Anesthesia and difficult veins question. Does this put me at risk?

Question

I am a recovering IV drug user. I have been "clean" for many years now but still have damaged veins from my past. When I need blood tests done it normally takes about an hour plus to find a vein and at least 10-15 try's. I gained a lot of weight after getting off drugs and have finally lost it. I am interested in a tummy tuck but I am concerned if my veins pose a problem. Also I have talked with my psychiatrist and she believes I am in good mental health for the surgery.

Dallas Buchanan, MD · Answer

Thank you for your question. Glad to hear you have made significant positive changes in your life....congrats!As for your vein issue, yes sometimes venous access can be a problem. Many anesthesia staff (MDs, CRNAs) are very experienced with difficult IV access and can often get adequate IV access for surgery when others have been unsuccessful. I would discuss your concerns with your surgeon and make sure there is a backup plan for if they cannot gain IV access on you with a simple peripheral IV. There are others options available such as a PICC line or central line, but these usually require experienced personnel as well as imaging and may not be able to be done in an outpatient setting. In addition, there are some additional risks involved with these types of procedures. In addition, make sure you discuss your psych history openly with your surgeon. Put him or her in touch with your psychiatrist and make sure that she sends your surgeon records stating that you are a good candidate for cosmetic surgery. All in all, it sounds like there are some minor hurdles to deal with, but in the end, you will be an acceptable candidate for cosmetic surgery. Good luck to you!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Congratulations on changing your life. Additionally congratulations on your weight loss. It sounds like you may have a difficult problem but there can be a solution.   I might recommend that you get a PICC line placed. This is something that's done in the X-Ray department or some facilities have an IV nurse that comes and does this at the bedside. They image your veins, typically with ultrasound, to select a good one to put an IV.   Please consult with your plastic surgeon concerning this possibility. It would be awesome if you can get your body contouring surgery so just continue to move in a positive direction in your life. All the best!

Curtis Wong, MD · Answer

as there are many other areas where venous access can be achieved without even touching your hands, forearms, or feet.  Your anesthesiologist will find something that will work for you and you can let them know of your concerns when you go in for your pre-op.

Paul J. Leahy, MD · Answer

I'm very glad to hear how you have changed your life in such positive ways. The anesthesia and pre-op nursing teams are extremely good at getting IV access these days. You might mention that when they call to get everything arranged as they may want you to come in a bit earlier. Best wishes.

Aramis Vega, MD · Answer

It´s my pleasure to answer your question.I recommend you to go see a board certified plastic surgeon who can explain to you the all process. Usually there is no problem to get the veins for the surgery. The nurses or anesthesiologists are prepared for all types of veins.Sincerely,Dr. Aramis VegaBoard Certified Plastic Surgeon

Anesthesia and difficult veins question. Does this put me at risk?

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Answer: IV access

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Anesthesia and difficult veins question. Does this put me at risk?

Answers (9)

Answer: IV access

Answer: IV access

Answer: Tummy Tuck

Answer: Tummy Tuck

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.