skrajsen

Nu är jag tamigsjutton lite förkyld det kommer lika välkommet som en räkning i brevlådan. Har ni några bra dundertips? Min känsliga vännina säger att jag framkallat förkylningen för att jag är skrajsen för operationen. Blir jag inte frisk tills på onsdag opererar dom inte och det får inte hända för axeln blir sämre för var dag, just nu ligger jag inne med en fin inflamation som sprider sig skönt ner i ryggen och armen.
Och ja, jag är skrajsen. Bara tanken på en INTERSCALEN BLOCK ..se nedan..får mig att må pyton....för jag är inte speciellt förtjust i nålar i synnerhet inte långa sådana. Men så är jag ett sådant där kontrollfreak så jag måste veta exakt vad det är dom ska göra så länge jag inte är sövd. När dom väl sövt mig får dom karva bäst dom vill. Men när dom lägger blockade måste man tydligen vara vaken...eller halvvaken.

Next, the anesthesiologist will cleanse your neck on the operative side with an antiseptic solution. He or she may ask you to lift your head off the bed or sniff with your nose while examining your neck. These maneuvers help the anesthesiologist to locate landmarks on the side of your neck that aid in the correct placement of the block needle. He or she will also use an ultrasound machine to help find the desired location for the needle placement.

Once the optimum location is found, the anesthesiologist will numb the skin with local anesthetic. Next he or she will slowly insert a needle the size of a paper clip into that location. Your anesthesiologist will utilize the ultrasound to guide the needle to a location near the nerves. Occasionally, a very small amount of electrical current will be put through the needle as the needle is advanced to assist in locating the nerves to your shoulder and arm and optimizing the needle placement. You will feel the sensation of involuntary twitches or movements in your shoulder and arm. Don't try to stop these movements because they tell us if we are in the right location with the needle.

When the location and/or response is optimal the anesthesiologist will inject the long acting Novocain like medicine to numb your shoulder and arm. This procedure usually takes only a few minutes to perform.
The block takes approximately 15-20 minutes to work. You will notice shoulder and arm weakness and numbness. Once in the operating room, you will once again be attached to the usual monitors and positioned by the surgeon. You will receive relatively deep levels of sedation or a light general anesthetic because it allows for better blood pressure control, and ultimately more patient comfort.

After the surgery and transport to the recovery room, the sedation will begin to wear off. You may notice a few things. First you will have little or no pain. You won't be able to move or feel your shoulder, arm, and sometimes your hand. Rarely, your voice may be hoarse and you may feel like you're not taking as deep a breath as you did before the surgery. These are normal expected side effects from the interscalene block and are relatively short lived.