CRNA supervision by anesthia MD

thanks-redfaced and sweating was an accurate description, but the pain was preferable to getting so-called "conscious sedation" that I didn't consent to. Some patients like propofol; I hate it. I did my Ph.D. thesis on propofol, so I know a little about it...it's the creepiest most dysphoric sensation that I can imagine.........administered by someone whom you trust is one thing; when they try to administer a drug that you do not consent to-that's another...................

I wanted to reply to this old thread because I just got back from having my second ulnar nerve/trans CTR done and this time I was able to have the CRNA/MDA, no sedation, Bier Block only issues settled in advance. For the first operation, the MDA had a total hissy-fit when I told him that I didn't want sedation or GA and put this on the consent (my experience is that a verbal agreement means little); so my surgeon suggested skipping the MDA and going with the CRNA. Unlike the MDA, the CRNA had read my chart in advance and knew what I wanted and didn't want (sedation makes these procedures intolerable for me)......and we didn't have to argue about it, which would have raised my BP and made the block less effective. I though that the procedure went well; the CRNA mentioned that I must be uncomfortable since I was all sweaty, but that was by choice. In the RR, the surgeon ordered Toradol and before I could object, the CRNA said quite loudly: "no, he's not kidding about his allergies; the last time he got Toradol he ended up in the ER with a GI bleed and got IV H2-blockers"....I like that CRNA;I'm sending her a letter of appreciation, at least, even though she thinks that I'm nuts for declining the sedation.