Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I may have an upcoming procedure in which I am requesting a…

I may have an upcoming...
I may have an upcoming procedure in which I am requesting a spinal block instead of general anesthesia. I am reading that now a days they use Versed in combination with spinal block to relax you. When I had my children and they didn't use this only spinal. What happens if you throw up from versed or have some other reaction? How do you even sit up to throw up when I won't be able to feel my legs? This is very scary thought.
Show More
Show Less
Ask Your Own Medical Question
Answered in 2 minutes by:
3/18/2018
Connie Pennington
Category: Medical
Satisfied Customers: 233
Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC
Verified

Hello, I am Dr. Pennington. I am a surgeon. I would like to help.

What type of procedure are you having?

Ask Your Own Medical Question
Customer reply replied 1 month ago
I am having a uterine polyp removed. My dr. says it is only a 45 minute procedure. I really don't want to go under general anesthesia with intubation, so I am requesting a spinal block. I am on a calcium channel blocker and my concern with spinal and versed combo that my bp may go too low. Also I have never been under any anesthesia, but am sensitive to sedatives. My brothers and sister throw up when they do versed. I am concerned I will too. I just talked to a friend of mine who had a meniscus repair and they told him his procedure was so short that he could only do general anesthesia. They told him that the spinal would take long to wear off with such a short procedure and he would be better off with anesthesia. Hopefully this will not be my case. I have a small throat and tmj. I was also told by an ENT dr. that I may have difficult intubation due to a short distance from chin to neck and just the way my mouth is structured. When I go to the dentist I have trouble keeping my mouth opened and mouth doesn't open very wide because of the tmj. The dentist has to use pediatric xrays and I even gag on those. I know a lot going on. I really would just want a spinal but no versed.

Good morning.

Honestly the easiest thing for you to do is propofol with an LMA. Propofol (diprovan) is the "***** ***** drug" and can be used as general or as MAC. For short procedures, it is ideal because it wears off so quickly that there is no hangover effect and we do not have to intubate your airway. A LMA (Laryngeal Mask Airway) slips in your mouth/throat to hold your airway open. It is considered a general when we do this, but it is extremely light. Also propofol does not cause nausea, if fact it is given for nausea. I have done hundreds of cases this way. We use propofol for colonoscopies with no LMA, and with an LMA for short surgeries. I think this would be the best option for a short case. You could do a spinal block if you like, but it may take a while to wear off. When we turn propofol off, it is off, people are awake, no nausea, no hangover effect.

Does that help?

Ask Your Own Medical Question
Customer reply replied 1 month ago
That does help. I was reading that propofol is really tricky because if too much is given or person isn't monitored correctly, there can be issues with breathing? Is it safe in your opinion? What different from this than general anesthesia? How come they don't use this for all surgeries?

Propofol is titrated to dose. It is given by an anesthesiologist or CRNA and is given by hand under direct observation (***** ***** drug) and only administered with enough to keep you slightly under. It is extremely safe because you have someone hand titrating it and you are in control of your own airway. I personally (as a surgeon) think it is perfect. You will be monitored as if under general anesthesia. It is totally safe, in safe hands (like our anesthesiologist). You breathe on your own, via an open airway or LMA. Surgery length dictates whether we use it or not. Short surgeries are perfect. Longer ones, not so ideal, but you can titrate for up to 12 hours ( we do that for trauma patients) but it is time consuming and requires ventilation and pumps. When someone is there hand administering it for short periods, it is perfect. I would ask for it! You will be fine. I trust it and use it every day.

Ask your anesthesiologist about propofol and a LMA. They will be impressed! Good luck!

Ask Your Own Medical Question
Customer reply replied 1 month ago
can you use propofol for surgeries such as gall bladder removal or is it only used more for procedural type of surgeries?

Quite useful for low pelvic work. Not gallbladder work. I am a colorectal surgeon, and its the only thing I use for colonoscopies (short) and hemorrhoidectomies (little longer). GYN's are the same, they love it. It is a "general" with an LMA and "local" without an LMA. For you it would be best used as a general with an LMA. It is that versatile. And no hangover. When it is off, it is off. Ask them NOT to give you versed. Perfect.

Ask Your Own Medical Question
Customer reply replied 1 month ago
Will the LMA open my mouth very wide? With TMJ that is a little challenging. I am wandering why my gyno didn't mention propofol to me.? She said I would require anesthesia with intubation. On another note, I was reading that in Europe they don't use sedation at all for colonoscopy, because it is so short. Is it possible to do a colonoscopy with nothing?

No an LMA will not open your mouth very wide. Yes, I have done colonoscopies with "nothing" but is is long, slow, and tedious with a pediatric scope. It is better and faster with propofol. Propofol can be a general with an LMA or intubation. Ask the anesthesiologist for an LMA. It's their choice. Intubation is not a bad thing. They are highly trained and use video scopes if needed to visualize everything. Try to trust them. They really know what they are doing, and are safe. The easiest way to get your case cancelled is to argue with your surgeon and anesthesiologist. W really know how to do this best. Try not to worry. I know it is hard. I want you to have a perfect surgery with excellent results. Try not to worry, and trust the process. Do not be afraid. You will be ok. We are highly trained professionals who do this every day.

I hope that helps.

Ask Your Own Medical Question
Customer reply replied 1 month ago
ok. Thx. I will try to trust. I read horror stories on the internet such as what happened with Joan Rivers and then I start to over think.

Oh my gosh, I know. I know. I agree with your concern. Just politely ask the anesthesiologist if propofol and an LMA is an option. It is safe. Intubation is safe. I have witnessed it for over 25 years.

You need the polyp out. It will be over in less than an hour.

You will be home safe. Really.

I wish you the very best!

Ask Your Own Medical Question
Customer reply replied 1 month ago
I think my biggest concern is I have chronic Epstein barr and have goofy symptoms and reactions that drs can't explain. I also have very strange sleep disorders so I have been really scared of going under since I have never done this before, not sure how I will react.

I understand. It is common to feel this way. I can say that I believe propofol is one of the safest drugs out there. Each individual is given only what they need. I really think you will be fine. I personally think a spinal block is undesirable but I guess people ask for them so they can "be awake" as if that affords some kind of control. I personally would not want to be awake for a procedure and I believe it creates anxiety for the patient because the OR environment is a lot to take in. I wish you the very best of luck. If you have EBV, read Medical Medium's work. It's pretty interesting. A food based diet to rid the body of heavy metals and viruses is awesome. Good luck to you!

Ask Your Own Medical Question
Customer reply replied 1 month ago
Thanks for all the information. It has been very helpful. Does Propofol paralyze the muscles like general anesthesia does?
Customer reply replied 1 month ago
I was reading on Web MD that Propofol has a little room for error on the part of the person doing the administering and monitoring. It said that blood pressure can drop and breathing can stop and that heart has to be monitored minute by minute and beat by beat. Sounds scary.

Propofol can use used in low doses as MAC or high does as general. Its that versatile. We monitor everyone! Carefully.

Perhaps a pre- anesthesia appointment would help ease your mind. Sit down and talk to them.

I hope that helps. We work only for stars, so please rate this question if it was helpful. Thank you.

Connie Pennington
Category: Medical
Satisfied Customers: 233
Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC
Verified
Connie Pennington and 87 other Medical Specialists are ready to help you
Ask your own question now
Was this answer helpful?
Ask Connie Pennington Your Own Question
Connie Pennington
Connie Pennington
Connie Pennington
Category: Medical
Satisfied Customers: 233
233 Satisfied Customers
Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC

Connie Pennington is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
What is the best blood pressure for an 80 year woman that is
What is the best blood pressure for an 80 year woman that is still very active and walks about two miles - three times a week? … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
70 satisfied customers
Having an issue with my blood pressure. Not on any
had a full physical about a year ago all was fine around 140 went to dentist today 171 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,321 satisfied customers
Is there a fee to answer my? High blood pressure. given
high blood pressure. given linsendopil htzc 5mg then narvasc 5mg did not take either cause of bad side effects anything better safer side effects. … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
804 satisfied customers
Dizzy- taking blood pressure medication (Lisinopril) but
Dizzy- taking blood pressure medication (Lisinopril) but today blood pressure is erratic - running 83/60 and 84/62 with a fast pulse(98). Have been on medication for almost two months- dizzyness has i… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,746 satisfied customers
On Blood Pressure What is to low Mine is 94 / 54. No
No medication for this. I started Levaquin today but blood was low before medication started. … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,321 satisfied customers
I took a blood pressure reading at a local pharmacy
I took a blood pressure reading at a local pharmacy (machine) and the average came out to be 173/43 which sounds strange. Is this reading very bad, okay, or good? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
My blood pressure is 155/80 is that enough to be worried
My blood pressure is 155/80 is that enough to be worried about? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,489 satisfied customers
My doctor prescribed amlodipine besylate for blood pressure
My doctor prescribed amlodipine besylate for blood pressure the other day. I regularly take nadolol 80mg for A-fib and Losartan potassium for blood pressure. I took my first dose of amlodipine besylat… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,790 satisfied customers
How much blood pressure is the quality of the heart attack
How much blood pressure is the quality of the heart attack and decrease in the hour of injury… read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
574 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I take clonidine and metoprolol for high blood pressure and
I take clonidine and metoprolol for high blood pressure and spells of racing heart beats,should I feel so bad all the time, and can not sleep but very little?.the medicine seems too work but feel bad.… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
My blood pressure is registering the following readings:
My blood pressure is registering the following readings: … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
What is the best exercise for lowering blood pressure.
what is the best exercise for lowering blood pressure … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
14,592 satisfied customers
What is the best exercise for lowering blood pressure.
what is the best exercise for lowering blood pressure … read more
Doctor Jennifer
Doctor Jennifer
Surgery Fellow
MD
103 satisfied customers
What is the best exercise for lowering blood pressure.
what is the best exercise for lowering blood pressure … read more
Doctor Jennifer
Doctor Jennifer
Surgery Fellow
MD
103 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
804 satisfied customers
Is it possible to have high blood pressure and it not be a
is it possible to have high blood pressure and it not be a problem? … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,321 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x