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Complications post intubation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1715 Questions
User :   Hi, I had a laser ablation back on the 26 of july of this year. This procedure went great but when I woke up i was in ICU. They stated I had a difficult airway and when they intubated me they had a hard time. Post surgery -Had a hard time getting tube out. When they did I desatureed. (im a paramedic). But after O2 sats went up. They advised me I had a right sided atelectasis. Its been 6 weeks since surgery and its improved very slightly from right after surgery but still there. Do i leave it alone? It hurts at times and does it take a while for this to heal??
Doctor :   Hi,
Doctor :   Dr XXX here
User :   Hello
Doctor :   Please give me a minute to read your post
User :   Did you see my question?? This is my first time here
User :   Ok
Doctor :   ok, the problems you have are the common complications of general anesthesia
Doctor :   and endotracheal intubation
Doctor :   they do subside by there own
Doctor :   but the recovery can be fastened by aerobic exercises
User :   Is that like using a spirtmetory
Doctor :   it may need few weeks to months
User :   That tube you blow into.
Doctor :   yes, Spirometry is the best
User :   I have used that thing over and over and I get it up good to about 2000. I am a smoker so Im sure thats a downfall.
Doctor :   which helps and enables the atelectatic portion of the lung to inflate well
Doctor :   thats a fact,
Doctor :   smoking may be the downfall
User :   On the intubation.THey say I had a narrow airway. Is that just antaomical or is there something I can do about that??
User :   I know I got to quit. That a big goal for me right now.
Doctor :   No, its just anatomical and its normal
Doctor :   So are you trying any medication to quit smoking
User :   Ok..LOL well as a paramedic that scares me...Because If something happend to me I dont want to be trached. Anyways, I guess I should worry to much then. I just want it to heal and so I can move on and worry about other things. LOL...
User :   I have a pressciption for chantex that im getting this week.
Doctor :   definitely it will resolve by itself and a effort with spirometer
Doctor :   ok, Chantex will help
Doctor :   But have you tried NICODERM patch
User :   Thank you for your time. I do appreciate the reassurance.
User :   Yes and that didnt work at all.
Doctor :   ok,
User :   oh one more quick question
Doctor :   is there anything i can help you with ?
Doctor :   yes, please
User :   Im on coumadin, I yust to take paxil for GAD. Havnt had it in a couple of years but this surgery has giving me some anxiety. Is there a contraindication with those two meds??
Doctor :   you can use paxil, may i know the dose?
User :   20mg paxil and my coumadin varies
Doctor :   coumadin not at all a problem, but paxil should be in low doses and the dose you taking is not a harm
User :   ok...Thank you for your time. I do appreciate you helping me today. Remember 9/11 have a good night.
Doctor :   ya 9/11 in memories,
Doctor :   thanks for consulting me ,
User :   Thank you doc..much appreciated!!
Doctor :   kindly provide your feedback
User :   On here or is there a survery I do
User :   You were great with the answers to my questions. I think this is a great thing yall are doing online.
Doctor :   you will be presented with a widow soon after the chat
User :   Ok. Will do it.. thanks again!!
Doctor :   bye,
Doctor :   take care
User :   Goodbye..
User :   Thanks
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