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Spinal VIA General Spinal VIA General

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Unread 12-21-2002, 06:03 AM
Spinal VIA General

Hello Ladies:

My date is coming up and fast December 26th...I am wondering if anyone can asnwer this question for me...

I know what General Ant. is...Your out like a light, I've had surgery before...However regarding a Spinal...

Are you awake during the operation??? Or do they put you somewhat out so you don't hear anything???

My concern is: I had stomach surgery last November and I can no longer throw up and getting a General tends to make you sick...My doctor told me they will give me drugs to stop it...Still I'm not sure what way to go...

I'm a big and I mean big so if a Spinal makes you hear anything that would not be the way to go for me...

Any input on this would be greatly appreciated...

Have a great weekend ladies...

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Unread 12-21-2002, 06:15 AM
spinal vs general

Had my TVH on 11/4 and begged for the spinal....at first at my preop at the hospital they said I had to have a general....in case the surgery was longer than 3 hours...guess that is the max of a spinal?? I get really sick with a general....had one years back for knee surgery and puked and felt like an 18 wheeler ran me over for days.....My DR this time says she preferred spinal for TVH and actually so did the A man who came to see me in the holding area....they don't want us hyst ladies puking post op....would they like to tell them in the preop area??? Had me stressing for nothing......
They gave me some Versed in my IV right before they wheeled me into the OR....barely remember them moving me onto the operating table....did remember them telling me to lean forward to inject the spinal...felt nothing as they did it....kinda drifted in here and there?? Woke up at the end (one hour later) and saw my DR standing next to me...told me that I did great!!! uterus was 3X normal size, ovaries were in good shape so they stayed....and had adenomyoisis?? which can usually only be diagnosed by surgery....
I was wide awake and yacking as they wheeled me out of the OR into recovery.....talked to the nurse in recovery. Begged my DH for a cheeseburger and fries when we met him in the hall on the way to my room...I was starving!! But did have a wave of nausea with a sip of 7up in my room....an IV shot of Zofran took care of that and I was eating regular food shortly there after.....
Don't be afraid of the spinal. and Versed....great combo....just had Versed for my cardiac cath...awesome stuff!! Be sure your DR had nausea med ordered for you...Zofran is great!! Also had a Demerol pump not morphine...no itching!!
Good luck and praying for a quick recovery for you.....You can email me anytime.....No regrets having this surgery....

Unread 12-21-2002, 06:21 AM
Spinal VIA General

I got very sick for three days after general and I did not want to risk that with a belly full of internal stitches. I got both spinal and epidural one stick only. A man said that with the spinal I would be more numb and since I requested before surgery to have epidural in place it would be only one stick for both otherwise I would have had a PCA pump for post op pain.

With general, they sedate you so you don't experience the sensations when they administer the drug that paralyzes you, which is why you need intubation (tube in throat). If that's not enough to make you sick, often times they need to administer other meds, post-op, to "re-start" the digestive track, antibiotics to combat infection or irritation from the intuabtion tube, and of course, the nausea, and vomiting.... Not what you want with an abdominal incision! Although if general is the only choice allowed such as in laporoscopic procedures due to the gas or dr's choice, there are meds to control that such as zofran. Here's a link about nausea. https://www.hystersisters.com/vb2/sho...ghlight=spinal

The sedation (no tube in throat) used with a regional 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).
If you do opt for an epidural with spinal, ask if it can be left in for post op pain. I wasn't sure if I could tolerate a PCA morophine pump. (nausea, fogginess, etc) I wasn't concerned about morphine in an epidural/spinal because it doesn't have the same circulation--effects are limited to nerve-endings in lower portion of body and drug does not cross brain/blood barrier. I did get nauseated the day after the epidural came out but zofran helped that. You can read my story at the www house link below.
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Unread 12-21-2002, 07:39 AM
Spinal VIA General

I just had this discussion at my preop. I am one of those people who have a history of ing with anesth. Unfortunately, both Dr. and Anesth. said no to using a spinal. ( I suspect that my surgery could run longer because of all the endo mess). However, they told me to take 20 mg of Pepcid the night before, and they will give me an anti-nausea shot when I get to hospital, then something in the IV, something to make my stomach drain faster, and they will be careful with post op meds. I guess I am very sensitive to narchotics. The Anesth. said they will take every precaution against the nausea (but it is no guarantee).

I've gotten the major pukes from a twilight type anesth, and also after the gas type. I'll just cross my fingers and say a prayer that I don't start heaving with a stomach incis!

I'm a little worried that I talked my concern up so much that I may get inadequate post op pain meds -- hope that isn't the case!!
Unread 12-21-2002, 11:00 AM
Thank you

Thank you everyone for your answers...However, I just spoke to the doctor he said no on the Spinal...It said this could take around 4-6 hours and a spinal would do me no good...

however, he spoke to my GI doctor and the GI doctor told him about me not being able to throw up (ever again in my life) so they will be very careful...It a awful feeling when you have to and CAN NOT...

Again, thank you everyone....I just LOVE this board...

Unread 12-21-2002, 08:06 PM
Spinal VIA General

I as well have a history of getting nausea. I had a spinal with my son a c section. And just had TVH on December 9 th, And I had a general this time. I did tell them my past of having nausea. They gave some in my IV before surgery and had no problems at all. So I hope this helps...
Unread 12-21-2002, 08:36 PM
Spinal VIA General

Hold the phone!!!!!

What's this about a tube down the throat? No one told me anything about any tubes!!! That just doesn't sound like fun to me. I'm ok with the IV... had em' . I'm even coming to terms with the whole catheter thing. Now I have to think about tubes ???
This just keeps getting better all the time.
Unread 12-22-2002, 03:57 AM

Hi hon,

Listen, that response from you dr sounds inaccurate to me. The epidural is a catheter and they are able to constantly administer/readminister medication through it. I just had my hyst Thursday and after two and half hours they readmin. and I was fine. Versed doesn't really do the amnesia thing on me like it's supposed to - but the anesthesiologist had me "floaty" enough and he and I just chatted and I swam around in my own thoughts mostly. It was a breeze, I'm telling you. And I had not a single bit of nausea.

Most drs will give a "cocktail" of antinausea, antibiotic and sedative via your IV prior to epidural.

As we all say here, I'm not a dr and certainly don't know better than one - but I will tell you that they can constantly administer the meds through the epidural cath - the anesthesiologist does this and he's right there sitting by your head the whole time. Heck, most anesthesiologists live for this - they love their epidurals.

IMHO, it sounds like your dr is the one less inclined to do your surgery epi instead of general - I'd ask him why he is disinclined to the epidural and tell him again why you feel it would be a preferrable match for you. It would be a red flag to me if my dr didn't listen to my desire to have the type of anesthesia that I felt would best partner with my surgery and personal needs.

Hope it all goes well, Sweetie. I'll be praying for you and pulling for you that this all gets discussed thoroughly and you and dr are in complete agreement. That will bring you great peace of mind.

Unread 12-22-2002, 09:34 AM
Spinal VIA General

You won't know a thing about the tube. They told me before going into operating room. That is would be put in while I was asleep and would be out before I woke up and before family saw me. I hope that helps you. I didn't have any affects like a sore throat or anything. If they didn't tell me before hand I wouldn't have even known.
Unread 12-22-2002, 10:18 AM
Spinal VIA General


Thank you so much for your reassurance.
That does make me feel a lot better.

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