Post-op pain meds with least amount of nausea and dizziness?
Aloha Lynn- Yes, it is contained within a little fanny pack that holds the pressure bulb that pushes the local anesthetic into the soaker catheter (that enters your body at one of your drain sites). Think of a soaker hose with multiple holes so the anesthetic spreads out across your core. I was completely numb for 5 days, and could tell the day it ran out. Because of FDA regulations, the doctors are not allowed to refill it ( but I could see using it for 10 days).
Make no mistake, this is a huge surgery- 7 hours under anesthesia- and cut/excised/tightened 360` and both breasts to boot. But everyone is different, and I'm not sure if those with unsatisfactory experiences had the catheter shift to a different site, if the pump blocked, or if their pain was just a much higher level than mine. I was told that I had very little body fat left, so no I had no liposuction except at the mons area, and that the lipo is often the most painful part - so maybe that's why I had a great recovery, or that I was in really good shape ahead of time and was prepped very well. After the pity party on nIght 2 where I got teary for about fifteen minutes, I was psychologically OK once I stopped feeling sorry for myself! Being fragile definitely means you are less able to cope wth the discomfort.
Be well, best of luck! XOXOLori
Make no mistake, this is a huge surgery- 7 hours under anesthesia- and cut/excised/tightened 360` and both breasts to boot. But everyone is different, and I'm not sure if those with unsatisfactory experiences had the catheter shift to a different site, if the pump blocked, or if their pain was just a much higher level than mine. I was told that I had very little body fat left, so no I had no liposuction except at the mons area, and that the lipo is often the most painful part - so maybe that's why I had a great recovery, or that I was in really good shape ahead of time and was prepped very well. After the pity party on nIght 2 where I got teary for about fifteen minutes, I was psychologically OK once I stopped feeling sorry for myself! Being fragile definitely means you are less able to cope wth the discomfort.
Be well, best of luck! XOXOLori
I have a specific anti-nausea protocol that I used on ALL my patients, regardless of nausea history. I add a pre-op med (Emend) tablet for higher risk patients. Ask that your MD give you a Rx for phenegran...that will help and help with sleep also.
Also, I must comment on the patient's physician you did not use the On-Q pain pump b/c it did not stay in place and "did not work well." No no no no no!!!
It ALWAYS helps if placed appropriately and if the right catheters are used and rarely dislodges if the dressing used is appropriate. I have a dressing that coils the excess tubing under gauze, and all of this is under a tegaderm adhesive dressing. This allows for an accidental post-op pull that does not dislodge the catheter.
When these do come out accidentally (pulled out by the patient), the pain Rx required changes dramatically (higher). So make SURE SURE SURE your physician uses one. He should use the 400 cc bulb and overfill to 520 cc with Marcaine, which gives you a 506 day coverage and reduces pain Rx required and therefore reduces nausea. Lastly, make sure he gives you a Rx for a muscle relaxant (re, Flexeril) to take care of muscle spasm which occurs in 100% of abdomen surgery where the muscles are tightened.
Good luck!
W. John Suber, MD
Foothills Plastic Surgery, LLC
Greenville, SC
SuberMD.com
http://www.youtube.com/user/WJSuberMD
Also, I must comment on the patient's physician you did not use the On-Q pain pump b/c it did not stay in place and "did not work well." No no no no no!!!
It ALWAYS helps if placed appropriately and if the right catheters are used and rarely dislodges if the dressing used is appropriate. I have a dressing that coils the excess tubing under gauze, and all of this is under a tegaderm adhesive dressing. This allows for an accidental post-op pull that does not dislodge the catheter.
When these do come out accidentally (pulled out by the patient), the pain Rx required changes dramatically (higher). So make SURE SURE SURE your physician uses one. He should use the 400 cc bulb and overfill to 520 cc with Marcaine, which gives you a 506 day coverage and reduces pain Rx required and therefore reduces nausea. Lastly, make sure he gives you a Rx for a muscle relaxant (re, Flexeril) to take care of muscle spasm which occurs in 100% of abdomen surgery where the muscles are tightened.
Good luck!
W. John Suber, MD
Foothills Plastic Surgery, LLC
Greenville, SC
SuberMD.com
http://www.youtube.com/user/WJSuberMD
Most Active
Recent Topics
