Greetings,
Anxiety is the
quality or state of mind wherein a person is anxious, worried, nervous, uneasy,
or apprehensive about some forthcoming event, such as a surgery. Yes.
Almost everyone has some degree of anxiety before having a surgical procedure. Some people have more anxiety than others. Medications that reduce anxiety are known as anxiolytics.
Relatively small doses of the group of drugs known as benzodiazepines, which
includes alprazolam (Xanax), diazepam (Valium), flurazepam (Dalmane), lorazepam
(Ativan), midazolam (Versed), and triazolam (Halcion) can reduce anxiety.
Usually it has been my experience that they try and start me out with a little
diazepam, and my response is “Umm, I need that to go to the grocery store.”. I
find Lorazepam to be a pretty good alternative for me, as I can’t really tell I
am on it. I am just rather apathetic to whatever is going on. During my last
MRI I was given Lorazepam and I didn’t even realize it was doing anything I
just thought I was particularly calm and impressed with myself, until I stood
up, fell down(twice) and waved bye bye to the hospital staff, but I was doing
it backwards like a baby would. I was essentially waving at myself and realized
Lorazepam was some pretty good stuff. Many meds don’t agree with me personally,
so it is really a personal issue that you need to work out with your Doctor and
figure out what works best for you. Just remember an anesthesiologist
should be present whenever a patient is given general anesthesia.
Anesthesiologists are specialists who are trained in the safe use of dangerous
anesthetic drugs. General anesthesia is quite safe when provided by an
anesthesiologist.
In 2007 a movie
called AWAKE came out. The story focuses on a man who suffers
"anesthetic awareness" and finds himself awake and aware, but
paralyzed, during heart surgery. It was written and directed by Joby Harold. In extremely rare cases, a patient can become conscious
during surgery and subsequently recall what occurred. This experience, referred
to as “intraoperative awareness,” or anesthesia awareness, is estimated to
occur about 1 to 2 times per every 1,000 uses of general anesthesia. Most
patients do not experience any pain due to intraoperative awareness. My first anesthesiologist
had no clue what movie I was babbling about but he reassured me that yes this
can in fact happen BUT rarely does and usually is only in the case of people
having heart surgery as they have to be kept closer to twilight, they have to
be kept closer to awake in case of cardiac failure so they can be resuscitated
if necessary. I was not having heart surgery and he told me no way was this
going to happen to me so I kind of stopped listening, and he basically made me unconscious
pretty soon after.
“What
Anesthesia Awareness Is and Steps To Take If You Experience It
- In the
past 20 years, developments in anesthesia have dramatically improved
patient safety and comfort during surgery. But even though intraoperative
awareness is rare, its occurrence can be very disturbing and traumatic for
some patients.
- Awareness
can range from brief, hazy recollections to some specific awareness of
your surroundings during surgery. Most patients experiencing awareness
during surgery usually do not feel any pain. Some patients may experience
a feeling of pressure.
- Patients
who dream during surgery, or who have some perception of their
surroundings before or after surgery, may think they have experienced
intraoperative awareness. But such a sensation or memory does not
necessarily represent actual awareness with recall during the surgical
procedure.
- Some
procedures are performed under local or regional anesthesia with modest
levels of sedation. In these circumstances, deep unconsciousness is not
intended, and patients will predictably have varying levels of recall of
events and surroundings without experiencing surgical pain. Your
anesthesiologist will clearly explain exactly what you should expect to
experience.
- Intraoperative
awareness can occur in high-risk surgeries such as trauma and cardiac
surgery, when the patient’s condition may not allow for the usual dose of
anesthetic drugs to be given. In those instances, the anesthesiologist
will weigh the potential for awareness against the need to guard the
patient’s life or safety. The same is true during a delivery by cesarean
section, particularly if it is an emergency delivery. The usual doses of
anesthetic drugs may not be the safest for the mother or child.
- Research
shows early counseling after an episode of awareness is vital to lessen
feelings of confusion, stress, or trauma associated with the experience.
Alert your health care team as soon possible if you feel you had an
episode of anesthesia awareness.
- Patients
should talk with their anesthesiologist before surgery to discuss all of
their concerns, including the remote possibility of awareness during
surgery. These physicians work to ensure the best possible care of
patients in the operating room.” (lifelinetomodernmedicine.org, 2012)
It is okay to be afraid before surgery, just make sure
you are informed. Talk to your Doctor, talk to other people, maybe do some
research on the internet(this is not always a great thing, my Doctor banned me
from internet research for awhile. If you are going to look online look somewhere
reputable like the Mayo Clinic).
For me my other big fear was not waking up PERIOD. I am
not so much afraid of death or the afterlife but I am/was afraid of leaving my
child with no parent. His father is already gone. I can’t be gone too. I need
to live long and have some grand babies!!!
Not much whimsy in
Agoraphobia Gurl today, I apologize. Today is Holly’s surgery. I know with
every fiber of my being she is going to be fine. I know this surgery is going
to make her better and stronger. It is just hard when she is scared and vulnerable.
I know she was having second thoughts last night, and I understand. So today I
sit and wait for the phone call telling me she is okay, and then I can breathe
again…
Love and Light!
Be
who you are and say what you feel because those who mind don't matter and those
who matter don't mind.
- Dr. Seuss
Reference
Q&A:
Anesthesia Awareness During
Surgery retrieved from:
www.lifelinetomodernmedicine.com/anesthesia-topics/qa-anesthesia-awareness-during-surgery.aspx
- 27k - 2012-03-20
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