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FrankTankly t1_jarin4q wrote

Reply to comment by dug99 in Scotland first to ban environmentally harmful anaesthetic by VORTXS

Tell your anesthesiologist that gas makes you intolerably nauseous. They might want to try a scopolamine patch, or they might just go straight to “TIVA”, which is total intravenous anesthesia, which is propofol (or “Jackson Juice”).

TIVA is much more expensive than the various gasses at their disposal, so you might keep that in mind as well (at least if you’re in the US).

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asm985 t1_jash2fi wrote

TIVAs are more expensive, usually take longer recovery in PACU, and have higher concerns of intra operative awareness.

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FrankTankly t1_jashlrq wrote

TIVA also allows for much better intra-operative neurosurgical monitoring! Gas obliterates SSEPs and MEPs (especially) to the point where if there’s any gas on board motor evoked potentials will be completely lost.

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asm985 t1_jasicoe wrote

True. Overall, pros/cons for each - best to use correct anesthetic for the situation, as opposed to blanket statements of convenience

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FrankTankly t1_jasilp3 wrote

Absolutely, just like everything else in life the devil is in the details.

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