If the nerves on that side were weaker or mildly damaged, I would think any Nitrous exposure would accelerate that.

The studies where Nitrous has caused problems were in people with marginally low B12 to begin with. People with good stores of B12 may not have a reaction from one Nitrous administration.

What other anesthetics were used? Any neuromuscular blocking agents?
This link shows neuromuscular blockade and how it works.
http://en.wikipedia.org/wiki/Muscle_relaxant

Unfortunately, I don't know what other anesthetics were used...until I see the operative report.

The only things I'm aware of were several cardiac agents used to induce arrhythmias as part of the EPS (like atropine, adrenaline, etc). They also needed multiple rounds of vaso-constrictors as my BP kept dropping (I have neurally mediated hypotension).

One other very odd post-op problem is some very significant nerve pain on the roof of my mouth and portions of my tongue when trying to eat. It is NOT an irritation type pain yet quite profound. Even something very soft causes significant pain. I have heard of PN including burning mouth issues, but have never experienced it before. Something neurally must have been triggered, compressed, irritated, etc. The leg issue (even a little of the same in the left arm/hand) seem more like compression in the neck to effect both, yet the mouth is above the neck so who knows, maybe it's more of a toxic issue. I'm confused for sure.

BTW, my B-12 sits around 900 so I doubt it's an issue.

Were you intubated?

Yes.

This could explain the mouth pain I guess (if he hit a nerve), but it doesn't look or feel "irritated". Actually the roof of my mouth almost feels numb. Oddly, when I eat it doesn't hurt as soon as the food touches it. It is a pain deep inside that seems to radiate above the roof of my mouth an inside my tongue after a couple bites. Very strange indeed. The throat was little sore for a couple days, but nothing abnormal after an intubation.


The leg thing must be compression somewhere...but the mouth, I have no idea???

Well a little good news. The leg is finally improving. Must have been a positional compression issue on the operating table. Not back to where it was, but noticeable change for the better.

The mouth is just strange but I'm thinking it is also from compression of sort. Maybe when intubated the tube itself put pressure and compressed some nerves in the throat....causing problems in the mouth, tongue, jaw, etc. Sound logical? Also seems it should improve in time...right???

At least the surgery was a success!!!

I am glad things are better...

I've seen posts over the years from patients who have left over issues in the mouth from being intubated. I think the "guide" is large and could compress the upper palate. They remove that huge thingey and just leave the tube.

People with "nerve" issues tend to be more sensitive I think to
invasive things. I know my teeth are always sensitive...and my dentist has written that in my chart in fact.

Glad the leg is recovering too.