Port surgery with no anethesia

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crs003
crs003 Member Posts: 73

I am scheduled for port surgery about 10 days after my first treatment, but the nurse said they may be able to schedule it sooner if I used conscious sedation instead of general anesthesia . I have used conscious sedation before for another minor surgery and was KNOCKED OUT, but port surgery just seems a bit more invasive and scary to just go with a local. I would love to get it done sooner and save my veins! Has anyone done this?

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  • NancyD
    NancyD Member Posts: 3,562
    edited May 2015

    If conscious sedation knocks you out, I'd say go for it. I had that when my port was inserted. I don't remember a thing (except looking at the clock once and then it was 30 minutes later).

    When it was removed, my surgeon just gave me a numbing shot and pulled it out. Now that was weird...hearing the thing come out.

  • NineTwelve
    NineTwelve Member Posts: 569
    edited May 2015

    I had the conscious sedation for my port, and it was easy-peasy. No pain. There was a curtain-tent type thing around my shoulders that blocked my view of anything going on surgically. I was conscious; I could hear voices, but could not move or feel physical sensations, and my emotions were totally detached (no fear, no anxiety, no pain). It was kind of like a dream, and the whole thing was over before I knew it.

  • Beachbum1023
    Beachbum1023 Member Posts: 1,417
    edited May 2015

    Hi crs, I was out, and it was no problem but I am so glad I have it. Make sure you get the lidocaine cream to put on it before they access it though. I always use it and I feel nothing so worth it. Your MO can script it. And they can use it for CT scans as well. Save the veins. Cheryl

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited May 2015

    I read your thread title and gasped. No anesthesia? Ah, but I was glad to see you meant no general anesthesia. It's fairly common to have a port installed with only conscious sedation. Also, it avoids risks associated with general anesthesia. Before going the EMLA (lidocaine/prilocaine cream), check to see if your infusion center offers a numbing spray. I think it works just as well as EMLA AND YOU DON't have to put it on in advance. 15 seconds of the spray and you're good to go

  • Jenwith4kids
    Jenwith4kids Member Posts: 635
    edited May 2015

    I had a local for port surgery.

    I never used the emla cream and I hated the numbing spray.

    We are all different!


  • 208sandy
    208sandy Member Posts: 2,610
    edited May 2015

    I had conscious sedation for the "intake" and local for the "outtake" three years later - both were no problem - the numbing spray worked mostly but I did have a nurse or two who were less gentle than the norm.....as for accessing for scans - well not so easy as lots of techs aren't able to access power ports - it's all such a game isn't it?

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited May 2015

    I always use my port for scans. At my facility, techs cannot do this but I ask for port access ahead of time and they make sure a port trained nurse is available. Yes, I would agree, that some nurses have a more gentle touch than others when it comes to accessing ports.

  • Leah_S
    Leah_S Member Posts: 8,458
    edited May 2015

    I assumed that I would have conscious sedation for my port surgery, but found out when I was there that they planned to use only local Ilidocaine. I told the doc there was no way I could deal with it so they gave me conscious sedation. No problem after that.

    Leah

  • tjh
    tjh Member Posts: 469
    edited May 2015

    Mine is supposed to be local anesthesia....I guess I will find out more on Friday.

  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited May 2015

    My first chemo infusion was just with an IV because of scheduling, and it went fine. I am glad I had the port for the rest.

    If you are uncertain about the local anesthesia vs. conscious sedation vs. general anesthesia, find out more from your doctors until you feel more comfortable.

    I had conscious sedation for my port placement, done in the radiology department. They used fentanyl and versed. I would do it that way again. During my port placement, at one point I "woke up" and said "Ow ow ow!". They quickly gave me more drugs in my IV, and I was out again. It was not traumatic. I was able to tell them, they responded, it was fine. (Looking back, I think that when they started the IV drugs and I said I felt dizzy, they thought I had enough drugs, but it was actually the smell of the alcohol they were cleaning me with that made me dizzy.) Recovery from this sedation was so fast and easy compared to general anesthesia, and I liked avoiding the heavier drugs of general anesthesia. I got them to put zofran in the cocktail to ward off nausea as I'm prone to that. I had my second chemo infusion later that day with no problems.

    You might want to ask what kind of port will it be, and where exactly it will be placed. I would have liked mine 1/2" lower for clothing compatibility (not sure if that would have been possible or not) because it shows more on me than on some people. But I am happy they gave me a Power Port because that kind can even be used for the injections for PET scans, bone scans, etc. I prefer to have the VAD (venous access device) nurses access the port before scans. Where I go the secret is to get a "VAD flush" appointment right before the scan and leave it accessed. The radiology nurses/techs like it this way also. I always show them my Power Port card; they have to see that because not all ports can handle these injections.

    Crs003 and tjh, getting your ports soon, I wish you both smooth sailing!

  • windgirl
    windgirl Member Posts: 340
    edited May 2015

    I had conscious sedation as well. No pain. I did wake up during the procedure. I remember seeing the surgeon who said "she is looking straight at me" and think they upped the dose then as I passed out again. Then I woke up towards the end when they were stitching me up, they asked me if I was ok, I said yes, so they did not give me anything more at that point. I was awake but not entirely there, although I remember some of the conversations they were having while doing the stitches. I say all this not to scare you, despite waking up twice, it was no big deal, no pain no scares and overall was a very minor procedure.

    I'm not sure how the removal will be, I hear most people get it done under local. I'm hoping to get it out in September when I finish my Herceptin


     

  • Mommato3
    Mommato3 Member Posts: 633
    edited May 2015

    I just had my port taken out Tuesday. They just numbed the area and took it out. It was weird being awake but it didn't hurt at all.

  • YoungTurkNYC
    YoungTurkNYC Member Posts: 334
    edited May 2015


    I actually had only local anesthesia for my port insertion, not even any form of sedation.  I was completely and fully awake during the entire procedure, by choice.  (I get extremely nauseated after any form of sedation or anesthesia, and therefore, refused sedation).  I was completely fine during the procedure and even talked with the interventional radiologist as he was performing it.  I think the conscious sedation is more for the benefit of the doctor (i.e., silent and sedated patient) than for the benefit of the patient for this particular procedure.

  • Kicks
    Kicks Member Posts: 4,131
    edited May 2015

    I was totally knocked out in the OR at oir local hospital. I am very hard to keep knocked out and woke up in time to see my Surgeon walk out the door. Dr G went up to talk to Hubby and told him it'd be hours before I'd be out of recovery and to discharge. Wrong - I was taken straight to discharge and they called Hubby as he was driving out the parking lot to come get me. We are all different in how we/our body handles drugs.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited May 2015

    Conscious sedation for me too.....don't really remember anything about it but a few vague impressions, like a dream, no pain.

  • doxie
    doxie Member Posts: 1,455
    edited May 2015

    I too had conscious sedation. I was aware of the surgeon implanting and removing the port, but was blissfully imagining laying on the ground looking up at sunlit dappled leaves gently moving to the wind. Not sure why my mind drifted to that imagery, but it had to be the most pleasant part of all cancer treatment. When I need to calm anxiety, that's where I return.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited May 2015

    I go to the beach; with the waves going in & out, in & out....

  • crs003
    crs003 Member Posts: 73
    edited May 2015


    I had the surgery to place port yesterday. The doc gave me a pain medication before I got rolled down that starts with a G, not sure. Then Versed and Phentynel. The actual surgery was fine, I think I could hear myself snoring, lol. But the nurse who put in my iv blew a vain, and I almost passed out from the pain, so they had to lie me down with a wet rag and wait awhile to try again. Also after the surgery they offered me juice and crackers, which I could not keep down, so that was fun. They think it was from the pain meds. Now I am just very sore and it hurts to move my neck, I have had to get up and walk like a robot. I hope it gets better.

  • Lakegirl1234
    Lakegirl1234 Member Posts: 1
    edited May 2015

    Had port surgery with conscious sedation, I slept thru the entire procedure and had no problems. Depends onyouranesthesiologist I think. They use the same thing as they use for colonoscopies

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