Wisdom Teeth Anaesthetic Question - Page 3

leftysright · #21 12-13-2006, 04:33 AM

u should tell them. smoking weed makes you more tolerant to the anesthesia(sp?) and the last thing you want is waking up in the middle of the operation. what are my credentials? i smoke weed. it happened to me and a few buddies. basically u could detox or they may need to give u a stronger dosage.

AllinDan · #22 12-13-2006, 04:51 AM

weed days in advance is a complete non issue, be careful smoking after as suction can mess up the wounds.

for my operation they started me on nitrous and then gave me an iv of valium and demerol and told me to count from 100. Instead I just enjoyed the absolute most amazing feeling ever- except I was pretty sure I was dying but I was ok with it.

JMP300z · #23 12-13-2006, 08:43 AM

[ QUOTE ]
u should tell them. smoking weed makes you more tolerant to the anesthesia(sp?) and the last thing you want is waking up in the middle of the operation. what are my credentials? i smoke weed. it happened to me and a few buddies. basically u could detox or they may need to give u a stronger dosage.

[/ QUOTE ]

FINALLY.

I just noticed this post...sorry it took so long for the truth to come out.

The person training to be an anesthesiologist is the most disheartening.

There is no direct action between THC and what is probably going to be Versed (midazolam) and maybe fentanyl (an opiod).

However, a chronic marijuana user, just like being an alcoholic or hooked on any anxiolytic or whatever, will make you less tolerant to any medical sedation.

Credentials: Im in my third year of dental school and just took my pharm exam on monday.

ALso, Please rinse GENTLY, do not spit, let it drip out. warmish salt water (not hot) or a rinse if they prescibe one.

-JP

JMP300z · #24 12-13-2006, 08:44 AM

Oh yah, defintely dont smoke afterwards for a while b/c you will be very likely to get dry socket and thats a pain in the ass.

-JP

duvvard · #25 12-13-2006, 08:59 AM

Ive smoked basically every day for 4 years, and got mine out a few months back. The gas def knocked me the F out...I could not remember anything until about 4 hrs after they were taken out and I was awake that whole time.

I smoked a few pinchys later that night, and smoked regularly following days and did not get any dry sockets fwiw.

JMP300z · #26 12-13-2006, 09:18 AM

[ QUOTE ]
[ QUOTE ]
u should tell them. smoking weed makes you more tolerant to the anesthesia(sp?) and the last thing you want is waking up in the middle of the operation. what are my credentials? i smoke weed. it happened to me and a few buddies. basically u could detox or they may need to give u a stronger dosage.

[/ QUOTE ]

FINALLY.

I just noticed this post...sorry it took so long for the truth to come out.

The person training to be an anesthesiologist is the most disheartening.

There is no direct action between THC and what is probably going to be Versed (midazolam) and maybe fentanyl (an opiod).

However, a chronic marijuana user, just like being an alcoholic or hooked on any anxiolytic or whatever, will make you less tolerant to any medical sedation.

Credentials: Im in my third year of dental school and just took my pharm exam on monday.

ALso, Please rinse GENTLY, do not spit, let it drip out. warmish salt water (not hot) or a rinse if they prescibe one.

-JP

[/ QUOTE ]

Im an idiot. I meant MORE tolerant.

-JP

JMP300z · #27 12-13-2006, 09:22 AM

[ QUOTE ]
Ive smoked basically every day for 4 years, and got mine out a few months back. The gas def knocked me the F out...I could not remember anything until about 4 hrs after they were taken out and I was awake that whole time.

I smoked a few pinchys later that night, and smoked regularly following days and did not get any dry sockets fwiw.

[/ QUOTE ]

Nice anecdotal evidence contrary to the accepted literature. I am happy that you and many others im sure have had no problems. The risk of having a problem is what im warning the OP to avoid. If he wants to take that risk, and its not a small one, thats his business but he seemed a bit paranoid.

-JP

Aukai · #28 12-13-2006, 10:05 AM

[ QUOTE ]
Credentials: Im in my third year of dental school and just took my pharm exam on monday.

[/ QUOTE ]

[ QUOTE ]
Nice anecdotal evidence contrary to the accepted literature. I am happy that you and many others im sure have had no problems. The risk of having a problem is what im warning the OP to avoid. If he wants to take that risk, and its not a small one, thats his business but he seemed a bit paranoid.

[/ QUOTE ]

LOL, dude. Seriously. First of all, quote some literature if you're gonna get on that particular high horse. Second, even if THC does make you more tolerant to sedation, in a young healthy person you can just carefully give more sedative. Third, you guys are doing these with local blocks and conscious sedation, even if the guy "wakes up" (he's supposed to be awake, just sedated) he still has the local block, which the THC would have no effect on. Fourth, his question was about adverse drug interactions that might kill him if he didn't tell them about his weed smoking, which there aren't.

So while it's great that you took a test on something, you sound pretty silly. This is not the horror story of waking up in the middle of a big operation under general anesthesia paralyzed and intubated. This is conscious sedation to supplement a local block to yank out some teeth. Huge, huge difference.

JMP300z · #29 12-13-2006, 10:18 AM

[ QUOTE ]

LOL, dude. Seriously. First of all, quote some literature if you're gonna get on that particular high horse. Second, even if THC does make you more tolerant to sedation, in a young healthy person you can just carefully give more sedative. Third, you guys are doing these with local blocks and conscious sedation, even if the guy "wakes up" (he's supposed to be awake, just sedated) he still has the local block, which the THC would have no effect on. Fourth, his question was about adverse drug interactions that might kill him if he didn't tell them about his weed smoking, which there aren't.

So while it's great that you took a test on something, you sound pretty silly. This is not the horror story of waking up in the middle of a big operation under general anesthesia paralyzed and intubated. This is conscious sedation to supplement a local block to yank out some teeth. Huge, huge difference.

[/ QUOTE ]

I will of course repeat my posts here for you to show you that I am not on some high horse, that I am not saying there is any horror story. The main points I made is that there IS a reason why they ask if you smoke marijuana and it DOES relate to the IV sedation and that you should NOT smoke after 3M extractions.

"FINALLY.

I just noticed this post...sorry it took so long for the truth to come out.

The person training to be an anesthesiologist is the most disheartening.

There is no direct action between THC and what is probably going to be Versed (midazolam) and maybe fentanyl (an opiod).

However, a chronic marijuana user, just like being an alcoholic or hooked on any anxiolytic or whatever, will make you less tolerant to any medical sedation.

Credentials: Im in my third year of dental school and just took my pharm exam on monday.

ALso, Please rinse GENTLY, do not spit, let it drip out. warmish salt water (not hot) or a rinse if they prescibe one.

-JP

Im an idiot. I meant MORE tolerant.

-JP

Nice anecdotal evidence contrary to the accepted literature. I am happy that you and many others im sure have had no problems. The risk of having a problem is what im warning the OP to avoid. If he wants to take that risk, and its not a small one, thats his business but he seemed a bit paranoid.

-JP "

As you can see, I just warned him against smoking, a legitimate claim that I will really back up w/ lit if you want but I think we all agree is unnec (I have to go take a final @ 10) and that being on any sedative chronically will make you more tolerant to any IV sedation.

The post in response to that guy smoking or whatever is perfectly nice, not threatening, and of course rational. I even congratulated him on his good fortune. Im just warning the op against taking the anecdotes of a few as the word of medicine.

in short, [censored] off.

-JP

JMP300z · #30 12-13-2006, 10:22 AM

Oh yah, and the local block business. 3m extracions are done under local only but it is not recommended. Yes you should be numb even if the anesthesia wears off but it its not like youll be comfortable. The sounds/pressures/etc of the extractions can be traumatic. Also, the local is not perfect and w/ the patient sedated its sometimes difficult to tell for sure HOW numb they are.

That is not to say that when patients are under conscious sedation in a dental setting that we ever do not use local, that would put too much stress on the system as the brain still interprets the pain, just the patient forgets it.

-JP