r/Anesthesia • u/chiefgoodboi • 2d ago
What records should I request?
Edit: more concise context and question below. Photos of some charting in comments.
39 year old male, 6’ 190lb, wondering how to learn about my poor response to recent anesthesia. I’ve had two surgeries since a colonoscopy two years ago and the most recent caused 2+ weeks of confusion, glacial speech, difficulty speaking, and painful migraines.
I needed 7 sticks to get the cannula placed on the recent ortho surgery. The fifth poked through an artery. I blame nobody but my dehydrated self. Lime-sized hematoma was massaged down to grape-sized in the pre-op pen. I developed dizziness and myoclonus but was able to walk to the OR and was promptly given 9 N20 : 3 O2 to calm me while anesthesia placed the IV themselves. I felt suffocated, my vision went out, I heard a loop of “make a fist”, was able to relax through the choking spasms knowing I was in good hands. When I came to the surgeon was leaning over me and asked “Are you okay? Have you taken drugs before? Are you okay to start the surgery now?”. The paperwork below shows induction and intubation started 18min after entering the OR.
My big question is: What can I do differently next time? Could the weeks of confusion, slow (sometimes slurred) speech, and migraines be a result of the artery puncture? Or from not breathing well during the pre-induction N20? Does my body not agree with the Sevo listed in the table but not on the meds list (unlikely, I know).
Should I request more detailed notes than the charting below from the university hospital or (contracted) provider? Thanks!