• Stoney_Logica1@lemmy.world
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    6 months ago

    My dad will occasionally get an arrhythmia that requires correction by shock. One time the attending staff didn’t wait for the anesthesia to fully kick in before proceeding with treatment, so he was awake enough to feel it. He said it was one of the worst experiences of his life.

    • ✺roguetrick✺@lemmy.world
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      6 months ago

      Yeah, for afib you’re sometimes doing a trans esophageal shock for cardioversion. That’s a shock from inside the top of your digestive tract. Even more fun.

    • ✺roguetrick✺@lemmy.world
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      6 months ago

      I forgot to add, often for cardioversion instead of a of a general anesthesia with something like propofol they’ll do a deep sedation with midazolam(a similar drug to diazepam used in this cocktail). That way you don’t need as many specialized staff and it’s a much cheaper procedure to perform and less risky as deeper levels of sedation carry greater risk. The benefit of midazolam is it generally prevents the formation of memories even if you are somewhat responsive. It doesn’t always though. I wouldn’t say it was incompetence that caused him to remember, just luck of the draw.

      Edit: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1768594/ about 1 in 50 according to this article