Fentanyl and versed for conscious sedation

Common Questions and Answers about Fentanyl and versed for conscious sedation

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Most endoscopy (colonoscopy and EGD) is done with conscious sedation; generally with an amnesia drug (Versed) and some painkiller. You are actually quite awake, but the Versed blunts or eliminates your memory of the procedure. Propofol produces deeper sedation, requires an anesthesia person and usually costs more.
usually, docs will use 2 meds for conscious sedation, like demerol or fentanyl and valium or versed. talk to your doc about using meds that have the least amount of amnesiac properties to them. demerol or fentanyl alone shouldn't cause amnesia. the versed is usually the culprit with that. like gi.pa said, the timing of the oral meds can't be finessed to hit at the time of the scope. besides, you would be considered impaired if you took them ahead of time.
Is 11mg of Versed 1mg/ml excessive over 10 minutes for conscious sedation. Thank you.
Agree with your no-sedation stance, and thanks for sharing your search and story. However, I don't believe your lying doctor at all. Why would you "fall asleep" in a procedure that takes 20min to half an hour? With something moving in painful ways inside you and air blown into you? She DID give you anesthesia, and you forgot it. Short term memory loss from whatever she drugged you with. The fact that she lied to you is the saddest, most hideous thing of all.
That sounds absolutely horrible and I would be livid and tell them or write all your thoughts down, compose them into a nice letter and send to them about their horrible care. I had conscious sedation using Versed during my ablation last month; I can't imagine NO sedation at all. I would think that would be extremely painful, not to mention inhumane and be against some type of law? or I hope it would.
Two months ago a nurse was fired for being caught taking the FENTANYL out of the viles and replacing it with a Saline solution. The hospital is very hush hush about it. First, I thought you had to break the top off to get the FENTANYL out of the vile? Second, Do you think my tolarence to (benzos) Klonopin made the FENTANYL not work? Anyone heared of Klonopin blocking FENTANYL from working?
Hi- I wouldn't worry about this. It's just a one time dose of both drugs to get you through the procedure. They may not have appreciated your input because propanolol is not necessarily indicated and could require intubation which the procedure may not call for. It's more likely that "conscious sedation" is what's called for here. I really don't think this is going to awaken the beast and I think the benefit of having this done far outweighs a potential problem.
So after a last minute panicked call to the doctors office the day before I opted to go without sedation. I prepped up letter / notice officially refusing consent to the use of Versed and revoking any other consent given on any other forms and brought it with me to the hospital. As soon as I checked in and started filling out the consent forms I had them stamp the notice as received give me a copy and place it into my file to make sure there was no confusion.
You acn get the exam without sdation and with painkiller only (fentanyl), but most gastros will insist on sedation because it's easier and quicker for them to do the exam; and unfortunately they often treat the patient roughly because they know that the patient will have partial amnesia. The most common sedation drug Versed is linked to a lot of disturbing side effects; these occur after discharge, sometimes long after the exam and have been disabling in a lot of patients.
Hi there - well I still live and learn! Thanks for your information on "conscious sedation". I have never been "awake" when having twilight sedation, but my sister had a colonoscopy a few years back and she said she was conscious and saw everything that happened. Perhaps my gastro gives me enough medication to "knock me out", which is what I prefer.
I can tell you they usually use medications named Versed (which is an amnesic and makes you sleepy and not remember the procedure) and Fentanyl (an IV pain medication). These two drugs together produce the sedation for the procedure and you will be comfortable. Most people don't remember the procedure at all.
I did mention to my doctor that I had pvc's and PAT and he was not in the least worried. By the way, they use versed and fentanyl and from what I am told these have no affect whatsoever on pvc's. You will be fine!!! The prep was no problem either. I took the pills instead of the drink. No problems with pvc's.
I was given a combination of medication (feel good drugs) that worked well at keeping me consciously sedated (happy and calm). I had Versed and Fentynl and had no ill effects from the meds at all! The procedures lasted 6.5 - 7 hours each, but the time flew by (for me). Some people are awake, but I was in la-la land and enjoying a much needed rest. I did not feel the catheters at all. When I woke up, I did feel some pressue on my groin where they were closing off the catheter entry site.
I am taking Heidi's hand and am sending my prayers and positive energy for Becky to come through surgery well and to recovery from it quickly.
I had a TEEC (trans-esophogeal echo cardiogram) just prior to my first trip ever to the cath lab for an ablation to attempt to clear up a-fib. What with the pre-op shot and all the extremely cool electronics in the cath lab (I am something of a computer/electronics geek) I was not worried about the ablation. Didn't particularly enjoy having some grody GUY shaving me down there - woulda preferred the cute female tech to do that part ;-) - but I got through that.
I recently had a transjugular biopsy. They gave me iv versed and fentanyl. I was conscious but very very very relaxed. The doc said It was common to sleep during the procedure. I was not asked to hold my breath. The Transjugular biopsy is safer than a percutaneous biopsy and a lot less painful.
I had to look up midazolam and that's the same as Versed. I can't stand drugs but I love Versed. Such a happy med. I've had Versed and fentanyl (for pain) during all 3 of my catheter ablations. During the cath they will have the pulse oximeter clipped to your finger and will monitor your O2 levels the whole time. If they think you're going a bit low, they'll just give you some oxygen. I already have lung problems with asthma and they never had any problems with me during the ablations.
The anesthesia being used was “conscious sedation” where I would be given sedatives (Versed) and pain medication (Fentanyl). It is necessary to remain conscious and alert for certain portions of the procedure. My preference was to remain conscious for the entire procedure as I was very interested in what they were going to be doing and I was happy they were willing to accommodate my wishes. (You’re probably thinking “This gal is crazy”, right?
Yes, they are safe. Most of us with cirrhosis commonly have an endoscopy and colonoscopy every year or so to screen and monitor the status of our varices. I have taken miralax many times with no adverse effects. What can more problematic is any anesthesia type drug(s) you may be given. I assume this procedure is being performed by your gastro and she/he is aware of your cirrhosis?
I believe I have a more reasons than the average eye patient for this uncertainty of sedation. First, the drug Versed does not effect my memory. I have received this preoperatively for my last two surgeries. Both of my surgeries were delayed (one was delayed for 9 hours) and I can recall both preoperative procedures entirely, including who was in and out of my room, complete conversations, everything until they roll you into the surgery room.
I am a nurse in endoscopy and it is okay for you to have the upper endoscopy done but you should definitely not be given the sedation. It is not anesthesia, it is called conscious sedation and is generally versed and fentanyl or demerol. We ask all of our patients if there is a chance they could be pregnant for this reason.
I was a nervous WRECK, but they gave me a valium about 2 hours before and then Versed/Fentanyl/Diprivan during and I hardly remember a thing. It didn't hurt at all during the procedure, although they had to place catheters in both my right and left groin, which are pretty sore today, but no big deal. I'm also still a little groggy from all the sedation, but I imagine that's to be expected.
I just happen to do a search on interpolated PVC's and a link lead me to your forum. Anyway, although I have a teo-fold problem which began with PSVT/IST in 1992 "followed a few years later by a "2nd curse" PVC's which were ONLY single-form uni-focal PVC's in roughly 2000 my 1st episode of both Multiform/complex PVC's started. I have been getting interpolated PVC's pretty regular "when they start up" since about 2001.
In re: Prop' Try PMing Miles - he loves the stuff. He told them "Go ahead and start the procedure." They laughed and said it was already done. I've had the Versed/Demerol for colonoscopy and straight Valium for endoscopy - it's all painless.
I need to have carpal tunnel surgery on both hands. Conservative measures have failed, and the surgery seems reasonable to me. My concern was the anesthesia; to to a mishap years ago with "conscious sedation", I will never again do this.
It's not unusual for them to use Versed which creates a conscious sedation. That sounds like an oxymoron but you feel like you're floating and tend to doze off. They can ask you questions if needed but after the procedure, you tend to forget any bits and pieces that you might remember at the moment. They also gave me fentanyl for any pain that may have occurred during the ablation process. Extra beats, usually called ectopics, are difficult to pin down during an ablation.
I believe they use the conscious sedation, I think it is versed with something else. I am worried about something going wrong with my heart due to the PVC's during the procedure. I am also concerned about the prep used. 1. With a structurally normal heart is it safe to have the colonoscopy/endoscopy with the PVC's I am having? 2. Is these PVC's dangerous with any activity, do I need to limit my activity? 3. What is the chance of sudden cardiac death with the way my heart beats?
and that most procedures are done in clinics now because of insurance, etc. I will be given a conscious sedation, Versed and Fentynal. I'm a little nervous first off that this isn't being done in a hospital. Is this common practice? Also, I'm nervous about the endoscopy. I don't relish the idea of something being put down my throat. How will I breathe? Also, is it common practice for the two procedures to be done together like that? They will do the endoscopy first and then the colonoscopy.
I have reasd a lot about colonoscopy and want to get one without drugs; I had conscious sedation for dental work (versed) and really freaked out and it still scares me when it when I think about it. Googling "versed problems" brings up hundreds of people who have had the same, so I'm not alone. And only in the USA do they "insist" on sedation for colonoscopy.
You'll have to lay very still for several hrs after the procedure...that will help with any bruising or swelling. My Dr gave me Versed and Fentanyl and although I was out, and I don't remember feeling anything, I woke up immediately after. I had a very good experience all the way through. I did feel a little pressure or tenderness around my breastbone so I did some deep breathing and it seemed to ease. it wasn't bothersome and I didn't feel it the next morning.
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