fentanyl and propofol

She said that she could just use fentanyl only or the CRNA could give propofol or propofol/fentanyl. 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.

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.

What should i do taper myself to a quarter a day and then not do any the day before and of the surgery? What should i do and will i be ok if i do that?

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.

what exactly are you taking? its rare that they use barbiturates anymore. i heard most commonly they use fentanyl and propofol...neither are benzo's or barbiturates...but what they use and how much doesn't really matter. what matters is that your anesthesiologist knows what you're taking. it can make a big difference.

However, I would HIGHLY recommend getting sedation (ex. versed and fentanyl) instead of propofol, unless you have had bad reactions to sedation in the past. For example, I am very difficult to sedate and I have had procedures where my heartrate would shoot up to 200 because I wasn't properly sedated. This is why most doctor prefer to give me general anesthesia for a procedure instead of conscious sedation.

my gastro is a friend and let me watch an upper and lower one with propofol and one with versed; the propofol patient just squirmed but the versed patient looked like they were being killed. It was awful to watch; but immediately afterwards neither remembered much, but they knew something bad had happened. A week later, I spoke with the versed patient (a co-worker) and he said that the experience was awful.

For the test ( and have had several) they give you a short-acting narcotic. By the time you are up and ready to go you will be fine. I strongly suggest that you do some reading about addiction. Again, not advocating the use--far from it but you need to be educated. They will give your doctor the test results within a couple of hours. Let us know how you make out hun. You are in my prayers.

The advantages of propofol are its rapid induction of sedation, quicker patient recovery time, and anti-emetic effect. The use of propofol requires monitoring for respiratory and/or cardiac collapse by trained personnel....." anti-emetic means anti nausea or something along those lines.

when they did beta hcg before surgery it was 19,it was incolclusive.they gave me fentanyl,propofol,diclofenac sodium inj,alvacuram,oxynorm inj during the day of surgery.i was worried is this medication will have any problems with my pregnancy?pls advice......

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.

Other injectables may have included fentanyl (an opioid with a half life of 20 minutes), and perhaps propofol (again, short acting sedative medication), however, propofol is being used less and less in this type of procedure. The local anesthetic used at the injection site is usually a combination of bupivacaine (Marcaine) and a small fraction of epinephrine to constrict blood vessels to minimize bleeding or absorption of anesthetic.

i also requested propofol instead of midaz/fent combo...i put under and maintained with propofol and given there were no complications i did not require ventilation (breathing tube down my thoat) i had 4 other procudures and my last one (4 months into my clean time) was a biggie and they fired me full of all sorts and i was on a morphine pump then into my sub cutaneous tissue for 3 days then discharged home with a mix of opiates.....

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.

Hi Dr Kaul, Thank you so much for your information, we are having a meeting this afternoon and I will mention those things you said, I know the sedation drugs that he is on they are fentanyl, Diprivan (propofol) and Midaz - we are going to find out what drugs he is on for the seizures this afternoon as they changed them on Tuesday, I know he had an ecg yesterday and having a ct scan now, these are his second scans that he is having as the others did not give an accurate reading because of the se

Yes, fentanyl is much stronger than morphine, and that's why it is dispensed in MICROgrams rather than MILLIgrams. That's a tremendous difference. Because fentanyl is used in such tiny physical amounts, it can be difficult even for doctors to measure effectiveness against other opiate-based medications.

The anesthesiologist can adjust for it, if they know you use it beforehand. I was using the fentanyl patch when I had an endoscopy under twilight sleep with propofol, and I kept it on.

I worked as a vet tech for 8 years, and never heard of using propofol for an exam, unless the exam included examining something paticularly painful or the animal was very uncooperative. I do not know of interactions of these drugs you mention... have seen them used together without incident. But every dog is different, and yours may not be reacting well. I suggest you adress these issues with your vet as soon as you can.

They gave me propofol the second time. I have had verso and zofran from the first procedure with the fentanyl. The doctor told me that the fentanyl has been gone from my system and prescribed me some xanax for anxiety for my surgery this week. I was able to sleep all night last night, the first time since june 4th. ( It felt good!) I was able to open up my throat and pop it down and drank some water. My dad was like 50 before he could swallow pills.

I have an upcoming EGD and Colonoscopy as well as a possible gallbladder surgery in December. I am concerned about feeling this way for so long and taking propofol for these procedures. My symptoms are so bad that I have been in bed for 6 weeks because the symptoms are overbearing. Would anyone be willing to share their experiences?

I had another look at my endoscopy report and it says I received 800mg of propofol sedative. 800mg of propofol?? Is that a misprint or did the doc think he was sedating a zebra? Michael Jackson's died after receiving just 25mg of the same drug! No wonder I didn't wake up for 2 hours of the procedure!

In a study of 10 patients who first received propofol then desflurane, and a group of another 10 patients receiving desflurane then propofol, Meierhenrich et al.[71] found that propofol anaesthesia was associated with significantly greater preservation of hepatic blood flow compared with desflurane. In a study of 21 patients with hepatitis C, free and hepatic venous wedge pressures measured using either propofol or desflurane were studied by Mandell et al.

I've had 4 bad reactions to anesthesia. My GP says it was midazolam and to list that as a drug allergy. When I do that, I frequently get interrogated like I'm some sort of nut case. I have to have a colonoscopy this year and from my reading it looks like midazolam is the drug of choice. Are there other options? I've read about propofol, but the cost and risk discussed in the various articles make it seem like a controversial choice.

I just scheduled an EGD and colonoscopy for next week, the EGD for persistent nausea and the colonoscopy because of family history (I'm 54 and 14 years overdue) plus bleeding issues. My issue is that I need to have these exams done without sedation because of a previous bad experience with Versed in a dental procedure; the memory loss and nasty amnesia left me unwilling to undergo sedation again for any reason (I know that there are other agents, but I just can't do sedation).

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.

Fentanyl and propofol

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