Doctor insights on:
Do You Talk Under Conscious Sedation For Colonoscopies
I had conscious sedation for a colonoscopy with fentanyl w/3 other drugs. I was never sedated. Cried in pain the entire procedure. Why didn't it work?
You might want: To ask the anesthesiologist this question. He would know the specific medications and amounts. ...Read more
Can u have a colonoscopy done with something other than general anesthesia? Such as conscious sedation?
Yes: And that may be sufficient. In my opinion, deep sedation and monitoring provided by an anesthesiologist is more comfortable, effective, efficient and safer paradigm. ...Read more
I have had 2 colonoscopies, 1 endoscopy, 1 liver biopsy, and conscious sedation did not work. I have a 3rd colonoscopy scheduled at end of month, wh?
Had a colonoscopy/endoscopy with conscious sedation (total 65 mg versed and 350 mcg fentanyl used): full memory, in extreme pain, traumatic. Normal?
65 mg of versed would kill you
not possible. ...Read more
Scheduled a colonoscopy. Chose twilight sedation. Gastro commented on patient that kept talking and had to sedate a lot, hard to wake up. Oversadation?
Anything possible: Some people react adversely or excessively to doses of sedatives that do not affect others. Have no idea what happened in the situation you describe. Ask the doctor. ...Read more
Proofol: Is probably the best, it wears completely off in very short time. Benzodiazepines and narcotics, even short-acting, have a residual effect making you drowsy and possibly sick for the rest of the day. Propofol is an antiemetic. But Propofol requires constant monitoring and special skills to administer to be as safe. ...Read more
Is concious sedetion for a colonoscopy not recommended for people w anxiety disorder? Full sedation best? Propofol?
At colonoscopy and after, BP 156/102. Is high sugar prep or that I missed 2 days of hctz (hydrochlorothiazide) 12.5 likelier cause? No sedation & not nervous.
No BP Rx: This blood pressure medicine wears of within 24 hrs. That's why one must take it daily. Be sure the BP comes down once you are back on your rx. ...Read more
Get sedated: I usually recommend sedation for my colonoscopy patients. It makes it better/easier for both parties. Having said that, if you are strongly against sedation, here are a few general rules: it is more difficult to perform colonoscopies on thin females. The ideal candidate for unsedated colonoscopy is a short, slightly overweight male. ...Read more
I am having a colonoscopy and endoscopy on tuesday and would like no sedation. Is this possible? What are the risks?
Any procedure has: Risk. However, sedation for colonoscopy is considered to be light and low risk. There are anesthetic agentst that casue tachycardia like ketamine (less frequently used) that needs to be avoided. You need to know that you will be monitored and if your blood pressure or heart rate changes, all the necessary steps will be taken by the anesthesiologist. ...Read more
Dought effect!: There should be no relation between the two! ...Read more
Can sedation medication for a colonoscopy cause a migraine? If so is there any way to prevent it from happening?
Migraines: Typically patient's receiving sedation for colonoscopy receive either Midazolam (versed), fentanyl (sublimaze), or Propofol (diprivan) or a combination of the above. I am not aware of these medications typically precipitating migraines but the trigger's for migraines are multiple and could easily include not eating prior to your procedure or mild dehydration. ...Read more
Scheduling a colonoscopy. Never been sedated and nervous about it. Gastro likes to only do full sedation. Should I look at other options?
Full sedation: Makes it easier, faster and more pleasant. Make sure the medication is administered by a dedicated anesthesiologist and that you are given oxygen supplementation and have your vital signs monitored. If you prefer light sedation, tell your doctor, but he may be unable to do a complete exam if you are too uncomfortable. ...Read more
Gastro encouraging mac sedation for colonoscopy. Should I feel comfortable w him even tho I decided for twilight sedation as suggested by primary md?
Feel comfortable: The gastro specialist I am sure does the procedure often and is familiar with the type of sedation that would be safe. Feel comfortable and ask the docs why the have different opinions on the sedation. Best wishes. ...Read more
What are sedation drugs commonly used in colonoscopy? My BP dropped from 113/70 to 70/40 and nurse said I passed out. Is it likely due to drug reaction?
Need to make a decision: gastro suggest mac for colonoscopy, internist suggests consious sedation. Not sure what to do. Any thoughts?
Personal preference: Propofol, the michael jackson drug is frequently used by anesthesiologists working with gis. Allows for deeper sedation than conscious sedation. But it can also cost more and check with your insurer that they will cover it. When I had my colonoscopy I had propofol. As have a large number of other docs. ...Read more
Met with gastro. Suggests a colonoscopy. He only uses propofol as sedation administered by a nurse anesthesiologist. Should I be concerned?
Scope: Absolutley you should be concerned. Firstly why can he not do this without Propofol - using other IV agents? Secondly if he uses the crna who is the supervising anesthesiologist? Thirdly if there is no anesthesiologist and he is the supervising md then is he certified in bls and acls? ...Read more
Propofol (450 mg/ 30 min procedure)sedation at conception I had a colonoscopy at the time I ovulated and conceived. Should I be concerned?
My GI thinks that I have Crohn's disease so I am having a colonoscopy. What are the risks of perforation?? I'm only 20. Can I have it with no sedation
Colonoscopy: These days, colonoscopy is a very safe procedure. Colon perforation occurs in only 0.05% of the procedures, on average. Although it is possible to undergo a colonoscopy without sedation, it can be uncomfortable in that setting, and I don't recommend trying it. The sedation is very safe and easy. If your doctor think you may have Crohn's disease, you should not skip the procedure. Good luck. ...Read more
Does a sigmoidoscopy hurt? My doctor told me I won’t get any sedation for my sigmoidoscopy, but my friend had sedation for his colonoscopy. Does that mean a sigmoidscopy hurts less?
Less uncomfortable: Different patients have different perceptions of pain. That being said, a sigmoidoscopy is generally less uncomfortable because they insert the instrument not nearly as far as with a colonoscopy. Consequently, they don't have to expand the inside of your colon with as much air during sigmoidoscopy which is generally the uncomfortable part. Sigmoidoscopy is commonly performed without sedation. ...Read more
I'm fine w/having a colonoscopy, but highly motivated to avoid any sedation. I am female. Is this a realistic goal?
Talk to your doc: Cscope can be uncomfortable-lots of loops, twists and turns in 5'-6' of bowel. Most pts and mds prefer a relaxed, comfortable patient: relaxes the bowel, makes for an easier procedure. Need not be "knocked out", just comfortable. Rare patient asks for cold sober procedure; most don't repeat it that way. Would have IV access anyway, in case you want or need meds or fluids. ...Read more
What do I have to do to make sure that my colonoscopy is done without sedation? I have had a terrible experience/allergy.
I just had a colonoscopy done a few hours ago and I want to have a cigarette. Is it ok to do so? I was given propofol as sedation.
No problem: Smoking is never a good idea but there is no contraindication to smoke under your present circumstances ...Read more
Had colonoscopy today w/heavy sedation. Feel like I'm breathing a little heavy or cant get a good full breathe. Normal after sedation?
Interesting that you had a colonoscopy at such a young age. Were you having breathing problems before?
I would go to the emergency department and be evaluated. Your problems could be related to the procedure but also related to why you had the procedure. Do not wait and ignore it. ...Read more
On average how long does a colonoscopy and endoscopy done at the same time take? Will the sedation cause funny behavior after like anesthesia does?
Short sedation: EGD (upper endoscopy) can be as short as 5 minutes, with biposies most of them accopmlished in ~15 min. Colonoscopy takes longer, most fit in the timeframe of 20-40 minutes. The sedation used for the procedure is quite deep usually and approaches/equals Total Intravenous Anesthesia, TIVA. Due to nature of the drug (s) used the recovery may vary but usually is pretty fast and free of side effects. ...Read more
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