Consumer Watch: What to know before you go into surgery

Q: I recently heard a horror story about someone waking up during his surgery. I'm fast approaching my colonoscopy. What should I find out beforehand about possible problems to better protect myself during the procedure? - Peggy Panicked

Ellen Phillips

Dear Ms. Panicked: After undergoing the same procedure a few weeks ago, I understand your concern, even though we're surrounded by a proliferation of wonderful anesthesiologists. On the other hand, anesthesia is nothing to sneeze (or snooze!) at. It can cause unexpected side effects or complications, not the least of which is waking up to discover the slicing and splicing is still underway. Unfortunately, other than the standard liability document you sign, some physicians/surgeons don't always take time to address potential issues. So take the following list and discuss these additional concerns.

* Reveal your OTC supplements in your pre-surgery visit. Certain vitamins and supplements, as well as some prescription drugs, must be stopped in advance. For example, garlic acts as a blood thinner and ginkgo elevates blood pressure. Each, taken in conjunction with anesthesia, risks heart attacks and stroke.

* Don't worry about nausea. These days, advanced classes of drugs ("5-HT3 antagonists") often reduce post-surgery nausea. Even scopolamine patches, used to combat motion sickness, can be an effective aid. However, it's crucial to inform the anesthesiologist if you've experienced nausea with surgery in the past.

Snorers beware. If a patient suffers from sleep apnea, he tends to be more likely to experience complications during intubation. Diminished airflow can cause brain damage or death. The drug most likely to combat this condition is Dantrolene, according to Bottom Line Personal, and hospitals are required to stock the medication. Unfortunately (for us) some outpatient facilities might not stock Dantrolene. Be certain not to undergo general anesthesia if the drug isn't available and directly on hand.

Most procedures/surgeries begin with inserting an IV needled into a vein to deliver some forms of anesthesia and/or other drugs during surgery. Because some needles are so large they can cause a lot of pain, it helps a great deal to numb the skin first. While many hospitals and medical facilities inject lidocaine before inserting the IV, others don't. For your own comfort, be sure to solicit (or have your advocate ask) for the lidocaine before anyone approaches the bed, big needle in hand.

Ellen Phillips may be reached at consumerwatch@timesfreepress.com.