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Written by a patient
13th November 2017


I was asked if I was allergic to anything and was thoroughly grilled about the last time I had eaten etc, so felt confident before going to theatre. However, the procedure I had was very minor, and I don't react well to Morphine, but was injected with it, in the pre-op room, without prior consent. I didn't feel it at all necessary for such a small procedure, and should have been asked beforehand if I wanted such a strong painkiller. Because of this, it took me far longer to make a recovery from the anaesthetic, as I felt sick and dizzy for a good few hours afterwards.

15th November 2017
Response from Dr Peter Karpati

First of all I am sorry you feel unhappy following your anaesthetic. Your honest feedback, which as mentioned on several occasions is really important and greatly appreciated. Your feedback helps improve and shape the service I provide. As part of an anaesthetic patients routinely are given an opioid, mostly fentanyl, on induction in the anaesthetic/pre-op room. This is preceded by anti-sickness medication, however as explained during your anaesthetic assessment this is no guarantee that post-op nausea/sickness will be avoided. In fact as mentioned among the risks, 1 in 3 patients do complain of feeling or being sick following anaesthesia and statistically females, patients with a history of PONV / motion sickness, non-smokers and use of opioids post-op all increase the chance of post-op nausea/vomiting. I normally will only give morphine during the procedure if based on the procedure and/or monitored vital functions I assess the patient as being/expected to be in pain, especially as waiting for adequate pain relief following any procedure not only prolongs the discomfort for the patient, but more importantly may increase their chance of feeling/being sick. Both these inevitably delay discharge from hospital. Please do not hesitate to get in touch according to the contact details you received during your anaesthetic assessment to discuss this experience and more importantly how to ensure, as far as possible, that any future anaesthetic experience will overall be a more pleasant one. Look forward to hearing from you. Best wishes, Dr Peter Karpati

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