I am having surgery on Thursday. A small facial procedure. The doc said that instead of using anesthesia she is just going to put me into a "twilight state". I'm not sure if it is going to be by injection, or pills. What does she mean? And how long does it take to be fully awake and functioning normal again? She says I will only be able to feel a little bit of pressure, and that I'll be able to talk to her and help by moving my head if I have to. But that I probably will not remember any of it. Any ideas what will be used?
So there you go. One question, plenty of different answers. Like the first responder said - ring the doctor, ask, it's your body, you have the right to know.
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I had my wisdom teeth pulled with what they called twilight, and that was nitros oxide, and I dont remember a thing.
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1 post - Last post: Aug 16, 2007 semi-conscious twilight state and retching fits of nausea. The next morning, the first day after surgery, Yagudin is woozy.
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I have had several procedures done under what they call conscious sedation which is a combo of versed and fentynal. Some of them I remember, some of them I dont. I was able to talk to the docs and feel some pressure but I dont remember any pain. Versed is an amnesiac benzodiazapine and fentynal is a pain killer.
Both have a lot less risk the general anesthesia.
The correct term is 'conscious sedation'.
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In this twilight state, my gustatory sense is engaged, and I'm able to taste the salt .. And I'm not too thrilled about this brain surgery thing either.
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I had it twice, my son had it, and we had a grand old time.
Don't remember a thing, but we enjoyed ourselves.
Incidence with son [ age 20 ] at time of wisdom teeth removal:
Me: 'Rob, you must get up and walk.'
Rob: ' I am walking.'
Me: 'No, you are sitting in a chair, sleeping.'
Rob: ' I'm waiting for them to take out my teef.'
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Keep me alive for another two hours in some sort of twilight state, . not even for stone" (i.e. to remove stones) In other words, no surgery.
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Because cosmetic surgery is always elective, any complications are . Upon reaching a "twilight" state (described by our patients as "the most relaxed I
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Me: ' They already took out your teeth.'
Rob: [ opening moth wide ] 'No, I still have teef. See? ' [ shows icky, bloody mouth ]
Me: 'Rob, they are done with you, and they need you to go home.'
Rob: ' Oooohhhhkkkaaayyyy. ' [ Stands up ]
'Whoa!' [ startled ].
[ Takes one step ] 'Whoa!'
[ Second step ] 'Whoa! '
He 'whoa'd' for every step, turn, stop, and position change from the chair to the car - a distance of maybe 25 feet, that took us [ Rob, me, and husband ] half an hour to complete!
He had to be piggy backed from car to house, up the stairs, down the stairs, and to 7-11 [ he insisted ]. People at the store thought he had been beaten because his brother and cousin were holding him up, and he was drooling a little blood.
They wanted to call the cops!
Plan on taking a nap when you get home.
I had a shot,you may get a little sleepy no big deal.You will do fine.
I've heard the term applied to nitrous oxide, and to a morphine/scopolamine. If the former, it'll be applied by means of a mask and you'll inhale it. If the latter, either an injection or an intravenous drip.
I hate the term "twilgiht" - it should be called sedation. Sedation can be done with either oral medication (which will take an hour or so to really kick in) or IV.
If your physician said you won't remember anything, I'll bet it's IV sedation with midazolam, which has strong amnestic properties. You'll be awake and responsive, but aren't likely to remember too much (although everyone is different, and your mileage may vary). That will be combined with local anesthesia (numbing medicine), which will allow you to feel pressure and movement, but not pain.
Whoever said morphine and scopolomine is a little out of date (25 years?!) We use scopolomine for antiemetic prophylaxis, but not for sedation these days.
Risks with sedation are frequently (but not always) less than general anesthesia, but that does not mean that sedation is without risk. Your surgeon should go over those risks, including respiratory depression, airway obstruction, heart rhythm abnormalities, and changes in blood pressure.
Your surgeon may administer the drugs herself, which saves you money by not involving an anesthesiologist. There is some increased risk with that, but if small amounts of drug are used, you'll be fine. You should be monitored with blood pressure, EKG and pulse oximetry regardless.
You will be awake pretty quickly, but should not drive for 24 hours. Some of the effects of the drugs can last for a while, even if you feel fine.
Good luck.
Twilight just means you will be able to talk to them but you wont feel a thing. You will come out from it quicker than being put under and you wont have a risk of being given too much "knock-out" drugs.
Most minor surgeries go with twilight as it is safer.
You have a couple little kids, a family, home life and dinner to be made. Putting you completely under would be a bad idea.. as you will need to come to a whole lot quicker. Besides, if it is just something minor, even just numbing the area would suffice... it is likely that numbing it would not make you mellow enough to not be nervous and you may move...
Twilight is fun.
What the heck is going on with you?!
twilight stateā . This is a state somewhere between wakefulness and complete unconsciousness. Official definitions and terminology are given below. This state is somewhat similar to normal sleep, although individuals rarely dream. Because levels of wakefulness vary, you may not be in a sleep state throughout, and may be aware of certain activities going on at some times .
a twilight state in combination with regional anesthesia means that intubation (breathing tube insertion) is not necessary, and there is not much risk of nausea during recovery from the operation. If you are someone who is susceptible to panic attacks you should definitely mention this to your anesthesiologist. If you become uncomfortable or anxious during the surgical procedure, you can certainly be given more sedative medication. There is a continuous process of adjusting the dose and monitoring the response anyway. If general anesthesia really becomes necessary (this is unlikely), additional anesthetic agents will again be given, and the anesthesiologist may decide to insert a breathing tube. I hope you have a pleasant experience with your anesthetic and a good outcome from surgery!
These are things you should have asked you doctor, not a bunch of yahoos here on YA. Call him/her and ask.
 Verapamil side effects this morning? ?
 I have failed my drug test.?
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Surgery in a "twilight state"?