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Whosthedaddy |
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Whosthedaddy Super Spammer
Joined: 11 Dec 2005 Karma :
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Posted: 10:20 - 01 Jan 2007 Post subject: |
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Stick wrote: | who'sthedaddy....
I have to ask how long ago the procedure you describe took place? It's very off putting and not at all what I experienced?! |
I must admit its been a while since I've seen and assisted with one, but practices dont change, maybe in different NHS trusts polices are different?
Quote: | Had mine few years ago and was sedated, was not awake to swallow tube (having ripped camera out and punched doctor whilst they tried to do it awake, against my wishes.......just a reaction and the guy who did it was a tosser and very nasty). |
You were awake, you would have been given midazolam or diazepam to sedate you enough to allow for the procedure to be carried out.
Being awake, its hard to suppress the gag reflex (eh ladies ) so the use of lidocaine spray and sedative akes you more amenable to swallow the scope. On the converse to this, its even harder to shove a scope down someones throat correctly if they are fully anaethesatised. You cannot have a full GA as you have an unsecure airway and with the scope in the stomach, the risk of aspiration is huge so a LA is given.
Believe me, assertiveness is needed in most things that involve doing something to them that someone finds displeasing.
Quote: | I dont remember a thing about it and didnt feel dozy at all afterwards? I have few vague memories about the procedure but nothing really concrete that I remember about it? |
This makes me sure that you were given midazolam as its side effects include amnesia, hence has been used as a date rape drug. ____________________ Current : MSX 125 Past : CBR 900RR Monkeybike : c50 LAC : ZXR750 H2 : FZR600 : ZX7R P3 : YW100 : TRX850: Trophy 900 T309 : GSXR 600 L0: Monkeybike : XJ6S Whosthedaddy |
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Kickstart |
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Kickstart The Oracle
Joined: 04 Feb 2002 Karma :
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Whosthedaddy |
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Whosthedaddy Super Spammer
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Kickstart |
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Kickstart The Oracle
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Whosthedaddy |
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Whosthedaddy Super Spammer
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Posted: 13:13 - 01 Jan 2007 Post subject: |
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I gag just by sticking my tongue out too far, I dont think I'd manage too well ____________________ Current : MSX 125 Past : CBR 900RR Monkeybike : c50 LAC : ZXR750 H2 : FZR600 : ZX7R P3 : YW100 : TRX850: Trophy 900 T309 : GSXR 600 L0: Monkeybike : XJ6S Whosthedaddy |
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syl |
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syl World Chat Champion
Joined: 05 Dec 2005 Karma :
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Posted: 13:34 - 01 Jan 2007 Post subject: |
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For an upper-GI endoscopy (may also be called an OGD, oesophago-gastro-duodenoscopy or simply a gastroscopy) it can be done wide awake, with a topical anaesthetic to numb the throat, or under a sedative. In my experience about 80% of patients have their throat sprayed and 20% have sedation. Patients that are sedated occasionally struggle a bit more but don't remember it afterwards (it's a bit like being drunk). On average the whole process of coming into the room, hearing about the procedure, signing the consent form, having your throat sprayed (or a cannula in your arm for the sedative), having the test, being told about what was found (if you're not sedated) and going out again takes less than 15 minutes. I've got 3 hours to do 12 and that includes writing the reports, teaching the medical students (explaining what's going on and quizzing them, not letting them have a go ) and having the odd mug of coffee. You will probably have the camera down your throat for less than 5 minutes even if any biopsies (completely painless) are taken.
In extreme circumstances it can be done under general anaesthetic however this involves the whole anaesthetic pre-assessment, possibly blood tests and X-rays, a trip to an operating theatre, intubation and ventilation and potentially an overnight stay. This is obviously much more expensive and also more risky. It's done this way in less than 1% of cases and usually only if an additional procedure is going to be carried out. For a routine OGD it would only be done under GA if it had failed under sedation.
If I were having it done, I would just have my throat sprayed. Endoscopies at the other end are a bit different. For a flexible sigmoidoscopy (half-way round) no sedation is given but for a colonoscopy (all the way round) sedation +/- analgesia is routine. ____________________ Current bike: Kawasaki Z750S |
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Old Thread Alert!
The last post was made 17 years, 120 days ago. Instead of replying here, would creating a new thread be more useful? |
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