Starting a Case - Medication setup Anesthesia Part II

[@thienpham911]

awesome, more please !!!!

[@calincalabrese6260]

More to come!

[@DigitalAndInnovation]

5CC syringe for 50-100µg of Fentanyl? Or do you draw up a vial of 250µg / 5mL- then only give 1-2cc but have the remaining 3-4cc as backup?

[@calincalabrese6260]

The choice of the syringe size and volume of medication is user dependent. I typically draw up 50mcg/mL and total of 2ml. I could draw this up in a 3mL syringe instead.

[@saifsword2520]

Awosme

[@klk1900]

I will mention in a shorter comment. I always caution colleagues on OVERCONFIDENCE ON MIDAZOLAM/Fentanyl PERFORMANCE. I HAD MULTIPLE ACCIDENTS AS A KID where I was the patient. I woke up during a colonoscopy & cervical epidural steroid injection. I caused some spinal cord damage. Here is my take on Midazolam. It makes you have a 3 second delay in your judgement. You will wake up during the procedure, start jerking around, then about 3 seconds after you start you suddenly realize what you are doing & that it’s bad. The problem is 3-5 second delayed reaction is enough to cause damage. When you wake up under Midazolam you remember everything. But causes you to be delayed so you know moving is bad but it takes 5 seconds before you realize it. I know get injections without Midazolam because I would rather know what I’m doing so I don’t cause more damage.

[@klk1900]

NOW* get injections with just Nitrous & fentanyl

[@calincalabrese6260]

Thank you for sharing and I am sorry you had to go through this. The effects of versed can vary and there is a risk that the patient will move during a procedure. Some patients will have amnesia from versed alone. You clearly did not. Some pain proceduralists are now using anesthesia providers to administer propofol. The level of anesthesia is considered "general" and not "sedation" such as what you received.