Just wondering if anyone has had "sedation" for a day surgery procedure??
I have to go into Manly hospital on Monday to have a skin cancer removed by a surgeon and then reconstructive bits done.
Its on my nose and the section to be removed is the size of a 10 cent piece. They say I need to have someone drive me home and then stay with me for 2 days whilst the skin graft takes.
Does "sedation" involve nausea, grogginess etc??
Thanks,
Larko.

For my personal experience, 2 days care would've been over kill. I didn't feel groggy and I may have been able to drive home but probably shouldn't have (and nor did I). My missus on the other hand would've been outright dangerous behind the wheel (yes I know, I know, but I'm not going to say it)

I should add that both times sugery was only an hour long first thing in the morning, but I rested in hospital for a few hours...

Sedatives are those medications that may depress some of the cerebral functions, usually of a Benzodiazepine, opiate or similar type.
Depressing brain function can be mild to more extreme, and at times is not noticeable by the recipient.
Advice not to drive is wise given the recipient may be slowed in perception and reaction, and may not be aware of it.

I threw up after it but that was all...

Have just had my son go through day surgery under general.

From our understanding there is a legal requirement for the next day someone has to be on hand to supervise the patient in case of any belated side effect, I think there is also something about not driving as well.

Check with your anesthesiologist (rather than us lot) they'll give you the full story

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elmo said..

Check with your anesthesiologist (rather than us lot) they'll give you the full story

What - ask a fella in america???

I have had the thing that I think Larko is talking about and they called it twilight sleep I think? Not a general but pretty much out to it for most of the time.
I'd not drive for at least 12hrs after I was pretty spaced out, like a few hours later perhaps equivalent to 5 beers after a long working day. Able to - but not adviseable!!!!

Just had a bcc exo flap, wanted to be completely awake but the surgeon wanted me asleep or semi, take it easy afterwards I went back to work till I had a big haemorrhage , looked like I used to when I boxed, I was gonna drive back to Dongara , not a chance , the day surgery wording IMO makes you feel as it's very minor, but my surgeon said it was a fairly decent procedure ,with some skin cancers it can look small but if they do checks on the growth during surgery it can be lengthy, for me it was around 2, 1/2 hrs,

Thanks all. I was just curious to see what I could expect. My wife will be taking me home, had no intention to drive. Surgeon said the procedure will take about an hour with a local but "under sedation". I was curious to see what others thought that actually meant.
At least I will get to sleep for a bit

But how long do you have to stay out of the water??

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Wineman said..

But how long do you have to stay out of the water vine??

There there edited for you!

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ka43 said..
Thanks all. I was just curious to see what I could expect. My wife will be taking me home, had no intention to drive. Surgeon said the procedure will take about an hour with a local but "under sedation". I was curious to see what others thought that actually meant.
At least I will get to sleep for a bit

Hi ka43
"Day stay Sedation" often involves the use of midazolam, an excellent short duration benzodiazepine sedative ( same family as Valium) with excellent tolerance and safety for most patients. It is sometimes called "twilight sedation" and is often used for shorter operations.
The drug is usually given intravenously ( back of hand or in arm) by an anaesthetist, with full resuscitation equipment on hand in case of unforeseen emergency.
Local anaesthetic is used around the operation site.
The patient usually has total amnesia of the operation although they have been fully conscious throughout ....this means breathing on their own, without any mechanical aids. ( a general anaesthetic almost always involves placing of an airway tube into the patients lungs to ensure a continuous supply of oxygen during the operations that are more complicated or longer.)
Recovery time with midazolam varies but is almost always much faster than a General Anaesthetic.
Medico-legally, all the forms say " no driving, operating machinery or signing important documents for 24 hours". In real terms, you are normally "tired" that day but no problems the next!!

I've had at least 8 of them over the years for minor ops, gastroscopy, endoscopy, eye surgery, etc. Really convenient and a great way to fly!!!

Thanks Wazza. Ill have Tuesday off anyway
I havent asked the question re: time off water yet but will make it a priority!!!!

Exactly as Wazza ^^^ said, especially the "great way to fly" bit - enjoy

I've had 'sedation', and couldn't tell the difference from a full general. As previously said, they also give drugs that wipe your memory of the event, which worries me that perhaps I could have been going through some hell pain experience, but then just have it wiped from my memory. Scarey!

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ka43 said..
Thanks Wazza. Ill have Tuesday off anyway
I havent asked the question re: time off water yet but will make it a priority!!!!

Never says on any form..." don't sail' ....so you could go for it....but...it's just that you might believe you've been broad reaching at Star Trek velocities when in fact you've been doing small circles!
Wouldn't advise anything after that type of surgery... risk of bleeding, increased pain, loosen sutures...not worth it.

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Harrow said..
I've had 'sedation', and couldn't tell the difference from a full general. As previously said, they also give drugs that wipe your memory of the event, which worries me that perhaps I could have been going through some hell pain experience, but then just have it wiped from my memory. Scarey!

I agree as I've had a truckload of General Anaesthetics as well as sedation. (What the hell is wrong with me? Maybe I've developed a taste for high grade pharmaceuticals.) I've been present at lots of GA's and sedations as well...in an official capacity rather than as a sightseer I hasten to add!
Much, much faster recovery after sedation.....after my GA's I've often felt annihilated for 24 hours....but the lack of memory of the procedure is the same for me for GA and sedation.
Patients under sedation need local anaesthesia as well as they are still able to feel pain but they almost always have no recollection of that pain afterwards. Patients are often still talking ( nonsense usually) during the operation and appear to be "with it" but they're off on planet Zark. Well beyond the blue horizon.
There's no monkey business about memory wiping, mind control or any other nefarious activities. You aren't given any other mind-bending stuff (other than the midazolam) that affects or erases your memory, so it's the sedative ( midazolam) that does the trick.

Just look into my eyes and count backwards from 10..........you are feeling very sleepy.................zzzzzzzzzzzzzzzzzzz

No worries, no different than going in for the chrome pipe up the back door, for that mid age inspection.
You'll come out of it feeling fine, but wondering, "was I violated?"
You'll never know.

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Mastbender said..
No worries, no different than going in for the chrome pipe up the back door, for that mid age inspection.
You'll come out of it feeling fine, but wondering, "was I violated?"
You'll never know.

No card, no flowers....nothing.
I feel used.

Just make sure when they replace skin, tell them to take it from a semi hairless spot ,otherwise you will be shaving your nose on a regular occasion!

^^^ Now see this is what worries me. I thought the skin graft would be taken from a spot like upper thigh or bum. Nope, surgeon said it comes from next to your ear!!
Now Im lucky enough to be very unhairy but normal shaving so Im copping the "gonna have to shave your nose Larko" stuff
Reason I was given is that skin from head area has similar dense blood vessels from nose so graft "takes" better.
Got the call from hospital this arvo. In at 6:30, hopefully op starts at 7:00 and home by lunchtime.
Wazza, was told I have to rest for 2 days so graft is sweet. Is it gonna be windy on Tuesday?? Just joking, thanks for the info mate.

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ka43 said..
Wazza, was told I have to rest for 2 days so graft is sweet. Is it gonna be windy on Tuesday?? Just joking, thanks for the info

All the best.
I'm sure your schnoz will look beautiful afterwards.........and I'm certain you'll have sweet dreams on Monday!!!

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esoom said..
Just make sure when they replace skin, tell them to take it from a semi hairless spot ,otherwise you will be shaving your nose on a regular occasion!

Ka43,


semi-serious question.....are you circumcised?

if not - it might solve the problem for you

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ka43 said...
^^^ Now see this is what worries me. I thought the skin graft would be taken from a spot like upper thigh or bum. Nope, surgeon said it comes from next to your ear!!
Now Im lucky enough to be very unhairy but normal shaving so Im copping the "gonna have to shave your nose Larko" stuff
Reason I was given is that skin from head area has similar dense blood vessels from nose so graft "takes" better.
Got the call from hospital this arvo. In at 6:30, hopefully op starts at 7:00 and home by lunchtime.
Wazza, was told I have to rest for 2 days so graft is sweet. Is it gonna be windy on Tuesday?? Just joking, thanks for the info mate.

Where is it. , mine was on the side of my snitch , where your glasses would rest, just curious as the surgeon said it's highly prevalent with 30 to 40 year old water sport lovers, also a large number in the lower lip , for me I had no pain really but weird nerve sensations, felt like I had something crawling around, very important to protect the area from the sun for a long while afterward

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Mastbender said..
No worries, no different than going in for the chrome pipe up the back door, for that mid age inspection.
You'll come out of it feeling fine, but wondering, "was I violated?"
You'll never know.

Not if you wake up from the sedation for a short while like some people do.
You'll know, trust me.

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sn said..

esoom said..
Just make sure when they replace skin, tell them to take it from a semi hairless spot ,otherwise you will be shaving your nose on a regular occasion!

Ka43,


semi-serious question.....are you circumcised?

if not - it might solve the problem for you

He wouldn't be able to cope with the teasing.

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FormulaNova said..

sn said..

esoom said..
Just make sure when they replace skin, tell them to take it from a semi hairless spot ,otherwise you will be shaving your nose on a regular occasion!

Ka43,


semi-serious question.....are you circumcised?

if not - it might solve the problem for you

He wouldn't be able to cope with the teasing.

....just accept that you'll have a hard-nosed attitude to some situations.

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sn said..
Ka43,

semi-serious question.....are you circumcised?

DON'T ANSWER THAT LARKO!

I... just.... don't want to know...




Good luck with the op

Nah Mike, all good . People say some weird ****.
Ta.
Thanks everyone who offered advice and opinions.
Thread closed.

Hey I've roomed with Larko many a time and I can tell you as far as him being circumcised, he

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sick_em_rex said..
Hey I've roomed with Larko many a time and I can tell you as far as him being circumcised, he

...snores.

loud.