Propofol is the Best Anaesthetic Drug
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- čas přidán 30. 04. 2022
- This was an excerpt from the ‘Doctors Getting Coffee’ Podcast #006 - Dr Laurence Boss.
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In this episode of Doctors Getting Coffee, I spoke with Dr Laurence Boss, an anaesthetist from St George Hospital. It was a wonderful conversation and I loved his energy and engagement. We spoke about his time as an intern in the UK, working in air ambulance, what it was like to work in Australia compared to the UK, we spoke about burnout and what scares Laurence as an anaesthetist, and we spoke about down time and the importance of 'fads!'.
I have had 3 colonoscopies in past 15 years and had propofol all three times. I love it. I love being wheeled into the room and the first time I was so nervous. Now I welcome it. I love when I can feel and smell it being injected into my body for a split second and the very next aecond I am waking up in what feels like heaven for a few minutes.
Oh lord... I had propofol a few years back for a cardioversion. I've had and I have a nice enough life, but the five minutes after regaining consciousness are probably the best five minutes of my life. Absolute bliss.
Having received it once, I can say that it's very "clean" with a great recovery. You just wake up after a great nap with no drugged sensation afterwards. It does tend to make the patient rather chatty. But I'm not a big fan of the fact that it can stop your breathing in some instances when going for general anaesthesia. I don't consider the cessation of breathing to be a low risk complication.
Well thank u for telling me that , now I’m having a full blown anxiety attack and I gotta get it soon. First ever anxiety attack in my life
I have gone under general anesthesia 5 times from colonoscopies, to surgery. It’s the best. Wears off quick and works in an instant.
Had it today A little dizzy afterward but it seems like a great thing to have been imvented
I have had 3 colonoscopies in past 15 years and had propofol all three times. I love it. I love being wheeled into the room and the first time I was so nervous. Now I welcome it. I love when I can feel and smell it being injected into my body for a split second and the very next second I am waking up in what feels like heaven for a few minutes. What is so amazing is how clean the feeling is with no hangover or ill effect on your body.
In 1994, the veterinary clinic where I interned at, used ketamine was the only drug that they used for anesthesia. It was also used for euthanasia. Other veterinary clinics and hospitals may have used other drugs for anesthesia. I live in the USA. Veterinary doctors may have used other drugs for anesthesia. Also, it is likely that veterinary medicine has evolved a lot, since 1994
Now that sounds like an interesting discussion! Looking forward to listening to the whole podcast when I get the chance! Loving the I interesting way you asked the question - 'which drug would you be?'!
I recieved propobol during a shoulder dislocation and i could have got strait up and went home... NO pain.... They gave me a 2nd shot and i woke up fixed...... Ketimine makes me fight the whole surgery team...... I become overcome with servity of fear- I start shouting "NO..." It takes 5 of them to sit me back down.... I hate Ketimine dude- Its a bad trip
Doctor,
Do you ever have patients wake up from this drug in a pissed off state? I've had this in a hospital multiple times, and I always wake up in a bad mood. Basically "where the heck am I and what's going on?"
Is that a mild withdrawel of sorts? I've had this 3 or 4 times, and I'm always in an irritated state coming out of it.
Idk about bad mood but i woke up bawling my eyes and laughing simultaneously for no reason
That was the most confusing experience ive ever had in my life
I have received Propofol before - it did not work well. I remember the entire procedure and I was in screaming agony.
As an Anesthesiologist myself, I can assure you that this wasn't the fault of Propofol but the fault of an absolutely incompetent Anesthesiologist who is either very prejudiced regarding the use of anesthetics and analgesics, perhaps or quite likely caused by the wildly misleading, confused, contradictory and naive "OxyContin"-scandal and subsequent demonization of any Class II and III Analgesic and psychoactive medicine in general, reverting any progress made in this area by miles and still continues to have devastating effects on the treatment of pain in general, with many chronic pain patients being prescribed daily doses of Ibuprofen and/or Paracetamol (often known as Tylenol), both of which are VERY TOXIC on certain organs when taken every day over a long period of time (Ibuprofen: Kidneys as well as our gut; Paracetamol: Extremely toxic for the liver, to the point where two daily doses of 500mg over the course of less than 5 years damages the liver similar to 5 years of heavy alcoholism); or because the guy was incapable of calculating a dose (which is second-grade elementary maths) and reading a monitor which would very clearly indicate that you were awake and severely panicked/in pain. Either way, the guy has zero business in Anesthesiology.
Additionally, it also seems that he completely refrained from using Fentanyl during the procedure (and did not use any Midazolam to calm you down and strengthen the effect of the propofol). Which should be the norm for any kind of invasive surgery unless a local-anesthetic like lidocaine would be sufficient, p.e. in cases of small area skin-transplants, or some relatively rare cases where Ketamine is used as the primary medication.
The lack of Fentanyl (or Remifentanil) again indicates that the anesthesiologist does not correctly understand the substances that are essential to anesthesiology and instead was gullible enough to let some media coverage and public perception influence the most fundamental and basic medical and pharmaceutical knowledge every Anesthesiologist must have.
There is a VERY VERY VERY slim chance that you have a genetic property which causes a high tolerance to propofol, although that is about as likely as winning the lottery, getting hit by lightning, and taking a dump, all at the same time.
Either way, next time you need general anesthesia, make sure to mention this to the Anesthesiologist!
It is so weird with sedatives how different bodies take them. Midazolam I've heard apparently the same thing can happen but stronger drug hard to take.
Best sleep ever!
Propofol is goat, its way safer than thiopental cause it only potentiates GABA, and its faster onset, offset and clearance
Could not disagree more. Almost as bad as antipsychotics