Anesthesia Question for Surgery

(deactivated member)
on 5/28/12 10:59 am
On May 28, 2012 at 5:06 PM Pacific Time, minnie_cat wrote:
I knew a guy that had a brain tumor removed under a local. He wanted a shorter recovery. It was his second such surgery and he wanted it this way. No idea about the CO2, doesn't hurt to ask. 
 
Lots of brain surgery is done with the patient awake, they HAVE to be awake for brain mapping (just as one example).  You can't feel the inside of your brain, you can feel the inside of your gut.  The CO2 pushes very hard on your diaphragm and in order to give a block that high the patient wouldn't be able to breathe and the heart would be seriously affected. 

Even when they do sleeves they do use a block but they also use anesthesia.  The block is mostly to control pain for the first 30 hours post op.
Pickles123
on 5/29/12 2:00 am
No you can't.
 
You can go to Lap Band web site and look at exact procedure for surgeons to follow. 

The anes. puts down a, lets call it inflatable ballon, that is inflated to a certain size.  That is how your surgeon knows how large to make your pouch.  Ask your surgeon he will tell you the exact procedure he follows. 

If they do not do this,they are not following the lap band protocol for putting in the lapband. Then you need to change doctors. 

You really don't want to be awake for all that.
(deactivated member)
on 5/29/12 3:22 am
On May 29, 2012 at 9:00 AM Pacific Time, Pickles123 wrote:
No you can't.
 
You can go to Lap Band web site and look at exact procedure for surgeons to follow. 

The anes. puts down a, lets call it inflatable ballon, that is inflated to a certain size.  That is how your surgeon knows how large to make your pouch.  Ask your surgeon he will tell you the exact procedure he follows. 

If they do not do this,they are not following the lap band protocol for putting in the lapband. Then you need to change doctors. 

You really don't want to be awake for all that.
 
The anes. puts down a, lets call it inflatable ballon, that is inflated to a certain size.  That is how your surgeon knows how large to make your pouch.  Ask your surgeon he will tell you the exact procedure he follows. 
If they do not do this,they are not following the lap band protocol for putting in the lapband. Then you need to change doctors.  

This isn't accurate information.  I don't know anyone that does this and they don't have to.  There is no reason to find a new surgeon that does not use this technique.
Pickles123
on 5/29/12 4:34 am
This is accurate information and if you look on the Allegran website you can find it.  I have a lapband. I have watched it done.
Pickles123
on 5/29/12 5:21 am, edited 5/29/12 5:21 am

This is just a small section of the procedure manual for lapband insertion.  I suggest you don't believe either of us and ask your doctor what he does.


For the Anesthesiologist:

1. T he Calibration Tube is an oral suction tube which requires

a lubricant and 30 cc syringe for inflation.

2. S urgeon will instruct anesthesiologist to remove patient’s

N/G tube (if one has been inserted). Insert the Calibration

Tube orally until it passes below the gastric-esophageal

(GE) junction.

3. S urgeon will ask anesthesiologist to inflate balloon with 25

cc of air (or saline) and to pull back on tube until resistance

is met – this determines precisely where the GE junction is

located.

4. O nce the junction is clearly marked, the surgeon will then

instruct anesthesiologist to deflate the Calibration Tube and

either retract it into the esophagus or remove it entirely.

5. Discard the Calibration Tube after use only when surgeon

has completed surgery. During insertion of the Calibration

balloon, care must be taken to prevent perforation of the

esophagus or stomach.

For The Scrub Tech/RN:

1. After the Circulator opens outer LAP-BAND AP

® System
nursey6030
on 5/29/12 5:32 am
Unfortunately this surgery MUST be done using general anesthesia. It is a realtively safe surgery since the actual anesthesia time is short.
DreamerGiftGirl
on 5/29/12 9:17 am
Thanks,, I appreciate everyone's input.  I'm sure it will be fine with the general.  Hoping to have a date soon.. going for a sleep study this week.
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