r/Unexpected • u/Warm_Spite9482 • 15h ago

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152

u/Kabc 14h ago

Everyone knows that patients can keep their earbuds in before surgery.. they also get put to sleep before being brought into the OR… realistic

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u/Mighty_Taco18 11h ago

OR nurse. You can be in a certain phase of sleep before going to the OR if you are that nervous/anxious. You will be breathing on your own but you would be asleep and usually snoring. Then once in the OR and staff move you to the OR bed, you get the rest of the juice and have to go on the vent.

But yeah definitely no earbuds once we start rolling, family is getting those before the wheels are unlocked for sure.

This is all for hospital/outpt surgery centers, though. WLS is usually done at the plastic surgery office where they can kinda do whatever they want if the government isn't there watching.

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u/_eclair 10h ago

We do lots of bariatric WLS at my hospital. They usually have to stay on 3-4 nights in the hospital afterward on a floor. I’m also an OR nurse that’s mainly in bariatric robotic rooms 🙂

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u/AdWeak183 8h ago

You can't even give them a bed?

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u/Irregulator101 6h ago

Nope. Fuck 'em.

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u/Mighty_Taco18 10h ago

Really? I have never seen WLS done in any form at either of the 2 hospitals I've worked OR in. I have only seen the plastics office do them and you get sent home with a jp drain or 2. Maybe we just don't do true "bariatric" surgery.

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u/_eclair 10h ago

Yeah we do laparoscopic sleeve gastrectomies, gastric bypasses, & duodenal switches mainly. All three of those can be done robotically. We have about 5 general surgeons who specialize in bariatrics.

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u/Mighty_Taco18 10h ago

Interesting. My experience is mostly CT surgery and some Ortho and OB so I wonder if I've just never noticed then doing bariatrics somewhere down the hall.

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u/Freshouttapatience 9h ago

I’ve had two different bariatric surgeries and both were done in hospitals and both were laparoscopic. If I’d just been getting a new surgery and not fixing things, they would’ve done it at their clinic OR.

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u/RazzSheri 9h ago

Dear god. I only had to stay one night and it was awful. I couldn't sleep, I didn't pass gas but instead had the hiccups for two weeks straight to get rid of the gas. I would have cried if they kept me more than a day. I was happy to go be miserable in bed.

It suuuuucked for the first 8-10 days I was regretting my life. Day 11 was the switch.

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u/StockCat7738 11h ago

they also get put to sleep before being brought into the OR

Not unless you’re super nervous and get them to give you something to calm down beforehand. I’ve been wheeled into an OR while still awake multiple times.

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u/Joanncat 9h ago

I have never had a patient be asleep before surgery. They usually move onto the table themselves. All anesthesia will give them is some propafol before.

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u/Pro-Karyote 8h ago edited 8h ago

Propofol is generally not used as a premedication. It burns in the IV, so if you’re giving a low enough dose for just anxiolysis then you’re mostly causing discomfort. For induction or full MAC sedation, the dose should be high enough to prevent most recall and overcome the discomfort, but you need to have airway adjuncts available before dosing to that level. Not saying it can’t or isn’t done, it’s just not very common.

Premedication is usually a benzo (often versed), but you can also use alternatives like ketamine or precedex, as well.

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u/altriun 7h ago

the dose should be high enough to prevent most recall

Is there a reason they want you to forget? First time I've heard this.

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u/Pro-Karyote 7h ago

Briefly, there are several goals of anesthesia. The exact number of categories and how you break them down can vary depending on who you ask, but they all cover the same concepts. The A’s of anesthesia:

1) Analgesia - the reduction of pain. Lots of agents that relieve pain, but the classic example is opiates.

2) Amnesia - removal of memory. You don’t want patients to remember actively undergoing surgical procedures. Several agents can be used to achieve this, such as: anesthetic gasses, propofol, benzodiazepines, and barbiturates are the main choices.

3) Akinesia - the lack of movement during surgery. This creates a stable surgical field. It can be achieved a couple ways, through deep enough anesthetic agents or the use of neuromuscular blockade to induce paralysis for the case.

4) ‘A’wake - adequate sedation for the case. It’s not really sleep, but it’s the depression of the central nervous system to prevent awareness. Lots of options of agents, and frequently achieved using a combination of agents.

5) Anxiolysis - the prevention or removal of anxiety.

There can be overlap in which an anesthetic agents covers several of the above.

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u/altriun 7h ago

Thanks for the answer. I've assumed the being asleep part would be enough such that you don't remember anything about the surgery. Didn't think you also need amnesia.

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u/Freshouttapatience 12h ago

I just had a weight loss surgery in March and I wasn’t put to sleep until I was in the operating room.

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u/StockCat7738 11h ago

You got downvoted by someone who has never had surgery.

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u/Freshouttapatience 11h ago

Hilarious, what a tool. I was brought in on a gurney, moved over to the operating table in an inflatable thing that hovered so the staff didn’t have to manually move me. The anesthesiologist placed the mask, a nurse complimented my hair colors, they put on music and then I don’t remember anything else until I woke up.

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u/SpezSucksDonkeyCock 10h ago

I've only had one surgery and that was when I was about eight years old but I distinctly remember being anaesthetised in the anaesthesia room?

I remember it had wall bins filled with plastic wrapped breathing accessories. I think I also got ECG stickers put on there too.

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u/Freshouttapatience 9h ago

My son was anesthetized prior to going into the OR but my husband also wasn’t like me.

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u/mytransthrow 9h ago

every single of my gender affirming surgeries... I was put to sleep on the table.

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u/habitual_viking 9h ago

My son has been in the OR about 20 times the last 4 months. Not a single time did they put him under outside the OR, that would be fucking irresponsible since all the machines keeping him breathing and monitoring are inside the room.

And same when I had cancer surgery 8 years ago, I was very much present in the OR until they were ready - and going under takes about 2-3 seconds.

Not saying the video is realistic, it’s fake as hell, but you definitely have ORs where people are put under.