact I may need to have some repair done on my right knee soon....I will certainly keep the CPAP on the forefront when talking with the docs about that!
Thought it may be worth the mention here to save somebody else some trouble who it may apply to on this forum.
Views: 2235
Replies to This Discussion
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Permalink Reply by BeeAsleep on
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Do you take your CPAP in anytime you are having any type of sedation? Dentist, etc? How can you have sedation and use the CPAP at the same time? I guess I don't understand. Or is the CPAP for use during the recovery time? Thanks for the heads-up on this situation.
I had a hard time during a surgery coming off the breathing machine. I found out later that I have asthma and OSA. Now I know why that happened.
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Permalink Reply by Marie Davis on
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JUst had a colonosopy and endoscopy with twillight sleep meds and they required me to have it even though they never hooked me up to it (just as a backup I guesss)
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Permalink Reply by Dawn on
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This procedure used twilight sedation, where they just knocked me out and monitored me. I did not need to be intubated. It was basically like sleeping. So I really needed my CPAP to keep my airway open during the whole thing, just like sleeping. A dental procedure would be different because for that you have to keep your mouth open. Does anyone have experience with that?
This was done in an office setting. For an in-hospital procedure, I would just talk with the anesthesiologist about it ahead of time. They have much of the equipment they need in a hospital, but still may need your CPAP. I really don't know. Any ideas out there?
BeeAsleep said:Do you take your CPAP in anytime you are having any type of sedation? Dentist, etc? How can you have sedation and use the CPAP at the same time? I guess I don't understand. Or is the CPAP for use during the recovery time? Thanks for the heads-up on this situation.
I had a hard time during a surgery coming off the breathing machine. I found out later that I have asthma and OSA. Now I know why that happened.
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Permalink Reply by Judy on
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ANY TIME you are going to have "conscious sedation", sedation, anesthesia TAKE YOUR CPAP WITH YOU. It isn't during the procedure that you need it as you are constantly monitored during the procedure. It is in RECOVERY where you are NOT closely monitored that you NEED your CPAP there as well as someone who knows how to set you up with it, preferably a family member rather than facility staff. And DON'T think you are THAT closely monitored in Recovery after a major surgery. THAT is when MOST problems and deaths occur due to apnea and anesthesia.
apneasupport.com has an excellent "sticky" on anesthesia, hospitals and CPAPs. It would be worth everyone's time to go there and read it, print out the salient points and keep them on hand, maybe even in your CPAPs carrying case.
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Permalink Reply by sleepycarol on
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About a year ago I underwent an endoscopy and the doctor assured me that I wouldn't need my cpap cause he planned on having a nurse by my side at all times. I was already in the hopsital and had my cpap with me in the room so it wouldn't have been a big deal fetching it.
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Permalink Reply by Nat Pike on
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Luckily, my first sleep doc told me I would have to take my machine with me if I ever went to the hospital for anything. In his words the hospital would refuse to do any procedures if they knew I had apnea and didn't have my machine. Based on that statement, I would expect a hospital to mention that you should bring it when you're discussing the apnea before the procedure. Someone dropped that ball.
Thanks to your story, I know that if I ever have any procedure planned, I'll just bring the machine along no matter what. Better have it an not need it than the other way around!
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Permalink Reply by Mike on
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what an admirable post, Dawn. You have probably just saved some people a world of inconvenience, and likely a great deal more...
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Permalink Reply by Richard Morgan on
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Thank you for this post. A few years ago, I went in for a colonoscopy. After all the prep I did, they said they couldn't do it without an anesthesiologist present, and that I would have to have all this set up first. I was very disappointed and did not get the procedure as I didn't want to go through all that again. With this info I will be more knowledgable setting up my appointment. Thanks again.
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Permalink Reply by Linda Brown on
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What a timely post. I have my right hip replaced on Thursday. The appointment with the anesthesiologist is on Tuesday. After reading some things on the net, I'm thinking about going with a spinal anesthesia. There is supposed to be less blood loss and a quicker recovery. I'm going to see if he'll let me wear both my CPAP and iPod. Thanks for the heads up. Now I just need to find some 'hip' music!
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Permalink Reply by Lisa Marie Cardillo on
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Hi Dawn, thanks for the post, I went to an ENT after the apnea dx. and was told I do have a tiny airway, big tonsils, some so we sched the procedure, he was honest with me and stated, this is a very painful recovery, and it's not going to cure the apnea, but it will cut down on the episodes, when i was ready to go in for the pre-op testing,the nurse at my sleep drs. office called and said you can't have this done, your high risk for being put under, you might not wake up, her tone was extremely rude, so I call the ENT, he stated he never heard of such a thing, what the heck is going on here, needless to say I canceled, I was very scared, and confused of course, what kind of idiots am I dealing with,I just don't trust the drs. anymore. Lisa
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Permalink Reply by Dave Hargett on
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If you have sleep apnea it is VERY important that you understand your situation and that your doctors understand your situation with regard to apnea and any sedation.
The American Sleep Apnea Association has two publications (which I helped write) on this topic:
http://www.sleepapnea.org/resources/pubs/checklist.html
http://www.sleepapnea.org/resources/pubs/hospitalcpapuse.html
PDF versions are available for you to print as well.
My dentist has my records noted as "NO GAS", meaning that they will not administer nitrous oxide sedation to me.
I've had three surgeries and two colonoscopies under anesthesia, so I've been there with this topic a number of times.
Some hospitals are not sophisticated and do not yet recognize the perils of sleep apnea and anesthesia. Others (like mine) have a well defined sleep apnea protocol and if you say the words "sleep apnea", you're thrown into that protocol. If you don't say it, they ask questions on their pre-surgical screening to identify high risk and then add you to the protocol.
In my hospital's case, they will NOT allow you to use your own CPAP machine in the hospital - instead they provide an auto-PAP set with a range sufficient to allow for more severe apnea while under the influence of anesthesia and/or pain killers. This single machine type also allows them to train respiratory staff in the hospital on how to set it up on a patient and how to handle problems.
In most instances, the CPAP is for post-op use in the recovery room. It is the anesthesiologist's job to keep you breathing during surgery, whether intubated or not. In my case, I once had an angiogram (heart cath procedure) where you are generally awake but "floating". A CPAP was delivered to the angio room for use if I needed it. You are asked to bring in your own mask and headgear.
Personally I will NOT have surgery done at an outpatient surgical center IF I have to be put under anesthesia. I have had surgery on my toes done at one, but they used local anesthesia. If general anesthesia is used I want to be in a hospital where they have staff and equipment; also most apnea patients who have general anesthesia, even for so-called "day" surgeries, should be kept overnight for observation due to the lingering effects of anesthesia and narcotic pain meds. This can often be done with a "23-hour admit", which doesn't really count as an overnight stay to your insurance company.
Dave
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by the way I spoke with the hosp. multiple times, they never told me to bring my CPAP knowing that I had to stay overnight, possibly 2 nights.
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