colonoscopy

I've never used my cpap during my colonoscopies that I've lost count of. I was sedated. I think I remember them putting an oxygen clip on my finger. The staff was aware of my concerns, and assured me they'd keep an eye out for any problems.

I've had 4 or 5 of them and when there done I always recovered real quick and wake up from the light anesthesia that you get and get dressed and the wife drives me home. No big deal, it's the prep that's a pain in the you know what.

Got a colonoscopy coming up day after tomorrow...no CPAP will be used, talked to the doctor about it. I'm expecting it to be just fine *smile*.

I would recommend talking with the doctor's office that's performing the colonoscopy, and describing how severe your sleep apnea is.

chriml wrote:I finally found a doctor who would do my colonoscopy in his office with my cpap machine in case I need it. I have been trying to get this done since February. I will be having it Wed morning. He said that I shouldn't have any problem with the sedation but still I'm so nervous about it. If anyone out there has had it done without there cpap machine with sedation please let me know how it went? Again Thank you for all your support.

I can't believe you still haven't gotten it done! WTFancystuff!

Ms. Frog, I scheduled my colonoscopy in January or February, and it's just happening in a couple of days. Not sure why it takes so long, must be all those baby boomers getting theirs. And my guess is that nobody's really pushing for earlier dates *smile*.

I was probed and violated in that region a couple months ago. The anesthesia Doc stopped by for a pre-op chat and reassured me that he would be carefully monitoring my breathing rhythyms, O2 levels, etc. constantly and if needed, he could easily maintain safe respiration for me. Worst case......they'd "bag you" and you'd respire with that assistance until the Propofol wears off. They lose their bonuses if they let you expire ! Headed straight to a diner for eggs-bacon-waffles & a gallon of coffee immediately after my release ! I doubt I'll be around to make it to my next one in 10 years time......

I have never used my CPAP for a Colonoscopy...and even when I had Endoscopy and Colonoscopy together there was no need. My doctor requests an anesthesiologist for patients that have OSA. I am monitored throughout the procedure. You come out of the anesthesia very quickly.

Thank you all for your support. I was having anxiety about having it. Like I said I was suppose to get it in Feb but the doctor ( A different doctor) Canceled three times because he said I needed to have it done in a hospital. Terrible doctor. The last time he canceled I call him the day I was suppose to prep and asked him if we were good to go and he said he couldn't get the hospital room. It was a good thing I didn't prep and go there and it would have been all for nothing. I told him forget it I will find another doctor. This doctor said no problem it can be done in the office and you can just bring your machine if you feel better but everything will be fine. I felt so much better. So tomorrow I will have it done and if you don't hear back from me you know why. Wish me luck!!!! Thank you to all.

chriml wrote:Thank you all for your support. I was having anxiety about having it. Like I said I was suppose to get it in Feb but the doctor ( A different doctor) Canceled three times because he said I needed to have it done in a hospital. Terrible doctor. The last time he canceled I call him the day I was suppose to prep and asked him if we were good to go and he said he couldn't get the hospital room. It was a good thing I didn't prep and go there and it would have been all for nothing. I told him forget it I will find another doctor. This doctor said no problem it can be done in the office and you can just bring your machine if you feel better but everything will be fine. I felt so much better. So tomorrow I will have it done and if you don't hear back from me you know why. Wish me luck!!!! Thank you to all.

IMO......I would NEVER have a colonoscopy done in an office. A hospital or a surgery center where they are prepared for any emergency

LSAT wrote:IMO......I would NEVER have a colonoscopy done in an office. A hospital or a surgery center where they are prepared for any emergency

This is alarmism.

For my first colonoscopy, my GI doctor explained to me that he would do my colonoscopy in the office since there was no evidence I had an unhealthy colon or any other complicating medical factors. He also (correctly) stated my deductibles would be much cheaper in his office.

He said if they have a patient that has symptoms of an unhealthy colon or has other health problems like heart disease, they schedule the colonoscopy for a hospital.

He also said in the unlikely event that something would go wrong in his office, they would immediately transfer me to the hospital by ambulance and he would be waiting there when the ambulance arrived.

I've had three colonoscopies and everything went smoothly. The prep day is more aggravating than the day of the scoping.

Susie Kay wrote:This is alarmism.

True.

According to studies summarized by the Centers for Medicare & Medicaid Services,

Endoscopy performed in the office setting is safe when done with appropriate monitoring and in the proper patient population.

I am a GI doc and a CPAP user. Look, probably 20% of the population has OSA to one degree or another, just a few percent of them have actually been tested and diagnosed. There are a couple of different ways of sedating colonoscopy patients, either propofol or a combination of Fentanyl/Versed (midazolam). In many states, there is either an anesthesiologist or nurse anesthetist administering propofol. In some states, this is not the case.

Respirations are carefully monitored during sedation. If the oxygen levels drop and there is obstructive airflow, the person monitoring your sedation will simply perform a simple "jaw thrust" that usually opens up the airway. Certainly alert your admitting nurse and MDs that you are diagnosed with OSA. But believe me, we encounter a huge number of patients for scopes that obviously have OSA but have not been tested yet.

In an ambulatory care center or hospital endo unit, this is not a big deal, and as said, it is quite commonplace!

Susie Kay wrote:

LSAT wrote:IMO......I would NEVER have a colonoscopy done in an office. A hospital or a surgery center where they are prepared for any emergency

This is alarmism.

For my first colonoscopy, my GI doctor explained to me that he would do my colonoscopy in the office since there was no evidence I had an unhealthy colon or any other complicating medical factors. He also (correctly) stated my deductibles would be much cheaper in his office.

He said if they have a patient that has symptoms of an unhealthy colon or has other health problems like heart disease, they schedule the colonoscopy for a hospital.

He also said in the unlikely event that something would go wrong in his office, they would immediately transfer me to the hospital by ambulance and he would be waiting there when the ambulance arrived.

I've had three colonoscopies and everything went smoothly. The prep day is more aggravating than the day of the scoping.

And IF you would have reacted negatively to the anesthesia or stopped breathing for some reason.......? MY statement said IMO...In my opinion.

LSAT wrote:

Susie Kay wrote:

LSAT wrote:IMO......I would NEVER have a colonoscopy done in an office. A hospital or a surgery center where they are prepared for any emergency

This is alarmism.

For my first colonoscopy, my GI doctor explained to me that he would do my colonoscopy in the office since there was no evidence I had an unhealthy colon or any other complicating medical factors. He also (correctly) stated my deductibles would be much cheaper in his office.

He said if they have a patient that has symptoms of an unhealthy colon or has other health problems like heart disease, they schedule the colonoscopy for a hospital.

He also said in the unlikely event that something would go wrong in his office, they would immediately transfer me to the hospital by ambulance and he would be waiting there when the ambulance arrived.

I've had three colonoscopies and everything went smoothly. The prep day is more aggravating than the day of the scoping.

And IF you would have reacted negatively to the anesthesia or stopped breathing for some reason.......? MY statement said IMO...In my opinion.

didn't Joan Rivers go into a clinic for a routine procedure?

palerider wrote: . . . didn't Joan Rivers go into a clinic for a routine procedure?

Didn't Joan Rivers believe she was in the hands of a PROFESSIONAL?