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Intraoperative Epidural??? Intraoperative Epidural???

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Unread 11-01-2011, 07:47 PM
Intraoperative Epidural???

Hi ladies! I had my appointment with my doctor today to talk more about my surgery and what will happen. I haven't had it scheduled yet....waiting for my appointment with the urologist...but hopefully will have the surgery before December. (Doc was saying he hopes I won't have another period because of my pain level...makes me love him!)

Anyway...he said that for the first couple of days after the surgery, while still in the hospital, my pain will be managed by an intraoperative epidural. Have any of you ladies had this? How did it work for you? It sounds pretty nice, because you don't get the gross side effects of the IV narcotics, but I'm curious about firsthand experiences.

Thanks much!
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Unread 11-01-2011, 09:13 PM
Re: Intraoperative Epidural???

I had an epidural with my surgery. My anesthesiologist recommended it - said she could use less anesthetic that way and so I could wake up quicker. They left it in for about 18 hours after surgery, and administered pain meds through the tubing. The pain was controlled, and I did not have to take anything orally when it was in.

I had a positive experience and I would do it again in a heart beat!

Good luck with your surgery...

Unread 11-02-2011, 07:56 AM
Re: Intraoperative Epidural???

Thanks so much for sharing marestail! I have more questions now!

Did they put it in while you were under?

Did you have an IV too?

Did you have any side effects from the medication?

Thank you so much for your help!
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Unread 11-02-2011, 08:50 PM
Re: Intraoperative Epidural???

To answer your questions:

The doc put part of the epidural in first while I was cognizant. She had me stand by the bed round my back and put part of the tubing in. Then, she administered versed which blocked my short term memory. I remember getting really fuzzy and then nothing. The next thing I knew I was in the recovery room. (The rest of the epidural was put in after they wiped my memory because she told me it can be painful. They also put me under while the versed was still in effect, so I don't remember going out.)

Yes, I also had an IV.

I did not have any side effects from the medication.

One funny story while I was in my room about five hours after surgery and the epidural was still in (so my legs are numb and I can't feel anything from the waist down) I had my hand by my side and I said to the nurse "There is something warm by my hand". She smiled and said "That is your leg".

Unread 11-04-2011, 01:18 PM
Re: Intraoperative Epidural???

Is an epidural standard for a TLH? My doc didn't say anything about that and I didn't think to even ask. None of the pre-op paperwork I have says anything about one.

I am terrified to have an epidural!
Unread 11-04-2011, 03:29 PM
Re: Intraoperative Epidural???

I had my SAH on Tuesday I was expecting general anesthesia with the intubation tube. After a conversation with the doc it was determined an epidural would be better for my surgery and some past experience. I had an iv and was given versed first. Then I was moved to a bigger room where the epidural was inserted. Once that was in a remember very little. I remember her giving me an oxygen mask and that's about it. I woke up in recovery and felt pretty good. The gave me shots of morph for breamk through pain and I did not get a pca pump. I didnt wake up with nausea or throat pain. I would recommend it if you were given the option.
Unread 11-04-2011, 08:48 PM
Re: Intraoperative Epidural???

Originally Posted by UCFlady View Post
Is an epidural standard for a TLH? My doc didn't say anything about that and I didn't think to even ask. None of the pre-op paperwork I have says anything about one.

I am terrified to have an epidural!
To my knowledge, it is not required. For me, my anesthesiologist gave me the option of an epidural with general anesthesia (but less of it), or just general anesthesia (but more of it). She told me that with less anesthesia, you wake up quicker. So, I went with the epidural route so I could wake up quicker.

But she also said that some people don't like to have an epidural. If you are terrified to have one, then I don't think they will make you have one.

Unread 11-04-2011, 09:36 PM
Re: Intraoperative Epidural???

Thanks for all your answers marestail! It's very helpful and makes me feel better about it. I've had an epidural and a spinal before and to me they weren't too bad, so I'm ok with it. I was hopeful that the side effects would be less, so that is good to know.

I'm guessing an epidural isn't standard considering marestail is the only one who has responded with experience. My experiences with epidurals and spinals are from childbirth, so they were very short term.

Thanks again marestail! I appreciate your answers!

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