Hopefully this will bring a smile to you all...I had to share.
The other night I cared for a young guy in our ICU who had oral surgery and was going to be left intubated all night just in case the site swelled. He was calm and sedated all night on propofol. In the morning I was going to do his ABG and start a new IV and wanted to give him some of his prn Fentanyl beforehand to help keep him calm. I'm not sure if it was the Fentanyl or what...but seconds after giving it to him, his eyes popped wide open and he started dancing in the bed. Literally shaking his body all over, winking at us, and smiling. Then he stopped, pointed at me, and started doing pelvic thrusts. Pelvic thrusts!! Restrained, on the vent, and doing pelvic thrusts. I couldn't believe it I started laughing (but at the same time I was worried he would extubate himself!) He then ended up getting agitated and required some Versed.
In the morning, the oral surgeon came in and asked how he did all night. I told him about the dancing and thrusting and he smiled and without hesitation said "Well, I'll write you something prn for pelvic thrusts." I couldn't stop laughing.
