Anesthesia Question for Surgery
on 5/28/12 10:59 am
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.
on 5/29/12 2:00 am
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.
on 5/29/12 3:22 am
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.
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