Post Op Myalgia

[VentdependenT]

---

Members don't see this ad.

I swear that the succinylcholine used for my surgery has caused more pain that the actual dissection of my neck. Feels like I did a billion ab crunches and went to a head banging whiplash competition. It feels like I won by a million miles too.

I know you can decrease fasciculations with a little pretx of NDMR but there was a nerve to be viligilant of so its use was avoided. Seriously though, this hurts!

Big ups to the gas passers at Masonic though, they did me right in the long run.

For those in the know (UT, Jetprop, OMD etc) would you mind discussing the use of/discrepency between monitoring a Phase II (perhaps in someone with a funky gene for pseudocholinesterase) and a NDMR block (like a pretx scenerio above). I'm reviewing this stuff now but if you have any insight for us future inservice takers it'd be much appreciated.

Danka

 

[jwk]

I swear that the succinylcholine used for my surgery has caused more pain that the actual dissection of my neck. Feels like I did a billion ab crunches and went to a head banging whiplash competition. It feels like I won by a million miles too.

I know you can decrease fasciculations with a little pretx of NDMR but there was a nerve to be viligilant of so its use was avoided. Seriously though, this hurts!

Big ups to the gas passers at Masonic though, they did me right in the long run.

For those in the know (UT, Jetprop, OMD etc) would you mind discussing the use of/discrepency between monitoring a Phase II (perhaps in someone with a funky gene for pseudocholinesterase) and a NDMR block (like a pretx scenerio above). I'm reviewing this stuff now but if you have any insight for us future inservice takers it'd be much appreciated.

Danka

Vent, hope all goes well after your surgery.

Did you get Sux ONLY? There's really no reason for that. Small doses of a non-depolarizer aren't going to cause a problem with identifying nerves during surgery. Since DTC isn't around anymore, we use either Pavulon .5-1mg (cheap but takes several minutes for good pre-tx effect) or Rocuronium 5mg. Those small doses won't interfere with any nerve-monitoring systems, are most certainly gone by the time the surgeons get anywhere near the nerves they're concerned about, and the NDMR's can always be reversed if there is any concern.

For our practice, Sux is pretty much an RSI drug only. Necks, spines, tympanomastoids, acoustics, anything where they're using any nerve-monitoring systems, our routine is usually straight Roc (maybe a lower dose if induction to dissection time may be short), check the level of blockade, and occasionally reverse the blockade if there's any question of lingering effects.

 

[Skip Intro]

Vent, dude, speedy recovery.

I had surgery years ago, and they used sux on me too. After the surgery, the best way I can describe it is that I felt like I'd been run-over by a steam roller. Every single muscle in my body hurt, even muscles I didn't know I had. Terrible stuff.

Anyway, hope you feel better and are back to your normal self in no time. Neck dissection? That's major stuff. I hope everything turns out okay.

-Skip

 

[VentdependenT]

Thanks fellas,

The Vicodin ES is keeping the pain under control but making me a tad loopy. Gonna watch I heart Huckabees right now.

At least my path report was negative!

 

[DrDre']

Glad your path was negative. Sorry the sux is so painful to deal with. I will remember that in the future though and try to use it for RSI only.

Thanks for all your "moderation" on this forum.

 

[cloud9]

Glad things have turned out well (other than the sux)