Anesthetic Cocktail/Lithotripsi

[zorbas1947]

Last month was on lithotripsi table when the anesthesiolgist aborted anesthesia due to Heartt fibs, pvc's, HR increased from 71BPM to 140. Never ever had any heart problems in the past. Went to my cardiologist who has authorized the lithotripsi for next wednesday. The anesthetic cocktail used was Versed, Propofol, Fentanyl..
I requested if possible to use a different cocktail next week. Anesthesiologist claims she does over 5 procedures a week using same anesthetic without a problem.
My cardiologist says I was alergic to one of those anesthetics but its ok to have the procedure. Am I confused? YES.  I still have PVC's hope they go away.
Anyone with any info regarding this will be greatly appreciated.

[Bromley]

Sorry, couple of sentence contruction problems here.

1. When giving their consent to the procedure, the cardio might not have been considering the case where you are the taking of these drugs again during the  procedure.  Hard to say .

2. The odds of finding this in the general population will probably not be 1 in 5000. My  point is that 1 in 5000 is pretty good odds. If you have had a reaction already, your odds of having another one next time you are exposed are going to be a lot better than 1 in 5000.

[Bromley]

Hi. First off, I think you may need to understand what the cardio was saying and why they were saying it. Elevated heart rate seems like it could come from any number of causes, including some allergy. So maybe you would be tempted to read something else into what the cardiologist told you.  Be careful: you were told that you had an allergic reaction.  I would not read anything into this without consultation with your docto

The anesthesiologist refers to "just 5" procedures a week. Lets say they have been in business for 20 years.  Then the total number of procedures was 20X50X5 or about 5000.  While that is quite alot of procedures, its not very many in a control group, and yet if your odds of having an allergy are 1 in 5000, that leaves pretty good odds of finding it in the general population, especially if one narrows their focus to a group of people who have had some type of reaction after being administered any one of the substances you  mention.

When your cardiologist said that it was ok to have the procedure, that does not mean that they think it is ok to have the procedure, as they might not be including letting you have the cocktail that you are allergic to during the procedure.

I would take some time to go over this decision carefully. Seek medical assistance with it as needed.