Angiogram cancelled because C-Pap couldn't be used

[jmartinson]

Has anyone experienced a problem with a surgery or medical procedure being cancelled because they would not allow a C-PAP to be used? They said it was because it was a sterile room, so it couldn't be brought in.

I'm sure that this must have happened to someone else, but what was the solution? My friend had to lie perfectly flat, his throat closed, his blood pressure shot up and he felt like was suffocating, so the procedure was cancelled. It was very upsetting.

[Perrybucsdad]

Find another hospital to deal with. I work for a hospital and this sounds like something they didn't think about very well.

[NightMonkey]

Has anyone experienced a problem with a surgery or medical procedure being cancelled because they would not allow a C-PAP to be used? They said it was because it was a sterile room, so it couldn't be brought in.

I'm sure that this must have happened to someone else, but what was the solution? My friend had to lie perfectly flat, his throat closed, his blood pressure shot up and he felt like was suffocating, so the procedure was cancelled. It was very upsetting.

I only know one person who had an angiogram of his heart. He said he was awake through the entire procedure. Generally CPAP is not needed while awake. Is your friend morbidly obese?

[Perrybucsdad]

I only know one person who had an angiogram of his heart. He said he was awake through the entire procedure. Generally CPAP is not needed while awake. Is your friend morbidly obese?

Yes, you are awake normally, but you are lightly sedated. Some people's airway's can be compromised with sedation. I know when I had my catheterization (pre CPAP) I would zone in and out of that almost asleep phase. I could see where someone might have an apnea event during this time.

[BlackSpinner]

Has anyone experienced a problem with a surgery or medical procedure being cancelled because they would not allow a C-PAP to be used? They said it was because it was a sterile room, so it couldn't be brought in.

I'm sure that this must have happened to someone else, but what was the solution? My friend had to lie perfectly flat, his throat closed, his blood pressure shot up and he felt like was suffocating, so the procedure was cancelled. It was very upsetting.

Hospitals have versions of cpap machine on site and they should have had one of theirs available for him.

[imsleepynomore]

I was awake during my angiogram also remember you are being monitored, I just had an endoscopic exam and was sedated for this during this procedure you are monitored by an anstheolgist I have severe sleep and had no problem without cpap

[apneawho]

If they use conscious sedation for your cath, they will have continuous pulse oximetry and O2 on you. I don't think there is much need for cpap during the procedure. If you have any respiratory difficulty they will know immediately and will make adjustments or abort the procedure. I have never heard of anyone having cpap during a procedure like that.

[LSAT]

Normally an anesthesiologist is monitoring during the procedure. You need the CPAP in recovery...not in the OR.

[Slinky]

... My friend had to lie perfectly flat, his throat closed, his blood pressure shot up and he felt like was suffocating, so the procedure was cancelled. It was very upsetting.

The underlining is mine. Obviously they didn't feel that he was a good candidate for the procedure given his BP and quite possibly a "panic attack". I would imagine that they would reschedule the procedure w/appropriate "medication" and perhaps an airway device of one kind or another.

[DoriC]

Cpaps are not needed for surgeries or procedures as much more sophisicated equipment is used and monitored by Anesth. and other staff. When my husband had surgery recently I was allowed into the Recovery Room and there was his cpap that we brought with us set up beside him but he wasn't masked up because he was fully awake and alert with an RN sitting at bedside.

[Breathe Jimbo]

I had an angiogram years ago. I was awake and never came close to falling asleep. CPAP is not necessary during this kind of procedure. The sedation is very mild. They don't want someone getting antsy, moving around excessively (or, God forbid, trying to climb off the table), and turning the catheter into a cheese cutter between the groin and the heart. Your friend's angiogram was certainly called off because of other "issues."

[VVV]

By Kristina Fiore, Staff Writer, MedPage Today
Published: November 11, 2011




SAN FRANCISCO -- Radial access for percutaneous coronary intervention has taken a place in the spotlight at this year's Transcatheter Cardiovascular Therapeutics meeting here, with U.S. adoption rates doubling over the last few years.
posting.php?mode=reply&f=1&t=70728
Still, no more than about 11% of U.S. physicians take the radial route.

In this exclusive InFocus video, Sunil Rao, MD, of Duke University, discusses the results of the RIFLE-STEACS trial with staff writer Kristina Fiore. RIFLE-STEACS found the radial approach superior to the femoral one even in high-risk patients.

Rao also offers strategies on how clinicians can start using the radial approach in their own practice and explains why implementation here lags behind most other countries, where the radial approach is used in 50% to 90% of procedures.

http://www.medpagetoday.com/MeetingCoverage/TCT/29622

[Slinky]

What is "radial" access? I understand femoral access but not "radial". Would that be thru the wrist artery? The left wrist or the right wrist? I'm thinking that's something my pulmonary/critical care doctor once mentioned a long tme ago. But I think it came up in a discussion of pulmonary hypertension. So who remembers it was so long ago?

[imsleepynomore]

Radial is through either wrist depends on strength of pulse if done recovery time is much faster you will wear a wrist pressure cuff for the next day or I can't remember how long but that is the way my doc went great as I didn't have to lay flat so long as when femerol is done

[chunkyfrog]

I wonder what happened to jmartinson's friend.
It's been nearly a week.