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"When Anesthesia Fails" on Discovery Health Channel

Posted

Did anyone see this show on DHC? It premiered tonight at 10pm (I am just watching it now). I think the woman they focused on is the author of "Silenced Screams". The concept of anesthesia awareness intrigues me. Are they touching on this in NA education?

LilRedRN1973

Specializes in ICU, psych, corrections. Has 8 years experience.

I'm watching it as we speak. I'm a horrified at the possibility that this occurs. I can't imagine anything more terrifying than what these people went through.

I am interrested in this topic due to some recent surgery I had anyone have any info on where I can read about this?

Originally posted by angelbear

I am interrested in this topic due to some recent surgery I had anyone have any info on where I can read about this?

Google "anesthesia awareness" also go to AANA they have the book I mentioned listed.

Originally posted by RNnTraining1973

I'm watching it as we speak. I'm a horrified at the possibility that this occurs. I can't imagine anything more terrifying than what these people went through.

Yeah it sounds pretty awful. I hope the BIS system will make this occur less frequently.

Something similair ...(unfortunately..I only saw beginning of program.......BUT I remember when I had my gastric-bypass...I woke up DURING surgery...I did not feel anything THANK GOD...but just the fact that I could hear the doctors and nurses..talking...and I guess I was also shaking my head "no"...and heard them laughing..."ummm she is shaking her head no...we'd better quit..."Don't get me wrong..I am not mad..to this day scares the "heebie-jeebies"outta of me.:eek: :eek: :eek:

To the Anesthesia providers hanging out here.

If a patient wakes up, how would you handle that? I mean, in the middle of a procedure they just wake up. Is their a particular drug you would use to rapidly reinduce the anesthesia?

Just wondering on this one. I broached the subject with a MDA one day and I was told that HIS patients NEVER wake up so he didn't have to worry about that.

While that may be true, I would like to know that HE know's how to handle it.

And being the great bunch of people we have that hang around here... I'm sure you all DO!

-Dave

A CRNA friend of mine just sent me a copy of the book "Silenced Screams"...a very interesting read as I will be starting clinical in January. Too bad I missed the special on TV...

LilgirlRN, ADN, RN

Specializes in ED staff.

I woke up briefly when I was having my tubes tied, I can just remember seeing my doctor with the mask on her face and her telling me to put my butt back down on the table. Not sure what I was doing. Then they gave me something else and out I went.

the quickest way i know of to put the patient out again would be another dose of induction agent, propofol or pentathol.

To those who missed the broadcast, it will be one again. It's been on multiple times in the past. Keep watching the program guide or go to their website for more info.

This happened to my mother. She could feel and hear, but not move or open her eyes.

The anethesiologist/anesthetist (don't know which) was able to tell by the change in V/S. My mother says she was terrified and in agony. They were able to put her back under quickly, thank goodness. This was years ago, but my mom is still very freaked out about it.

Qwiigley, CRNA

Specializes in Nurse Anesthetist. Has 11 years experience.

You will find when you start doing your clinicals that people are not something you can use one specific recipe with to do their anesthesia. Yes, you want them deep, but not too deep. In the case of the tubes being tied, most surgeons do this procedure in 7-10 min. If we were to give the woman too much paralytic/induction agent, then we'll all stand around the pt for a half an hour for her to wake up. In this case the anesthesia provider most likely induced with propofol and mivacron. Mivacron is table glue that wears off quickly. The propofol dose chosen most likely gave her enough "sleep" to be intubated (these are done lap), but either the surgeon was slow or the woman's liver function is fast. All possibilities and more.

The BIS can be useful, but not too many people use them. Most people play with them, but still watch their pt's VS and background knowledge of pharmacology.

I saw it. The program didn't make a single mention of nurse anesthetists!! So for all you practicing SRNA's/CRNA's out there, why do you think the BIS monitor is not used more often?

deepz

Specializes in Anesthesia.

Originally posted by EmeraldNYL

......why do you think the BIS monitor is not used more often?

Aspect Medical, makers of the original BIS, seem to be pushing awareness as a national topic of discussion for their own purposes, i.e. $$$. They assert that recall occurs 200,000 times a year in the US. I don't think so, or I'd have seen it many, many times in my almost forty years as a gaspasser. Lurid claims make for headlines; headlines raise awareness (!!) and raise hackles and raise bottom line revenues for Aspect Medical.

BTW I use the BIS almost daily. Great device.

deepz

Originally posted by deepz

Aspect Medical, makers of the original BIS, seem to be pushing awareness as a national topic of discussion for their own purposes, i.e. $$$. They assert that recall occurs 200,000 times a year in the US. I don't think so, or I'd have seen it many, many times in my almost forty years as a gaspasser. Lurid claims make for headlines; headlines raise awareness (!!) and raise hackles and raise bottom line revenues for Aspect Medical.

BTW I use the BIS almost daily. Great device.

deepz

I finally had a chance to watch this program, and this post explained a lot.

I guess the old saying, "Follow the Money," is true.

So, thanks.;)

Originally posted by lizz

I finally had a chance to watch this program, and this post explained a lot.

I guess the old saying, "Follow the Money," is true.

So, thanks.;)

Well they should be used all the time I think. I know I would want one if I was having surgery. Of course what you are saying is this is akin to open free marketing like the commercials that say ask your doctot is -------pill is right for you.

I can see that too

Originally posted by CCU NRS

Well they should be used all the time I think. I know I would want one if I was having surgery. Of course what you are saying is this is akin to open free marketing like the commercials that say ask your doctot is -------pill is right for you.

I can see that too

I agree. I'll defer to deepz when he says it's a great machine.

It's just that the program only briefly mentions that awareness is rare, and you'd really have to listen carefully to catch that.

The vast majority of the program focuses upon the victims, so people could easily have the impression that this happens all the time when, apparently, it doesn't.

The victim cases were kinda old too, one of them going back 40 years. The others were 9 and 13 years ago.

That's why the commercial angle made more sense to me, in that some company was probably pushing the idea that awareness is a major problem, when it's probably not.

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