This video, popular on YouTube, is of a kid who, the note says, had to have a broken arm rebroken before setting.
Couple questions.
So they pumped him up. I think, from the remarks of the boy’s father, that he had been asleep, and had woken up. “Twilight sleep” (is that term still in use?) was the goal? What level did they aim for?
Was an anesthesiologist called in, or the doctor who handled it? Could a resident handle it or did they have to call in an ortho?
He is extraordinarily happy (hence the vid’s popularity); and he makes the usual stoned comments about seeing things funny, thinking about what he had just said or done was funny, and lacks inhibition (calls a nurse sexy). He does start to cry, for a reason I can’t fathom, at the very end. So emotional lability is clear.
But is he just a happy kid, who often can see things as funny generally? Or would meds make Mr Scrooge chuckle constantly?
Someone in the comments mentioned a combo of Fentanyl and Versed(?), but I think he was just guessing.
I’m reminded of Isaac Asimov’s comments on his behavior when he went in for throat surgery and they’d already given him the pre-op dose. He was quite wacky and cheerful, singing and so forth. He mentioned that when a doctor bent over him to ask how he was doing, he grabbed the doctor by the lapels and recited a limerick at him. From memory:
*
Doctor, doctor in white coat,
Doctor, doctor cut my throat.
And when you’re done why then,
won’t you sew it up again?*
When I was in the ICU following my heart surgery, I started singing all the Rodgers and Hammerstein songs, in order (except the “Soliloquy” from Carousel). Supposedly, I got halfway through *South Pacific, *before falling asleep. The amazing thing is that nobody told me to shut the hell up. I don’t know how many medications I was on, but I know one was Percoset (oxycodone/paracetamol), which can have some truly bizarre side effects . . . in my case, extreme paranoia.
In twilight sedation, also known as conscious sedation, you’re never unconcious, it just subjectively feels like you were after the fact. Dentists, and I assume many doctors, use conscious sedation without the need for an anethesiologist. I’ve had conscious sedation using valium. I don’t know if I reacted like this, because I don’t remember anything about the experience, But it’s certainly possible.
I’m generally a sunny and even tempered person, but once I got morphine in the hospital, and experienced wildly cycling emotions, alternately laughing and crying for hours.
Typical in ym experience. I have 3 kids and 2 of them have had anethesia, twice each, and they got very goofy and happy. The odd thing is that one time my daughter got a general that was suposed to put her out for an MRI and it made her hyper as all get out - I mean bouncing off the walls for 45 minutes.
After one of Asimov’s surguries, the doctor asked him to compose a limerick (checking on brain function post anesthisea) - as I recall it started “There once was a surgeon named Paul”
At which point the surgeon said, “That’s enough, Isaac. You’re fine.”
I wonder if the laughing is tied to the same brain functions that cause laughing and uncontrolled talking at orgasm. I dated a woman for a couple of years who was an uncontrolled laugher, and it was completely beyond her conscious control when she was having a genuine climax.
Well, THAT’S definitely a condition you want to pre-inform your date about, just to try to get ahead of the hurt feelings when it happens out of the blue.
We had a friend a while back who went to the dentist. That dentist couldn’t fix whatever his problem was, so they sent him to another.
He’s the nervous sort anyway, and I suppose several things contributed to his anxiety, such that when they started to give him some gas, he hyperventilated, sucked in a boatload, and passed out. Not being their patient, they had no emergency or contact information on him at all, and when he finally did wake up, he was incoherent. Somehow he got out my wife’s phone number at work who helped them out. He was recently widowed, and since I was only a couple of miles away, I was recruited to go get him.
I took him to his house, put him to bed, and stayed for about 24 hours. It took that long for him to really be in control of his senses such that I felt comfortable leaving him alone.
That’s Ketamine, you can hear the nurse say ‘we only gave him20mg of the Ketamine’ @ 2:55. Sweet sedation drug IME, but now you know why it’s a popular rave drug.
Your other questions,
orthodox vs ER doc, depends on the complexity.
Anestheisiologist, not where I work.
Ketamine is a dissociative drug, unconsciousness is neither the goal, no a likely occurrence.
Ketamine is safe enough that A. Ravers usu don’t die from it, and B. the WHO recommends it for outpost medicine.
My 9 year old got to experience ketamine about 3 weeks ago after she had to have a broken wrist set. Coming out of it she was really tripping. She kept trying to focus on me and was asking questions over and over. She had visions of Phinneas & Ferb and a rollercoaster and she said our voices sounded weird.
