Fentanyl and versed sedation

Common Questions and Answers about Fentanyl and versed sedation

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I remember the pain quite well in spite of a huge dose of Versed (8 mg) along with 50 mg. of Benedryl, and 100 mcg. of Fentanyl. I am overweight, but not obese. A pediatric scope was used. I have endometriosis with obliteration of the cul-de-sac and 3 ovarian cysts that were not removed during laparoscopy because they were so inaccessible (10 weeks ago). My ovaries are adhered to the back of the uterus and my rectum is likely adhered to the vagina and cervix.
My GI docotor wants to give me a combination of Versed, Fentanyl and Propofol, for and EGD and colonoscopy. Seems like a lot - and I worry about the combination.
My gastro dr is requesting tests that require sedation. I am starting tests again but I am wondering how suboxone works with sedation. I don't want to tell my gastro dr. because I am so afraid of withdrawal. I know sometimes dr's don't understand how bad withdrawal can be especially when you have a career that can be jeapordized when you are unable to work. Will I have to stop the suboxone? for sedation? or treatment? Is suboxone hard on your liver?
I have had 6 colonoscopies myself and have been awake for a couple of them and had polyps removed and I felt absolutely no discomfort at all. The reason they give you versed and fentanyl is to put you in a twilight sleep so that if they ask you to move slightly, you can and do follow those orders, and to relax you. As far as long term memory impairment from the meds, in 10 yrs, that never happened with any of our patients. And your doc says she would never get this test??
i was injected with fentanyl and versed 10 sec apart...i had no knowledge tht these injection were going to be given to me. I was told general anasthesia only. A couple of seconds past after the versed injections i became paralyzed and unable to breath. Now i have memory loss and respiratory problems along with muscle and nerve damage...all this for a 10min surgery.
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.
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.
Sorry to hear about your colonoscopy BUT I had this same thing happen to me a few years ago. They used fentanyl and some other stuff and I was still very wide awake and screaming in pain during the whole thing and of course the doctor didnt stop. But I always thought it had to due with my tolerence to pain meds at the time. So it had nothing to do with anyone stealing it if that person was already fired. Also I remember the pain being so bad from it that it took me several months to recover.
that got worse during 2nd week of detox, had some tests today, and now they have called and want another procedure that is more internal, and have said that I would be on versed (midazolam) & fentanyl. I am still not perceiving things 100% and of course have addict thinking, so when I said that I wanted no opiates and would rather have propanolol, the nurse did not seem to like my input and also my insurance may not cover it, .
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.
I had one horrible experience with Versed and would never do sedation again; I tried numerous docs and all refused to do colonoscopy without sedation until I found a true gastor specialist and she had done thousands of colonoscopies and a fair number without sedation although it's not the norm. She told me that the unsedated exam is safer and you get a slower more careful exam; you just have to be willing to endure a little minor cramping.
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 suffer from back/hip pain...degenerative arthritis. I take ms contin & Norco daily for pain relief as I cannot take NSAIDS due to stomach ulcers. Just had an endoscopy with fentanyl & versed sedation. I awoke with almost NO back pain - first time I've had such relief in 5+ years. This is the third day and I STILL feel greatly improved. Is this coincidental? Is there something in that sedation cocktail that actually works for me long term?
I'm 47 years old and had a colonoscopy. I was scared to DEATH that I would have a reaction to the versed/fentanyl cocktail. SO...I didn't get it. I had the colonoscopy without sedation and although it wasn't a walk in the park I was really glad I could just get up and go home. I'm only 106 lbs and being so tiny it was extra hard pushing that hose up there. There were only a few moments of really bad bad pain but then once he reached the top, it was a breeze pulling the thing out.
The sedation issue is more complicated; IMHO if all I could get was Versed/fentanyl, I would skip the sedation (the doc agrees that a lot of people have trouble with this combo). Many docs rush the exam and make it painful and that's why some (a minority) insist on sedation. While typing I got a call from the CRNA who is scheduled to "stand by" with propofol/fentanyl tomorrow; my doctor scheduled her for my exam just in case I decide on drugs (it doesn't cost me anything).
As I was leaving the doctor apologized and admitted that the sedation was totally optional and not always in the patients best interest; he asked me to stay for the exam since I had done the prep and at this point my wife stepped in and told him that we wouldn't trust him to do anything. This is a large hospital endo center. My primary care doctor told me that they had another similar complaint about this group and won't refer to them anymore.
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.
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.
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.
Propofol (otherwise known as general anesthesia) is a lot more dangerous and has many more risks that versed/fentanyl and other sedation medications. If they use propofol, they will usually need to intubate you which means a tube will be put down your throat and it will breathe for you. I assume newpatient2011 is one of the few people that had a bad experience with versed/fentanyl, but this is not the norm and I truly recommend against propofol for something simple like an endoscopy.
I assume by profonol they mean propofol which is general anesthesia. Do you know why you are getting general anesthesia and not sedation (ex. versed and fentanyl)?
Many thanks again to all of your for your advice and support. I did speak with a nurse and sedation is absolutely possible. They use Versed so I won't be completely knocked out, but a little more comfortable. I'm nervous, not for the procedure, but as to whether or not this is going to help me. I spoke to my Gyn and she wants me to undergo another month of Lupron. She does not want to do another laparoscopy before really exhausting all medicinal options.
using (Versed and Fentanyl) is probably the safest anesthesia beside just a sedative to relax you. Versed causes partial or complete loss of memory. Fentanyl is a powerful synthetic opiate analgesic similar to but more potent than morphine used to relax you. Surgery and general anesthesia are dangerous for patients with advanced cirrhosis so no elective surgeries should be performed using general anesthesia unless absolutely needed.
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.
The type of IV sedation used should not matter that much, most offices use fentanyl because it is short acting and easier to titrate to pain and not cause respiratory depression.
basically not informing her of the risks of long-term memory loss from the sedation drug (Versed) and she's still having problems many months later. Any ideas as to how common this really is? (If I google "Versed problems" I get thousands of hits). I'm asking because I have a bad family history and I'm supposed to get yearly colonoscopies, but I'm now reluctant to do so.
I had an Endoscopy last year and did not wake up during it, did not remember a thing, didnt even remember going home so I called the Dr that did that and found out he gave me Fentanyl and Versed. This Dr went up on the scale to a better drug and the other Dr went down The Dr knew that I was on Paxil long term and had been on Ativan short term. He said both can cause a person to be difficult to sedate.
I have heard from reliable resources that Versed can/will eventually cause PTSD and anxiety attacks in almost %50 of the patients, since they will start remembering the pain and helplessness (if fentanyl is 80 times stronger than morphine, why should they use versed [the date rape drug]?) I'm curious to know if virtual colonoscopy can be used as an alternative. If polyps were found, then I will have to give-in to the procedure.
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