procedural sedation

Specialties CRNA

Published

Are any of you out there involved in providing "conscious sedation," or "procedural sedation?"

If so, in what setting?

Any guidelines or tips from your experiences?

Thanks

Nrw,

no, MS isn't restricted to termial pts. Where'd you hear that from? It's used in the PACU all the time, but it's not as common as Dilaudid. Who ever told you that has been misinformed. Now, i'm sure it used often in termial pts. but not restricted to them.

Brett

I am not really sure how to ask for it to be honest. Should I just tell them I am nervous about it and would like to know if there is anything that would help calm my nerves? I mean I am afraid they will say something about how I did not need it before and how I should know what to expect.

Nick

You can tell them you have asked around and that based on your horrible experience you were to ask if they would give you a little Versed. JUst like that, keep it short and sweet and just look at them nicely and wait for their answer. Let them just answer that. Ok, so you didnt have it before. You had a terrible experience. So the only thing you know to expect is another bad experience. Chances are that it WONT be as bad but nonetheless you want something to calm your nerves and it is your job to ask for it or at least know why they wont give you something. Good luck and let me know how it goes.

nrw,

It doesn't matter that you didn't need it in the past. Just tell them, you're nervous b\c of a previous bad experience. Like Rhon1911 said, ask for some Versed. They probably will give that to you anyway, but may not. Around her all the oral surgeons do their CS w\Versed and Demerol. Maybe ask them if you could have some ativan before the CS. Although they might not want to give that to you. All you can do is ask. And don't feel like you're being annoying or silly because your not. There's not a dumb question or a reason to feel silly when it comes to you having a procedure.

Brett

Well,

I am going to be brave this time. I am not going to have the iv sedation for getting these teeth out tomorrow. Two of the reasons for this is money (and the lack thereof for me), and the desire to drive myself home. I may ask for the gas though. I just hope all goes well.

Nick

Nick:

never underestimate the power of nitros oxide and a good local anesthetic. Fast on, fast off; very effective. With the advantage that you could most likely drive yourself home.

Good luck with your teeth.

Thanks BRobinson. The only problem I have with it is when I get very scared/tense or feel a lot of pain. Because in an attempt to brace myself for it I dont breathe. Which defeats the purpose. It is now 1.5 hrs before my appointment. Thanks to all for your help.

Nick

I just got back from the oral surgeon. Turns out 3 were in need of coming out. They had to put me to sleep for it too because they had to be roto-rotered out. I just took a lortab 7.5mg for pain. So in a while, I should be back out again.

Nick

Well folks, chock another excellent visit up to my oral surgeon and his assistants. My oral surgeon is the one who administered the sedation to me. Its amazing, this time I dont remember falling asleep---- the past expereinces I remember going out.

Nick

PS: I heard them talking about valium, so I know that used that on me, but what else I do not know.

Versed is similar to valium, just a little tidbit

brett

I tell you folks, I have learned more since joining allnurses.com than I have in a very veyr long time---- at least since my ride-along with the paramedics.

Thanks all,

Nick

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