Okay so I have been considering getting a BTL for a long time, but beng the typical control freak I want it done my way lol. well as far as the anesthesia goes.
So I have been told I HAVE to have a general, this does not make sense to me and the only reason I can come up with is that the recovery would take longer in the OP setting with a spinal/epidural.
So what I want is some information regarding the risks vs. benefits of general vs. regional specific for a BTL. That I can use to persuade a doc with lol. And if I am wrong and there is some MEDICAL reason for having to have a general I want to know that too.
Have any of you ever seen a BTL done this way? Any reason you would or would not suggest it?
Thanks in advance.
(hope this doesn't fall under trolling for healthcare, I really am just looking for education but let me know if you feel this is out of line)
For the original Poster in reference to the anesthesia for BTL. If the procedure is laparascopic there are concerns about airway if they are insufflating the abdomen. So, many anesthesia providers want the pt intubated. Also, it is not uncommon to have such steep trendelenburg that the pt is almost standing on their head. I do not think I would like to be awake and be in that position! Like others have mentioned post partum tubal ligations are much quicker and easier for the surgeon as the structures are still enlarged and easier to access and can be done under a spinal without difficulty and from what I have seen are not laparascopic.
The IUDs are highly effective. However, my wife became pregnant with our daughter while having the Copper T IUD. Less than 1% chance of getting pregnant and we have a beautiful 3 year old to prove that statistic to be true! :)
I think you underestimate the ignorance of the general public. She knew they were tying her tubes, they would give her medicine so it wouldn't hurt, and it wasn't 100% foolproof. Exactly... thank you :)I didn't see where she said she didn't know if it was laparoscopic or open, and for the average person, a lap tubal versus a postpartum tubal with a small incision pretty much amounts to the same thing anyway. yeah, when you don't know whats what in terms of the medical feild... She says "I don't know what they did to me" as far as anesthesia, but really, would she know if they'd given her gas or just put O2 on her face? Or what they gave her IV? She's a medical assistant, not an OR nurse, she'd just had a baby, and she trusted the doc. She probably was not in a position to remember every detail of the consent form.No way, I just wanted it overwith, and I had what I really wanted, a GIRL after having two boys, so I said GO FOR IT :)
Thanks for seeing things from the general public/medical assistant (who actually had not even had too much schooling anyways when my daughter was born) and not just from the nurse perspective...yes all I was doing was trying to share my story... Oh well.
She says "I don't know what they did to me" as far as anesthesia, but really, would she know if they'd given her gas or just put O2 on her face? Or what they gave her IV? She's a medical assistant, not an OR nurse, she'd just had a baby, and she trusted the doc. She probably was not in a position to remember every detail of the consent form.
London88
301 Posts
For the original Poster in reference to the anesthesia for BTL. If the procedure is laparascopic there are concerns about airway if they are insufflating the abdomen. So, many anesthesia providers want the pt intubated. Also, it is not uncommon to have such steep trendelenburg that the pt is almost standing on their head. I do not think I would like to be awake and be in that position! Like others have mentioned post partum tubal ligations are much quicker and easier for the surgeon as the structures are still enlarged and easier to access and can be done under a spinal without difficulty and from what I have seen are not laparascopic.