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Anesthesiology/Safety of versedn Benedryl and Nardil combined for short upper cytoscopy

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Question
My wife has been on 30mg Nardil for some 25yrs, She recently underwent an upper cystoscopy by a Gastroenterologist to examine her for possible bleeding and cause of her anemia . She is 76yrs old  has interstitial lung disease, scleroderma,erosive esophagitis, a non functioning esophagus and v.lttle motiliy of GI tract due to scleroderma. They want to do another scope and I wonder is this conminations of IV drugs safe for her or would an anesthisiologist be more appropriate using profonol.  Thanks load

Answer
Both versed and benadryl are poor choices of agents/drugs in this age group owing to their prolonged effects in the elderly.  This is especially true of your wife with other complicating factors here. Given her risks, only a board-certified anesthesiologist should be making anesthesia decisions about her.  [And though you have not asked,  Why is a gastroenterologist making cyctoscopy decisions and not a board-certified urologist?  A cystoscopy is not an innocuous procedure;  a ruptured ureter in your wife (with scleroderma) would be catastrphic.]

Anesthesiology

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JM Starkman, MD

Experience

Over twenty-five years of adult and pediatric, inpatient and outpatient clinical anesthesia practice--some private, some group.

Organizations
American Association of Physicians and Surgeons. My county medical society.

Publications
[not a researcher]

Education/Credentials
American medical school graduate. Board Certified. Fellowship trained Cardiovascular and Pediatric anesthesia subspecialist.

Past/Present Clients
Over 20,000 anesthetics, the majority of which have been personally managed, with less than 5% consisting of supervising nurse anesthetists or in-training resident physicians.

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