I am trying to find out some information on intubation and this was the closet board that I could find. Recently I had a friend who had to be intubated as a result of an inhalation injury. The entire time he was unconscious and has no recollection of being on a ventilator. This actually made him very mad because he did not like that fact that he cannot remember anything that took place and several days of his life are missing. I understand that there is a reason that intuabated patients are usually sedated, but to me, this sounds like a nightmare. I would never want to be put under to the point that I could not remember anything and I would not appreciate having that done to me. So the question is, can you refuse any sedation when being intubated? I am not just referring to being put to sleep, but also where you remain awake, but drugged to the point that you have no memory. I have heard that sedation is almost always done in these situations, but do you have a choice? I know I have seen people that were awake and fully aware while on a ventilator, but I do not know why it was done like that. I have also read about awake intubation, yet every time I read about it, it still talks about sedation, so I don't even think I understand what types of sedation there are. Any insight is appreciated.
Sedation while intubated?
Added 29 Sep 2017:
Thanks for the responses so far. I understand why that they want to do it, but what I really want to know is:
1 - Can you refuse all forms of sedation so that you are awake and able to remember what took place when it happened?
2 - Does anyone know why there are situations where some people are awake and aware? I have seen people like this, so it seems that it is done sometimes.
3 - Can you be awake and aware and still be sedated? I have read about awake intubation where it talks about requiring a cooperative patient to do it, but at the same time some kind of sedation is said to have still been administered.
Thanks again for any help.
Having spent time intubated and under sedation (a powerful benzo and amnesiac), by need, not by choice. The body naturally fights the tube as the the gag reflex, swallowing reflex and esophageal peristalsis has to be stopped. The only unpleasant part was when they had to remove the tube (by bringing me out of sedation) which brought on feelings of panic and choking and have someone shake me everytime I got close to respiratory arrest (that happened a lot). He is better off not remembering he was on the ventilator.
People would not be able to tolerate being awake and and intubated.
They would be miserable and at risk for pulling out the tube.
The body needs to rest after a traumatic injury and that would not happen with a tube.
They usually give you medicine to put you totally asleep prior to the intubation.
I agree with Stephen that I want to be woken up when it's all over.
The most you have is an irritated throat from the intubation tube.
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