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Misc Just had an epidural steroid injection in my back, anasthesiologist gave me....

S

SaosinEngaged

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Joined
Oct 25, 2010
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449
SUFENTANIL and Propofol. Yes, Sufentanil. The derivative of Fentanyl that is 10x more potent. When the Dr. told me this I nearly fainted. I thought, how in the hell is that safe? A barbituate like hypnotic, and one of the most powerful opiates IV'd into me and making me unconscious? No wonder Anasthesiologists are amongst the highest paid doctors and need the most training, that sounded so incredibly dangerous to me before my procedure I almost had a panic attack.

I will say, this only induced "light sedation" (I was still breathing on my own....somehow...) and I felt a fairly significant rush before slightly losing consciousness. It was pretty cool. But still pretty eye opening/unexpected. And I definitely had an opiate "afterglow" when I fully regained consciousness from the procedure.

I guess from an HR standpoint, make DAMN sure you tell the Dr.s what you've taken/and are on in honest, legitimate doses before ANY pain management procedure because they sometimes administer extremely powerful meds into your body and moderate the dose based on your tolerances and what meds you're on. If I had popped a couple Kpins the morning of the procedure because I was nervous, this could have been a pretty bad day...
 
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Yes, Sufenta is so freaking strong. I have a relative prescribed it.

Are you talking about getting it as general anesthesia? You must since you mentioned propofol.
 
Nope. It was semi-lucid sedation. I was breathing myself, no ventilation. It was a 10 minute procedure. That's why I'm so dumbfounded.

I was fully conscious as the Sufentanil was injected into me and remember feeling the rush, then I kind of slipped into a twilight state when they administered the propofol. Think right before you fall asleep in bed where you're kind of conscious but mostly oblivious to everything around you.

I was laughing about it to myself afterwords like, what do they OD you and then inject you with narcan or something to bring you back? I have NO idea how that whole process works, it just sounds NUTS. lol. And NOW it makes sense why I was asked 50 times what I take, how often I take it, and what I took the day of the procedure. It can definitely be dangerous because my Dr. that prescribes me meds is there, so he knows exactly what I'm on. Lets say I did take Clonozepam because I was nervous, I wouldn't have been inclined to write that down because my Dr. would know I'm not prescribed it, but it could have caused a catastrophic situation because I just so happened to strike up a convo with this anasthesiologist who was very cool/friendly and she told me they change the medications they give you and obviously the dosages based upon what you're on. She stated since I'm on no benzo or anything, they use Sufentanil instead of another alternative. And it's funny because I thought to myself how I always usually have Clonozepam handy.

So that's part of the reason I made this topic, as I'm sure there's some people out there who wouldn't think twice about this kind of thing. I just kind of thought they inject you with something to quickly knock you out, but had no idea they inject you with such a powerful opiate also to make sure you don't feel anything. Maybe morphine or Dilauded, sure, but I would have NEVER imagined Sufentanil. Shit, my guess was that stuff was only for...putting down dinosaurs or something.

And I'm sure the average person would have no clue what that even is, but me (us), the informed drug (ab)users, knew EXACTLY what that is and was like O_O!!!!!

BE CAREFUL WHEN YOU GO FOR PROCEDURES AND BE HONEST ABOUT WHAT YOU'RE ON!!! You'd think that's obvious, but I just had a semi-rude awakening.
 
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Sufenta for semi-lucid sedation, that's interesting! You must have one hell of a tolerance. Are you on fentanyl? Did it feel like 10 minutes with the propofol?
 
Nope! She said that's pretty standard when patients are not on a benzo, and that they just use a miniscule dosage. She said it's ideal for these procedures because it's got such a rapid onset and short duration, and produces sedation and unconsciousness rather quickly in addition to incredible analgesia. I'm prescribed about 90mg of Oxy/day but really take closer to 180. Being (more) honest and hoping my Dr. wouldn't read the sheet (since it's for the anasthesiologist only) that I take about 160mg/day. So far so good, and I even talked to my Dr. afterword and he didn't mention it. Better safe than sorry.

And with the propofol, it made 10-15 minutes feel like two. All I remember was feeling a definite rush and thinking "Suuuuuuufentanilllll wooooooooo....." then waking up to a nice opiate afterglow. Hard to explain, but I wasn't fully unconscious, but just about no memory of the in-between.

I also woke up next to the computer that had the time-log of the procedure with the medication/dosages given during it. I definitely read "Sufentanil" (couldn't see the dose of this one, probably because it was .0000000000 1/2 of a mg, LOL) on there along with about 120mg (I'm pretty sure) of Propofol given in two doses of 60mg.
 
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Much better safe than sorry.

Yeah propofol has that effect. Makes a long time seem like nothing. (I've gotten it for general and I always wake up wondering where the day went)
 
Yup. Definitely.

This is my fourth epidural, but first with a different doctor/surgery center. The older one definitely didn't use this combination of meds, because I never had anything like that quick rush before. So I'm thinking this isn't uniform procedure, probably just their choice of compounds.

Also, the very first shot I elected to forego ANY sedation because I have a very high degree of anxiety surrounding ANY anasthesia because it just frightens me. The small risk of death/complications, etc. THAT was a mistake, because I defintely felt EVERYTHING and they had to pin me down. Shit I'm telling you, there is NOTHING like the feeling of a needle brushing up against the nerve roots coming out of your spinal cord. It felt like my legs were on fire and I had a dagger in my back. I'll never forget it. I quickly rectified that mistake on my next shot appointment ROFL.
 
Yes these two compounds are of the strongest available.

But did u discuss what amount of each you were given?
It sounds like you were given a structured dose based on your weight ratio, i dont think i would second guess the doctor.
 
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