Quake3World

When I got my teeth yanked all I got was some laughing gas. That stuff was wacky.

Denz wrote:

saturn wrote: So people in narcose don't have REM-sleep, since their brains are put to low state.

That's prolly why drunks when they pass out and wake up, they feel like they never went to sleep.

that explains why it feels like i haven't slept in a week... :\

SplishSplash wrote:

Deji wrote:Why unconscious anyway? When they pulled my tooth, they only did a local anaesthesia.

They gave me the choice. I chose not to experience the whole ordeal, and I was pretty happy about that decision later on.

Also, it was 4 teeth, not just one.

wimp. i had 4 pulled in one sitting with just the injections at the jaw.

It depends. They had to go digging for my wisdom teeth, 'cos they were forging off into the uncharted territories below the gumline....

All four at once eh? Christ.

A dentist got arrested because he sedated his patients and inserted his penis in their mouth afterwards.

Some people just can't take a joke

Once I got it in my gums, but that hurt like hell, and really hate needles. The next time I was there they used some lotion thingy they rubbed on my gums and then gave me the same needle. Much better =)

MaCaBr3 wrote:A dentist got arrested because he sedated his patients and inserted his penis in their mouth afterwards.

:lol::lol::lol::paranoid:

MaCaBr3 wrote:A dentist got arrested because he sedated his patients and inserted his penis in their mouth afterwards.

Do you still see him?

Denz wrote:I would like to see the look on the patience face after an injection of H²SO

:icon28: --------

What's sulfuric acid gonna do?

Geebs wrote:

saturn wrote:

Denz wrote:Do you make your patients count backwards?

nope, I just talk to them slowly and softly about thinking about relaxing things

Shit, if you did that to me you'd need to double the dose

Do they do a full induction for dental work? I thought they just went for sedation and then local. In which case it'd be midazolam, which seems to take about 10 seconds.

Then again, as you can tell, I just knock people out for fracture and dislocation reductions, my anaesthetics is pretty damn weak.

I can have a soothing voice

At the daycare operation rooms (whatever you NHS brits call it) the dental surgeons do some extractions under full narcose.

How much midazolam do you use? The only time I saw anesthesiologists use intravenous midazolam, was at the thoracic surgery centre. I think they injected around 10 mg which worked even more quickly than propofol. Then they were connected to a continuous midazolam infusion.

i bet splishs' excitment/ agitation and bird- like flutteryness(hehe) accellerated the uptake of the shot

It just amazed me that it knocked me clean out. It really took only a couple seconds.

I wouldn't have thought that the blood goes around in my body that fast.

When I got gassed it took about 3 or 4 breaths before I was whacked. I didn't fall asleep or anything but I definately wouldn't say I was in an aware state.

saturn wrote:

Geebs wrote:

saturn wrote: nope, I just talk to them slowly and softly about thinking about relaxing things

Shit, if you did that to me you'd need to double the dose

Do they do a full induction for dental work? I thought they just went for sedation and then local. In which case it'd be midazolam, which seems to take about 10 seconds.

Then again, as you can tell, I just knock people out for fracture and dislocation reductions, my anaesthetics is pretty damn weak.

I can have a soothing voice

At the daycare operation rooms (whatever you NHS brits call it) the dental surgeons do some extractions under full narcose.

How much midazolam do you use? The only time I saw anesthesiologists use intravenous midazolam, was at the thoracic surgery centre. I think they injected around 10 mg which worked even more quickly than propofol. Then they were connected to a continuous midazolam infusion.

My dad is on continuous midazolam. I thought 3,5 ml an hour. Has been like that for a while.

saturn wrote:How much midazolam do you use? The only time I saw anesthesiologists use intravenous midazolam, was at the thoracic surgery centre. I think they injected around 10 mg which worked even more quickly than propofol. Then they were connected to a continuous midazolam infusion.

I just titrate according to response; start with 2 or 3 mg, then work up, but you don't want to give more than 10 in one go. If I'm pulling shoulders or fractures, I tend to shoot them up on 50mg pethidine first - gives some more muscle relaxation, and means you don't have to use as much midazolam. The more relaxed they are, the less likely you are to break something. It's the only time I like to use pethidine, 'cos the whole point is that it wears off quickly; otherwise, I hate the stuff.

If you're doing a shoulder and you still can't get it in on 10mg midazolam, it's time to get the orthos on and do it in theatre. Last guy I couldn't do needed an open reduction.....

Survivor wrote:My dad is on continuous midazolam. I thought 3,5 ml an hour. Has been like that for a while.

Crikes, I take it that he's not too well. Sorry to hear about that.

Geebs wrote:

Survivor wrote:My dad is on continuous midazolam. I thought 3,5 ml an hour. Has been like that for a while.

Crikes, I take it that he's not too well. Sorry to hear about that.

2 months on intensive care. Stabile critical was the term used for one and a half month but he still isn't out of the woods yet.
He woke up monday after they suddenly cut his dormicum. Can't talk due to a breathingaid in his throath. Now he misses 2 months of his life and can't ask questions. You can see it in his face.

Jesus that's awful.

Survivor wrote:

Geebs wrote:

Survivor wrote:My dad is on continuous midazolam. I thought 3,5 ml an hour. Has been like that for a while.

Crikes, I take it that he's not too well. Sorry to hear about that.

2 months on intensive care. Stabile critical was the term used for one and a half month but he still isn't out of the woods yet.
He woke up monday after they suddenly cut his dormicum. Can't talk due to a breathingaid in his throath. Now he misses 2 months of his life and can't ask questions. You can see it in his face.

I've worked a while on intensive care, pretty shite environment for patients, too much going around them, always noise and lights.

I hope he'll recover finely, 2 months sedation isn't just something.

Geebs wrote:

saturn wrote:How much midazolam do you use? The only time I saw anesthesiologists use intravenous midazolam, was at the thoracic surgery centre. I think they injected around 10 mg which worked even more quickly than propofol. Then they were connected to a continuous midazolam infusion.

I just titrate according to response; start with 2 or 3 mg, then work up, but you don't want to give more than 10 in one go. If I'm pulling shoulders or fractures, I tend to shoot them up on 50mg pethidine first - gives some more muscle relaxation, and means you don't have to use as much midazolam. The more relaxed they are, the less likely you are to break something. It's the only time I like to use pethidine, 'cos the whole point is that it wears off quickly; otherwise, I hate the stuff.

If you're doing a shoulder and you still can't get it in on 10mg midazolam, it's time to get the orthos on and do it in theatre. Last guy I couldn't do needed an open reduction.....

rofl, the only time I've ever used pethidine was for pregnant women with intense labour pain.

i must admit, I've never pulled a shoulder or fracture.....that'll be fun in the future when i'm doing ER shifts

It's all about the traction. Most of the different manoevres are to some extent a bit bullshit; or at least, they don't work unless you've got everything nicely relaxed and given a good couple of minutes' pull.

Generally speaking, we only get the anaesthetists in the ER either when someone's come in in respiratory failure and needs ventilatory support (most of them don't get it on the basis that they've got chronic respiratory failure and they'd never get weaned off), or during the trauma calls, when it's extremely helpful to have someone who knows what they're doing at the head end, because they can usually stop the orthopedic registrar from doing anything particularly stupid

DRuM wrote:

MaCaBr3 wrote:A dentist got arrested because he sedated his patients and inserted his penis in their mouth afterwards.

Do you still see him?

:icon26: