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Epidural or General? Epidural or General?

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Unread 03-23-2006, 09:22 PM
Epidural or General?

WOW! Those of you that opted for the epidural are so brave. I'm so afraid of this that I want to be complely knocked out. They will give me that option right? I think if they don't knock me out I'll get up are run out of the hospital with my rearend hanging out of my hospital gown and all Good luck to all of you. The sisters that are opting for the epidural, please keep us posted!
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Unread 03-24-2006, 09:19 AM
Epidural or General?

Shutterbug, I got my wish, APril 5th it is! Thanks for your prayers!
Unread 03-24-2006, 11:46 AM
Epidural or General?

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Unread 03-24-2006, 11:53 AM
Epidural or General?

Hi Ladies,
I am waiting for my surgeon to call to actually I am STILL up in the air about the epidural vs general...I would much rather go with the epidural because of the heart issues but when push comes to shove I am afraid of getting that needle in the back...just one more thing to be anxious about when I get there...however if she tells me they are going to sedate me before inserting the epidural like some of you ladies have spoken of...and that I am not going to remember having it done well then EPIDURAL it is LOL...I know I wont know what is going on during the surgery she already promised me that and I do so trust her its the whole road on the way to oblivion that I am scared about!!
Im just a big wuss LOL
Unread 03-24-2006, 08:27 PM
Epidural or General?

Your not a wuss NJ lady, we are all scared and nervous right there with ya..
Good luck...
Unread 03-25-2006, 05:47 AM
Epidural or General?

I am going with the general! And from what my nurse told me at my pre-op I will have my pain pump when I wake up! That is good enough for me. They are anticipating the surgery taking about 3 hours. I did have concsious sedation for my colonoscopy and e.g.g. a few years ago and honestly I dont remember a thing and I was more scared about that than the upcoming surgery! But I honestly want to be knocked out so that they can do their thing - he he. But I agree, talk it over with your doctor and get all the information you can before hand! Good Luck!
Unread 03-25-2006, 06:09 AM
Epidural or General?

My surgeon suggested an epidural and general which they did do. When I went in for surgery once the anethesologist got the epidural in my back I went don't remember a thing until waking up in the recovery room. However that was no picnic, I was trembling and shaking all over uncontrollably I was really scared.
The nurses and the original anethesologist was there also they were trying to figure out what was wrong. They had those blow up boots on my legs. Severa times I was asked if I could move my legs, this scared me even more because of the eipidural I couldn't. They kept me in recovery room from about 2 PM to 8 PM, then brought me to a room where I continued to shake all night until the next morning. Come to find out my body was having a bad reaction to the pain med they were giving me intravenously Demerol. My surgeon argued with my nurse about taking me off the Demerol, my nurse won and they put me percocet with tylenol. The shaking stopped. I have a vertical incision and found that I had little to no real pain after surgery anyway. As far as the operating room the general anethesia knocked me out anyway. Surgeon recommended the epidural due to severe back problems. If I had to do it all over again I would only op for the general, no one knows how they are going to react to all the drugs they put through your body. I would go with the old adage " Less Is More " Best wishes that you all have a smooth surgery and easy recoveries.
Unread 03-25-2006, 01:13 PM
Epidural or General?

Please read my experience with my spinal/epdidural experience. I have to say that it was less trouble then having a tooth worked on. I was awake (my choice) but since I had general and had terrrible nausea and for more than 3 days after surgery. I ended up being readmitted to the hospital after an allergic reaction to compazine and had to stay in to get fluids for dehydration and had to take Benadryl for the rest of the week after discharge. I didnt' want to repeat that again especially with a belly full of stitches and lots of healing to do with my TVH. Even though I was awake I really don't remember what the dr's were saying. I do remember the nurse telling me that my uterus was out and I asked to see it because I wanted to see how big it was and what it looked like. I was curious and I was happy after she held it up. Just so you know, there is a drape in front of the face so you can't see what's going on with your surgery. I just laid there bored and wish I could have brought in some music to listen to. That may be an option for some. Ask the hospital if you can bring in a mini music player with headphones. If not you can always request ear plugs. I didn't feel anything at all.

After surgery the epidural was left in and I felt wonderful. To the one who said "they usually give you something for nausea" think again. You must request they give you something because there have been sisters that have not requested anything and got sick. Take a look at this link that actually popped up on the hystersisters site about zofran. It will help you identify if you are at risk for nausea and vomiting after surgery. It says in the link that "Nausea and vomiting affect 58% to 75% of patients undergoing gynecologic surgery." http://www.zofran.com/surgery/obgynsurgery.html

How to tell if you are at risk for vomiting caused by surgery

Anesthesia also plays a role in increasing risk of nausea and vomiting:

I was shocked to read this at this link.
"General anesthesia (when a patient is totally unconscious) - increases the risk of nausea and vomiting more than 10 times over all other types of anesthesia

Finally, pain after surgery is a major cause of nausea and vomiting, especially when the pain is in the pelvic area or the gut."

With general anesthesia the sleep is so heavy that it requires you to be intubated (tube in trachea) and have a respirator breathing for you during surgery. They sedate you so you don't experience the sensations when they administer the drug that paralyzes you, which is why you need the intubation. A lot of patients wake up from general with a sore throat and have trouble with a dry mouth and have oxygen over their face when waking up. After I was wheeled from the O.R. to recovery I remember a recovery room nurse tried to place an oxygen mask over my face and my anesthesiologist said I didn't need it. Bless his heart. :-) I was glad to not need it. The oxygen given to patients waking up from general is to help them wake up.

No breathing tube needed for if you don't have general because the sedation used with a regional (spinal/epidural) is different from the sedation used for general. And with a regional, the level of sedation can be varied (light--just relaxed, medium-groggy, heavy--sleep through it all).

Also take a look at this link as there are more links in my responses to click on

nausea after surgery

Awake during surgery

Loose lips after being given a sedative If you want to be totally alseep don't tell the anesthesiologist you want to be completely knocked out or he may think you want general. General and Regional are completely different types of anesthesia. You can be given versed and may not say a thing. For some women on this next link they didn't realize they were such a pain. I was so glad to be awake because I knew I didn't say anything. I occasionally looked back at the anesthesiologist and he would ask me if I was ok and I said I was. I didn't really pay attention to what the dr's were saying because I think they were talking low. I do remember hearing the dr. say that he wanted to do the bladder catheder because of my history of urethral stenosis which I had to be dilated for at the urologist office. I was so glad to hear him say that. Plus I was so glad that I didn't feel anything and I could visit with my family after I got to my room and called my husband. The worst part of the whole experience was listening to my elderly roomate screaming in pain during the day. I was so glad that I brought my own ear plugs to not hear her as much so I could get some rest.

Just in case you can't find them all I'll just post them here.

Epidural or PCA for post op pain relief

Difference between spinal and epidural

Pain..1-10 (sisters either had epidural or morophine pca pump and reported how they felt right after surgery. Notice the ones on the second page that had epidurals had no pain while others that had the pca pump had to wait for pain relief and woke up in pain)

Were you groggy the first day?

Spinal VIA General

There's also another story of someone that had a spinal. Horsewoman shares her surgery story at this link.

one last link about general anesthesia with my experience of general anesthesia.
Unread 04-01-2006, 10:11 AM
Epidural or General?

wow, great reading, i am glad i came here. i never had considered an epidural either. i had 100% natural deilveries, stadol with my first one, nothing with my second.

when i went in yesterday for my preop (surgery on tuesday), dr. suggested epidural. from what i gathered (1) i would be sedated into a light sleep, (2) a small shot in the back to numb prior to epidural, (3) then the epidural, which i am not supposed to feel because of the numbing. he would then leave the epidural in with a pump controlled by me for 48 hours. he prefers this for pain management over medication. i too have bad naseau with general..and had already requested to the anestesiologist (met him yesterday too) that i have medicine for that.

i am nervous because some friends are telling me to get it, while others are saying dont.

Unread 04-01-2006, 04:44 PM
Do both! I did

On 3/14 I had tah/bso (I'm 39) and was concerned with anesthesia, they did a spinal w/ a very light general and it was great, the last thing I remember was being wheeled into a room then I woke up & it was done! The light general was soooooooo much better for me since I'm so sensitive. The anesthesiologist recommended this & she was right!
Good luck

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