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Limiting anesthesia consent?
I'm having outpatient surgery (elbow with a Bier block) and a colonoscopy. Due to previous severe reactions to sedation I need to have these done without sedation and nobody has a problem agreeing to this verbally. I'm adding: "I'm not consenting to sedation or general anesthesia" to the anesthesia consent to make sure that I don't end up with a life-threatening adverse drug reaction (again). My question is: who should I have sign the modified consent; the anesthesiologist or the crna or both? thanks
I wouldn't sign anything that limited my ability to take care of you.
Bier blocks use a lot of local anesthesia, and if the cuffs fail, you will have local anesthetic toxicity and probably have seizures as a result of it. The treatment for that would be to give you drugs used in sedation/anesthesia. I would not restrict my ability to save your life.
What is the anesthesiologist supposed to do if you become combative, or out of control in some other way? Very unlikely, but not unheard of. What if you have some other complication, such as a perforated colon during the colonoscopy (I've seen that happen personally 3 times)? That requires emergency surgery with a general anesthetic.
Tell your anesthesiologist what your reactions were, and to which drugs. We can work around that.