Fentanyl And Epidural Injections

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Irene Says:

After epidural injections for pain in my spine/neck, I experienced extreme reactions to fentanyl anesthetic while in the post op. recovery room but the medical staff had no idea what to do or even the equipment to do it with. The medical staff seemed utterly helpless and suspected I had heart problems or some other "mysterious" condition and wanted me to go see my regular doctor or go to an emergency room RIGHT AWAY! I did go to my regular doctor who said I was just having a drug reaction (it was already wearing off) and I should not be given that drug again. I have since researched Fentanyl anesthetic and it's side effects-complications and every one of my symptoms is mentioned in the medical literature up to and including the possible Fentanyl antagonist that the surgical center SHOULD have used to respond to my medical emergency while under their care! It seems utterly incredible to me that the Dr. and staff did not recognize the well documented side effects of Fentanyl and, more importantly, exactly how to respond in an emergency. When my husband asked the Anesthesiologist if another doctor in the facility could come look a me, the Anesth'ist said they have such doctors but NOT the equipment needed to check me out!!!!!!!! I have since learned that such a facility MUST have whatever it takes to respond to an emergency such as mine. They acted like I was a special mystery that they could not do anything with yet all of my symptoms are registered in every report I have read on line re: fentanyl! I have since turned in a report to the local Medical Controlling agencies.

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Verwon Says:

You definitely did the right thing by turning in a report, they are not legally allowed to administer such substances, if they don't have the necessary knowledge, equipment and etc. to respond to an emergency that might arise.

If it is done in an office setting, they will not have all the equipment that a hospital has, but they do have to have certain emergency response equipment and substances on hand, to be allowed to administer it.

If they suspect that someone has any type of health condition that may cause problems, or if such a condition has already been documented, then they have to refer you to a proper medical facility that can handle such problems, should they arise.

I recently had dental surgery and, due to the fact that I am a heart patient, they would not even consider doing any of the required work in their office/clinic setting. They immediately set me up with an appointment to have the full surgery done in the hospital OR, where a full medical team and emergency equipment/facilities would be available, if needed.


As to the Fentanyl, if you reference the above link, you will see that it is not actually an anesthetic, but a very potent narcotic. It is over 80 times stronger than Morphine, so it can cause some serious reactions in some people.

Have you heard anything back from the reporting agencies, yet?

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Irene Says:

Verwon: Thanks for your interest in this. The LA County Public Health agency has responded in writing to tell me that they will need "factual evidence" that a violation has occurred and all we have is the Anesthesia report the notes by the nurses and our own testimony. I suspect that we do not have enough "factual evidence" to sway anyone's opinion in our favor and the Offending Surgical Center will say we are all LIARS and that will be the end of it! We still intend to pursue whatever course the Public Health Dept. gives us even if it goes nowhere in the end. Such CRIMINAL misbehavior should not be ignored or dismissed if we can help it.

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Ron Says:

Fentanyl is an extremely potent opioid painkiller. It is absolutely NOT an anesthetic. Fentanyl should ONLY prescribed for long-term relief of severe pain and ONLY for OPIOID TOLERANT patients. Fentanyl should NEVER be used for post-surgical pain, as ones body is far to weak to handle fentanyl after a surgical procedure. Sounds like your DR. made a huge mistake. Malpractice anyone?

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