one-day surgery and cpap

[louspeachy]

Yes, the incision split open, got infected and then I got a head to toe ITCHY body rash from the Sulfa drugs. I really AM hoping the great sleep I am getting now will help the incision heal more quickly. Back to work Monday.

Louise

[Randy32]

I had a hernia surgery back in JANUARY i thought i was gonna be an outpatient surgery but they told me to bring my cpap anyways and when i got there they told that i would not be going home that day but the DR ordered a 23 admission becuase of My OAD,OSA and poor circulation in my legs i sucked cause i did not get much sleep they had me on oxygen because the pain meds started to make my throat relax and close so they watched me very closely my pulmy told next time i need surgery i will have to be left in the ICU intubated for atleast 24 Hours

[codinqueen]

Yes, you definitely need your CPAP macine and supplies along with you for any surgical procedures where they will sedate you or knock you out. I had quick same day surgery in March where i had repair of a broken T11 vertebra. When I went to the ER after I broke my back, I didn't think about taking my CPAP with me because I was in so much pain, and had only been on CPAP back then a few weeks. The admitting Dr said I could go without it, but the anesthesiologist and nurse were both mad because my O2 saturations dropped to 83%post-op. Even though I told them I had OSA before they knocked me out, they seemed surprised when my sats fell and they had to put me on oxygen. My sleep Dr gave me royal He## because I didn't have it for those nights, and especially after my procedure when I was on some pretty strong pain meds Sleep Dr said always take it to hospital with you, as you never know when they will admit you overnight or need to sedate you or give you some heavy-duty pain control that could suppress your respiratory drive.
Good luck with your surgery! Get well soon!

[bayourest]

well I did not learn anything yesterday at the pre-surgery consult. The office is supposed to call to set up the date of the surgery today or Monday so I may know more then (no call today). I'll report back as soon as I get info. when the scheduler calls I plan to ask her about cpap and anesthesia. I am under the impression that I just get an iv (sort of like for a colonoscopy) for anesthesia for this procedure.

[Paper_Nanny]

I keep saying yes. Sorry, they won't do sedation with sleep apnea sufferers. (Apparently "sedation to make me drowsy" is closer to "knock out juice".) I imagine there's no way a CPAP can go into the MRI room because of the intense magnetic fields.

I had no idea the drowsy sedation was so close to the knock out juice! I would be hesitant to take my machine anywhere near an MRI. Course, I would be hesitant to take anything near one. ( I have a pacemaker, and I can't go near them.)

Prior to getting the pacer, I had numerous MRI's and never had a problem with the closed machine. The one time I had one in an open machine because of a scheduling problem, I was told later that the results were useless because the image quality is different enough between the two types of machines that results gotten from one can't be compared to results gotten from the other.

Deborah

[Ms Piggy]

I have taken my machine and mask to the hospital on 3 occasions for procedures that require anesthetic. the cpap equipment has just followed me around and NEVER been used, and by the time I wake up from surgery enough to be able to put it on myself it seemed a bit late to bother! You really need it after the anesthetic before you come round out of it, or at least that is my understanding of it. However they have just not bothered and I suspect this is because they don't seem to know much about it - although they should know. just my experience anyway.
I must say that I feel quite concerned about it though, any complaints I have ever made have not been properly addressed.

[xenablue]

I was told by the nurse at the clinic I go to for colonoscopies to absolutely bring my CPAP machine and gear. I probably wouldn't need it, but they wouldn't do the procedure without seeing I had my CPAP bag. As it turned out, I didn't need my it, but hubby had it with him and knew how to set it up for me if needed.

Obviously different doctors and hospitals have different procedures, but to be honest, I felt better knowing the clinic was making sure I was being given the best of care, and it really wasn't a big deal to take it with me.

Cheers,
xena

[codinqueen]

My sleep Dr said i needed to teach my hubby how to set it up in case I was ever indisposed and not able to give instructions, ESPECIALLY after surgery, even with IV sedation. I was given IV sedation for my back surgery after I broke that vertebra and it knocked me out cold.

[jbn3boys]

I head in tomorrow early afternoon for my carpal tunnel surgery. I guess I'll take my machine along with me, and hope I don't need it. I did find in the brochure they gave me that they do suggest bringing your cpap machine. I'll try to report back after surgery with whether I needed it or not.

[NoLegs]

I had three surgeries at two different hospitals last year and was told to bring my cpap just in case but I never used the cpap. First time was a 30 minute procedure and then I was woken up to go home so I was not there for that long. Second time the procedure was 60 minutes and I spent the night at the hospital. I am a quadriplegic with a paraplegic function and have bouts of autonomic dysreflexia everyday. I told the hospital nurse that scheduled the surgery about the cpap and the autonomic dysreflexia but they never told the anesthesiologist. I told the anesthesiologist about the cpap and the autonomic dysreflexia and freaked him out at the hospital. After surgery I was placed on a telemetry unit and hooked up oxygen, heart monitor, etc and was told I did not need the cpap. The last hospital I had a procedure the anesthesiologist did not want to give me any meds to relax me because of the cpap and the autonomic dysreflexia because he had never had any experience with autonomic dysreflexia and wanted to keep me as alert as possible so I could tell him when I was experiencing an episode. I was fully awake when they injected my eye with a local and proceeded to operate on my eye but all turned out great!

If you go to the hospital for any procedure you need to take your cpap because you never know if you need to stay over night. It is better to be safe than sorry!

[jbn3boys]

Carpal tunnel surgery is done. Typing one handed. Took CPAP along, but never used. Asked recovery nurse if I should bring it along for my next surgery (other wrist), and she said most bring it, but they never use them. She said I could leave it home. I'm close enough that if something came up and I had to stay overnight I would just have hubby go home to get it.

[bayourest]

I went in for pre-op testing today (one day surgery is scheduled for Tues) and on the history form they asked about apnea and cpap....so maybe it will be referred to by the nurse when she calls me. I'm not needing full anesthesia, just some local and some sedation but I would bet I bring it and it does not get used.....

[bayourest]

I had the call from the pre-op nurse. Despite the information I had provided on the hospital forms, she never asked about OSA etc. I volunteered that I have this condition and use cpap. I asked if I should bring it and she said no it was not necessary since I would not be staying overnight. This kind of fits with other reports that people bring it and it is not used.

[Pugsy]

I asked if I should bring it and she said no it was not necessary since I would not be staying overnight. This kind of fits with other reports that people bring it and it is not used.

I agree. For any very short periods of maybe napping with the IV sedation (I call it the I don't care what you do to me drug) a person is very closely monitored and likely also on additional O2 (they did with my colonoscopy) so not really much chance of real sleep anyway.

With my recent wrist surgery the anesthesologist who I met face to face at the pre admit thing explained why they always tell people to bring the cpap machine though don't use them except in very rare instances.

Number one reason.. Just in case a problem comes up with the I don't care what you do to me drug or any other drugs given and the patient ends up with a prolonged time (could just be a few hours) in hospital where real sleep is likely to occur. They just want to have quick access to use of cpap machine should patient stay involve sleep not directly monitored by a medical professional hovering over our face every second.

Another reason given in my situation. I was given (in addition to the I don't care drug) an infraclavicular nerve block.
Up in the shoulder area. Numbed the entire arm from shoulder down. He said sometimes there can be a little seepage of the numbing agent out into other nearby parts of the body.. throat and even nerves that go to diaphragm. This could potentially make OSA worse and in the event it happened and I happened to sleep more than is usual with the IV sedation they wanted quick access to my machine.

So chances of needing cpap machine after most out patient procedures are extremely rare.

[jbn3boys]

With my recent wrist surgery the anesthesologist who I met face to face at the pre admit thing explained why they always tell people to bring the cpap machine though don't use them except in very rare instances.

Number one reason.. Just in case a problem comes up with the I don't care what you do to me drug or any other drugs given and the patient ends up with a prolonged time (could just be a few hours) in hospital where real sleep is likely to occur. They just want to have quick access to use of cpap machine should patient stay involve sleep not directly monitored by a medical professional hovering over our face every second.

Another reason given in my situation. I was given (in addition to the I don't care drug) an infraclavicular nerve block.
Up in the shoulder area. Numbed the entire arm from shoulder down. He said sometimes there can be a little seepage of the numbing agent out into other nearby parts of the body.. throat and even nerves that go to diaphragm. This could potentially make OSA worse and in the event it happened and I happened to sleep more than is usual with the IV sedation they wanted quick access to my machine.

So chances of needing cpap machine after most out patient procedures are extremely rare.

Given that information, I'm starting to re-think leaving my machine at home for my next surgery. Maybe I want to bring it along, just in case, and then not have to use it. (You know....Murphy's Law....if I have it I won't need it, if I don't' have it, I will need it)