I am scheduled for neck surgery next week and am concerned about a potential reaction to anesthesiology.
I am allergic to sulfa, contrast dye and potentially sulfites (throat gets tight and tongue feels numb). Last month I had a cervical epidural for a pinched nerve. She gave me a Betadine (25cc's/mg's) prep and drape. and then 1% lidocaine without epinephrine. Omnipaque 300, 10 mg of Decadron with 0.5 cc of 4% lidocaine on the nerve. (A month earlier, I had taken the prednisone pack with no issues)
7 hours later my heart started racing and stayed at 120 for 1 1/2 hours. This entered into a pattern of jumping 40-50 beats every time I stood up. Standing still also raised my heart rate. After about a month this has started to settle down (though my resting heart rate is now in the high 50's versus the 68-72 it was pre ESI.
I also vomit from the sedative prop..... (the one they give to relax you while you remain awake during a colonoscopy)
I guess I don't know what I reacted to, but I want to make sure I don't have an issue when I a knocked out. I am nervous that i will have a negative reaction while I am knocked out an I won't be able to tell them. Are there alternatives to lidocaine? In my situation can this be addressed with only a quick pre op conversation with the anesthesiologist or should I try to discuss this with them earlier?