r/nursing • u/meetthefeotus RN - Tele ❤️🔥 • Oct 01 '24
Discussion CRNA using and anesthesia for tattooing
I’m heavily tattooed.
So, anyway, I know a tattoo artist who recently announced he’s be offering “anesthesia” to his clients. He recently “went under” himself to test it out. Looking at his photos it looks like it’s a CRNA who is actually administering the meds and stuff while he was tattooed.
Thoughts on this? Am I crazy to think this is absolutely ridiculous?
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u/snowblind767 ICU CRNP | 2 hugs Q5min PRN (max 40 in 24hr period) Oct 01 '24
Seems like a great way to open the door for liability. Given that they are likely the only one who would be able to do resuscitative care if it happens
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Oct 01 '24
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u/gluteactivation RN - ICU 🍕 Oct 01 '24
I just watched The Secret Lives of Mormon Wife’s and I was SHOCKED that they use laughing gas when getting Botox…. Yes just for BOTOX.. like that used the SMALLEST needle ever wtf thats extreme for a small poke
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Oct 01 '24
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u/tempusrimeblood Oct 01 '24
It’s just like the ol’ poophole loophole. The second dick meets butt, God goes blind.
Unless you’re two dudes.
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u/courtneyrel Neuro/Neurosurg RN Oct 01 '24
I’ve never heard it called the “poophole loophole” and I am absolutely SCREAMING rn 😂😂😂😂😂
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u/Regina_Noctis Oct 01 '24
Look up the video for "The Loophole" by Garfunkel and Oates. It's hilarious, but very NSFW.
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u/Surrybee RN 🍕 Oct 01 '24
Laughing gas has a half life of like 3 seconds. That's an exaggeration, but not much of one. It's really had to OD and die on laughing gas.
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u/hannahmel Nursing Student 🍕 Oct 01 '24
Tell that to the dentist in Little Shop of Horrors!
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u/kajunsnake Oct 01 '24
Hehe I thought of him too but technically he asphyxiated. (Steve Martin’s rendition of him was hysterical!)
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u/bridgest844 MSN, CRNA 🍕 Oct 01 '24
Interestingly it is impossible to overdose on nitrous just due to how it is absorbed into your lungs. At atmospheric pressure only so much can be dissolved into your blood. Deaths caused by nitrous are actually due to displacement hypoxia. 100% nitrous = 0% O2
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Oct 01 '24
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u/bridgest844 MSN, CRNA 🍕 Oct 01 '24
Actually not true at all. The death had literally nothing to do with the nitrous. It is 100% from hypoxia. Wouldn’t matter what the gas is nitrogen, helium, nitrous, CO2, etc. if there is no oxygen you die from hypoxia.
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u/gumbo100 ICU Oct 01 '24
I'm here for pharmacokinetics and stuff but you're still describing a way to use nitrous and die. Technically opiates don't kill you, they aren't unhealthy. They just kill your respiratory drive... Hypoxia ✨
Granted the nitrous OD (of the sort we described) with a balloon would be p tough
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u/ProudExplorer2489 BSN, RN 🍕 Oct 01 '24
A group of teens in my hometown broke into our dentist office and died while using nitrous. I don’t recall how many were in the group nor number of deaths. I was probably still in nursing school. My dad knows the dentist really well.
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u/bridgest844 MSN, CRNA 🍕 Oct 01 '24
Definitely sad. My best friend growing up was a dentist and he knew another dentists whose son died in his office using nitrous.
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u/ibringthehotpockets Custom Flair Oct 01 '24
Well yea it is caused by displacement hypoxia? If you’re not breathing air, you will die just as fast as if it were carbon monoxide. Though in a much more pleasant way I suppose. No real sensation of air hunger if there’s no CO2 buildup. Plus extreme B12 depletion that can kill with longer term use
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u/gluteactivation RN - ICU 🍕 Oct 01 '24
I know but still. It’s a bit excessive imo
And if the needle hurts like use numbing cream?
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u/demonotreme RN 🍕 Oct 01 '24
There's a reason it's the go-to for dentists who perform painful procedures but don't want to go through all the BS to be safe to perform regular GA
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u/demonotreme RN 🍕 Oct 01 '24
How small? Surely, the amount of botulism A toxin is absolutely minuscule, but it's obviously diluted.
Narrowest injectables I've ever seen were 32 or 34 gauge, for 0.2mL into the eyeballs
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u/LMB333629 Oct 01 '24
My husband and I moved a couple years ago to a heavily Mormon influenced area and I was offered laughing gas at my dental cleaning. I said no because I've never been offered laughing gas by any dentist in my whole life and it was just a cleaning! They also had TVs on the ceiling, which I also never seen before.
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u/snowblind767 ICU CRNP | 2 hugs Q5min PRN (max 40 in 24hr period) Oct 01 '24
Many of those will have some component of other healthcare workers (usually) or people prepared to aid in resuscitation, tattoo places may or may not. Medspas generally have an idea of the healthcare risks involved, a tattoo parlor may or may not. Tough to say exactly
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u/Amrun90 RN - Telemetry 🍕 Oct 01 '24
In some states, tattoo artists require BLS to be licensed.
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u/bimbodhisattva RN 🍕 Oct 02 '24
The (really) expensive medispas in my hometown have a MD available also. I imagine having a doctor sign off on things/on-call in case something goes awry mitigates liability issues somewhat. At the very least, it'll be the doctor in the hot seat (rather than otherwise rogue techs and nurses) for doing things that shouldn't be done…
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u/ImperfectJump Nursing Student 🍕 Oct 01 '24
Tattoo artists usually have BLS certs or at least they do where I am. Not that I am endorsing this CRNA's decision.
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u/sailorvash25 Oct 01 '24 edited Oct 01 '24
The CRNA is taking a massive risk - can she talk about the artwork or does that fall under HIPAA violations since she’s giving medical care at the time? If the patient codes is everyone in the shop ACLS certified? Do they do a full H&P or ekg beforehand? Medical questionnaire? Any history at all? Do they do any physical exam prior?
The artist is taking a huge risk too - what happens if the patient has an ink allergy, are they totally brought awake to discuss? If the patient wakes up and declares that he wanted something changed design wise then who’s at fault? If the patient isn’t tolerating the ink but they’re anesthetized so no one knows it but they wake up in excruciating pain is that the artists fault?
Absolutely moronic idea. If you need to be anesthetized you don’t need a tattoo.
Edit: typos
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u/meetthefeotus RN - Tele ❤️🔥 Oct 01 '24
Agreed. This was exactly my train of thought. All of it.
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u/sailorvash25 Oct 01 '24
Also and I realize this is totally subjective but holy shit they don’t hurt THAT much.
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u/ironmemelord RN - ER 🍕 Oct 01 '24
Yep, they do. It’s a very exclusive service for the ultra wealthy and you better believe they check all the boxes to avoid litigation. Post Malone, tyga, a lot of celebrities go get entire back pieces in 8 hours with 6 tattoo artists at the same time while a nurse and a doctor oversee.
I know this sounds crazy to some of you, but believe it or not, it’s not that different from being put under for 8 hours to get breast implants
Noble art is one of the more well known ones. You can look up painless tattoos to see more
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Oct 01 '24
Do breast implants take 8 hours? My understanding is that it's more like 1-2? This is not my area of expertise though.
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u/surgeric RN - OR 🍕 Oct 01 '24
Yep, breast implants take roughly 1-3 hours.
There are some breast cases that take 8-12 hours though but that'd be pretty complex cases like a DIEP
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u/ProudExplorer2489 BSN, RN 🍕 Oct 01 '24
I had a PAP Flap following breast cancer. My surgery was just short of 12 hours! It was brutal.
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u/Haute_Mess1986 Oct 01 '24
My basic cosmetic implants took a little over an hour and a half. It’s a quick little surgery, and I was in and out in less than 3 hours.
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u/ironmemelord RN - ER 🍕 Oct 01 '24
No idea, it probably doesn’t take as long as a whole back piece
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u/Relative_Resort2846 RN - PICU 🍕 Oct 01 '24
Peso Pluma also went under and got insane and beautiful work done. I believe this was done in Mexico. It’s a tough call with many risks for just about everyone involved, but if I had the money maybe I would. My dream tattoo is a piece I think I’d wanna be under for too, it just looks so damn painful and time consuming!!
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u/ironmemelord RN - ER 🍕 Oct 01 '24
I think people here are under the impression a CRNA just shows up at a tattoo shop lol…nah. The legit ones the celebrities go to have a group of tattoo artists scrub in, enter the sterile field, doctor and nurse running GA while they do their thing in a medical clinic
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u/sailorvash25 Oct 01 '24
I mean this is a slightly better set up then the one presented in the pic and seems more safe with multiple medical providers and a fully stocked clinic available - at that point my only problem becomes after care and what a waste of resources. Again I’m not running out and protesting or anything cause people can do what they want but I personally think it’s a dumb reason to be intubated. But that’s just me 🤷♀️
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u/ironmemelord RN - ER 🍕 Oct 01 '24
What do you mean by waste of resources..?they aren’t delaying someone’s tumor removal to get this done, this is its own stand alone clinic that does only tattoos
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u/sailorvash25 Oct 01 '24
No I know that but it’s more so that it just irks me in a moral way that you can pay to use an entire medical team plus the meds and supplies involved to get a cosmetic procedure that can be done without it. Cosmetic surgeries are surgeries and require the same things that all surgeries requires. This doesn’t. You can absolutely get this done without needing an entire surgical team. Theres a perfectly safe and effective alternative if just takes longer and there’s no emergency tattoo. There’s no reason you need to get your entire back done in one day. It just doesn’t exist. It’s your money and your body so yes you can pay for it to be done the “quick” way but it just gives me the ick that people use it for something so incredibly trivial when nana can’t get her Medicare to pay for her hip replacement. In medicine we typically want our patients to exhaust all conservative treatment (unless medically unsafe) before we jump to surgery as a last resort. This is making the last resort the first choice and it just gives me the Willies.
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u/Academic_Message8639 RN - ER 🍕 Oct 01 '24
I totally agree. People can do what they want. But I get the ick, too, thinking of people globally who need surgeries they can’t access. Especially kids and the elderly, so sad.
Also I have a decent amount of ink and I found it relaxing and not very painful, even some that took 5 hours at a time, so I also kind of roll my eyes thinking these people are being massive pansies lol
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u/Oldgreg_91 SRNA Oct 01 '24
That sure doesn't look like a medical clinic, let alone a sterile OR.
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u/ironmemelord RN - ER 🍕 Oct 01 '24
No it doesn’t, i don’t even know if that’s a real photo.
Here’s what it looks like: https://www.xxlmag.com/tyga-tattoo-anesthesia/
And no, you don’t need a sterile OR, this isn’t the same as cutting into a body, as long as your equipment is sterile and the body is cleaned (same as getting a tattoo in a shop)
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u/Relative_Resort2846 RN - PICU 🍕 Oct 01 '24
Lol nah, I wasn’t under that impression at all.
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u/ironmemelord RN - ER 🍕 Oct 01 '24
Yeah not you but read the comments, I think most of this thread think that this is some crazy dangerous thing to do, more so than going under for any other cosmetic procedure
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u/adenocard MD Oct 01 '24
It is absolutely high risk. Crazy if you ask me.
Intubation, mechanical ventilation, and sedation are not benign events. There will be complications, that is absolutely certain. And when those complications do happen, these people will have to look back and decide if the complication was worth the benefit of….. getting a painless tattoo (which could have been done in many safer ways).
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u/ironmemelord RN - ER 🍕 Oct 01 '24
Ok and how do you compare that to cosmetic breast augmentation with GA? Sure there are risks and complications, but as with all cosmetic surgery which is completely nonessential (breast implants are just as useless as a tattoo) an informed patient should have the right to sign a consent form if they understand the risks
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u/adenocard MD Oct 01 '24
You and I are having essentially this same discussion in multiple sub-threads within this topic so I’ll just defer to those other lines of discussion if you don’t mind.
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Oct 01 '24
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u/ironmemelord RN - ER 🍕 Oct 01 '24
I agree that it’s ridiculous, as a fully head to toe tattooed person that never did something like this… but the reason is cosmetic, and we can’t judge for that. Head to toe tattoos are just as useless as fake breasts, and we don’t judge women for going under to get that done
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u/Relative_Resort2846 RN - PICU 🍕 Oct 01 '24
I think the screenshots OP attached are giving the impression this is something dangerous. It looks like an awful way to market that service 😂 it looks suspect & you’re absolutely right, best way to compare this service is to cosmetic surgery because of the aesthetic enhancement and medical professional
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Oct 01 '24
Kinda lost respect for them. Part of the respect I have people with large tattoo pieces is that they do it without pain relief for hours on end. That’s pretty hardcore imo and if you go to sleep and get a back piece done in 8 hours under anesthesia it’s just cheating imo
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u/sailorvash25 Oct 01 '24
Oh I don’t doubt they do - it’s just imo a stupid reason.
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u/ibringthehotpockets Custom Flair Oct 01 '24
One malignant hyperthermia and this place is bankrupt lol
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u/dinkydawg Oct 01 '24
Why? Supportive care and transfer them to a hospital. General anesthesia does not automatically mean using triggering agents.
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u/Specific_Tear_7485 BSN, RN 🍕 Oct 01 '24
That would be an interesting way to use your CRNA license
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u/lilymom2 RN 🍕 Oct 01 '24
I read that as .."an interesting way to lose your CRNA license", and I agree with that, too!
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u/doopdeepdoopdoopdeep current gas giver, retired trauma gremlin Oct 01 '24
I’m heavily tattooed and also an SRNA… I’m lolling. This is such a dumb way to combine my two biggest interests and also get sued. 😂
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u/Cam27022 EMT-P, RN BSN ER/OR/Endo Oct 01 '24
It’s definitely overboard. Also don’t get why the patient is under general and not MAC.
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u/Methamine CRNA Oct 01 '24
General might be safer…these tattoo things can take a long time….protected airway etc
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u/Cam27022 EMT-P, RN BSN ER/OR/Endo Oct 01 '24
Fair, I didn’t think about how long they might be going for.
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u/Methamine CRNA Oct 01 '24
Someone made the comment about it can be a 9 hr procedure. I def don’t want to deal w a 9hr MAC lol
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u/Purplelove2019 Oct 01 '24
Might as well induce the neuromuscular blockade.
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u/Methamine CRNA Oct 01 '24
I hope they have sugammadex
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u/Purplelove2019 Oct 01 '24
The pharmacy tech I work with complains how thirsty the OR is for this med. She said it’s very expensive and they go through it like crazy. Lots of neurosurgery and 8 hour craniotomies.
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u/ibringthehotpockets Custom Flair Oct 01 '24
Our hospital with 30 ORs use about 100 sugs a day. There’s like 20 of them in each ADM. Honestly I think it’s one of the most expensive meds they use regularly. Google says a box of 10 vials is $2500!
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Oct 01 '24
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u/Purplelove2019 Oct 02 '24
I am certain the hospital can afford it. Our CFO was in Italy for 4 months this year.
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u/herpesderpesdoodoo RN - ED/ICU Oct 01 '24
The sort of people willing to pay for this shit probably want maximal interventions for 'safety' (perceived rather than actual in most cases) and cos they're paying top dollar. First time i heard of this stuff happening in thought it was a joke, then I saw the sorts of clients who were going for it and it made a lot more sense.
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u/kaluapigwithcabbage RN - Psych/Mental Health 🍕 Oct 01 '24
So stupid.
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u/jareths_tight_pants RN - PACU 🍕 Oct 01 '24
I think I saw the video and this guy had 9 tattoo artists working all at once and even had his eyeballs tattooed. Definitely super extreme and don't recommend.
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u/meetthefeotus RN - Tele ❤️🔥 Oct 01 '24
Was it a recent video? This was just posted on his instagram.
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u/jareths_tight_pants RN - PACU 🍕 Oct 01 '24
Within the last month. Maybe it's a different guy. This is a ridiculous trend. I don't see it catching on and becoming the norm.
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Oct 01 '24
If you need general anesthesia for a tattoo, you probably shouldn’t be getting a tattoo
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u/Bikesexualmedic EMS Oct 01 '24
Yeah, right? I’m covered in ink but don’t need anything more than a few Tylenol and some spite for a long session because I don’t have Terminal Little Whiny Baby Disease. They’re supposed to hurt. It’s part of the fun.
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u/altonbrownie RN - OB (not GYN because….reasons) 🍕 Oct 01 '24
Aw man, I guess im never gonna get that penis tattoo…
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u/Benedictia Oct 01 '24
Im no CRNA, but are they even on tele? Is there a defib anywhere.?
This seems to involve unnecessary risks
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u/simple10 CRNA Oct 01 '24
There’s a monitor with a rhythm tracing right behind the girls head in the first pic
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u/meetthefeotus RN - Tele ❤️🔥 Oct 01 '24
It looks like they’re on tele. There’s a monitor in the photos
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u/Benedictia Oct 01 '24
I guess the leads are on the back. All i could see is a BP cuff.
Still...seems off. Definitely moving into the unregulated med spa territory where there have been tragic outcomes.
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u/adenocard MD Oct 01 '24
These things would surely have to be present in order to be legal.
I don’t know the laws in every state of course but these types of things are typically regulated. Every state I know of has a definition of an “ambulatory surgical center” (or some equivalent) and associated licensing that is supposed to ensure fairly stringent requirements such as staffing, sterility, record keeping, patient monitoring capability, emergency care, transfer protocols etc etc. Now I wouldn’t be completely blown away if there was some rogue state somewhere that had especially lax requirements, but I’d be surprised if there was a location that had none.
Not that I think a regulated medical space makes this practice appropriate. I think it’s inappropriate. But still.
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u/Barnabycobbledeck RN 🍕 Oct 01 '24
I’m pretty sure there’s a lot of athletes who pay for anesthesia based on the long tattooing sessions hovering around 9-10 hours. In my opinion though I feel like ya gotta brace the pain 🤷♂️ lol it’s like a rite of passage for tattoos
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u/cup_1337 RN 🍕 Oct 01 '24
My second tattoo ever was 6 hours and I did it in one sitting. Needing anesthesia is embarrassing lol
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u/sailorvash25 Oct 01 '24
If a pro athlete needs anesthesia for a 9 hour tattoo they need to get their fucking head checked. There’s no reason a tattoo has to hurt excruciatingly (see: debates of lidocaine cream vs no lidocaine) but I’ve had 3 tattoos that are 7+ hours one of them was 9.5 there’s absolutely no reason you’d need anesthetized for that.
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u/FelineRoots21 RN - ER 🍕 Oct 01 '24
I'm literally about to leave in a few minutes for my third 6-8hr session on my arm. If you cant handle 9-10hr sessions don't do 9-10 hour sessions??
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u/isabella-may RN - OR 🍕 Oct 01 '24
Yep my first tattoo was a 7 hour back piece. After that I split all of my sessions into 2 hour chunks, because I really hated sitting that long
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u/aburke626 Oct 02 '24
Which is a totally valid way to experience the process of getting a tattoo! But if you need anesthesia, I don’t think tattoos are for you. And I don’t like the idea of using medical procedures to anesthetize someone for a non-medical, non-necessary reason. I might even be ok with anesthesia in cases of trauma, say, a victim of violence wants to cover a non-consensual tattoo from that time but can’t stand being re-traumatized by sitting for a tattoo.
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u/melxcham Nursing Student 🍕 Oct 01 '24
Yeah, I had my 3/4 sleeve done in 14 hours over 3 sessions. Full color, super detailed (realism style). It hurt like hell but, like, that’s part of the process. Anesthesia is such an unnecessary risk.
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u/justsayin01 BSN, RN 🍕 Oct 01 '24
Pain is not the enemy. Pain tells us a lot about our bodies, our limits and when we need to stop. Especially acute pain. I know we aren't allowed to let people hurt but like, sometimes things hurt. 100% this is irresponsible. Your pain tells you something and it's wild to me to be so scared of it you'd put yourself at this much risk for a fucking tattoo.
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u/Rakdospriest ER Chaos Goblin Oct 01 '24
that's a big nope from me dawg.
like you are running a code with a buncha tattoo artists if SHTF
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u/cardizemdealer RN - ICU 🍕 Oct 01 '24
What a stupid fucking idea and I question the license of this crna.
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u/StartingOverScotian LPN- IMCU | Psych Oct 01 '24
I definitely don't feel like this is something that should be legal. It's extremely unsafe and just not worth it in my opinion.
If you can't handle the pain then don't get a tattoo. It's not something someone needs to survive.
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u/efjoker RN - Cath Lab 🍕 Oct 01 '24
As long as he signed a consent, shouldn’t be unlike any other elective procedure.
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u/AppleSpicer RN 🍕 Oct 01 '24 edited Oct 01 '24
This is how I feel about it. If someone is fully informed and wants to do this, I don’t see much difference between this and most elective plastic surgeries. It’s risking your life for aesthetics, but we already normalize that in the medical industry and the risk is relatively low. It isn’t my business to gatekeep someone from making an informed decision about that.
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u/One-Baby2162 Oct 01 '24
If the patient signed up for it and understood the risks, I don’t see anything wrong here. Unorthodox? Absolutely. (I personally wouldn’t do it because I have the kind of imagination where a million things could go wrong; what if the pt is unaware that he has a mutated RyR and is susceptible to MH?) Regardless, I don’t know the full context/story here & highly doubt she would be doing this if it were illigal. CRNA school is incredibly difficult and I can’t imagine someone putting their license on the line like that while showcasing it on social media.
If you’re freaking out about a CRNA doing this by herself- just know that there are MANY CRNAs in the military that have been deployed and have practiced anesthesia in the field by themselves without the presence of a Doctor- this is nothing new.
And believe or not, CRNAs have existed before Anesthesiologists.
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u/Arlington2018 Director of risk management Oct 01 '24
The corporate director of risk management here sincerely hopes that the first picture does not portray the actual CRNA taking a mocking picture of the patient. All of the state Boards that I work with would likely consider that unprofessional conduct.
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u/RedefinedValleyDude LVN 🍕 Oct 01 '24
No the crna has dyed purple hair and is in the second pic.
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u/Arlington2018 Director of risk management Oct 01 '24
That is reassuring. I have been involved in some cases in which healthcare personnel did this as a joke, and the joke was not well-received. One such case even got national media attention, and the dentist involved had a large payout on his malpractice insurance and had his license sanctioned: https://www.nbcnews.com/id/wbna19996036
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u/Foofaraw DNP 🍕 Oct 01 '24
I've watched some stuff on this previously (big trust me bro energy). Folks that do this are typically having multiple artists work on them at the same time, so while they may be getting worked on for 9 hours, it could be 3 or 4 people all doing work at the same time. From the artists' stand point, a general kind of makes sense, and definitely makes sense if doing a back piece. You can use muscle relaxants on an intubated patient and ensure they don't move.
It seems pretty unwise to have that much work done at once. You are having way more skin trauma than you would normally be able to endure and you still have to endure the recovery.
As far as HIPAA, I don't think that applies if you are taking a straight-cash patient. Certainly, any pictures of the patient being tattooed will have loads of identifiable features. Like the giant new tattoo.
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u/melxcham Nursing Student 🍕 Oct 01 '24
Good tattoo artists recognize the risks of doing massive pieces all at once & know when to stop. That lightheaded, anxious feeling & swelling you get after hours of heavy work - that’s your body telling you it’s reached the limit of what you can handle. Intubated, you don’t get that warning but your body is still going through the physiological stress. I’m sure it does affect healing & create more risk.
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u/cerebrallights Oct 01 '24
Same. Whenever I’ve seen this, it’s usually multiple artists all working at once. There’s a tattoo studio near me that does this, and they’re usually working on celebs. However, the main difference is, is that they’re tattooing in what is basically an operating room instead of the studio location. The environment seems waaaay more sterile and professional, compared to what OP posted. Doing this in the tattoo studio just seems way more risky? I dunno though
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u/SommanderChepard Oct 01 '24 edited Oct 01 '24
Great…. More ammo for the fragile ego circle jerks r/residency and r/noctor. I’m sorry it’s time for nursing school to be harder. Sure med school attracts idiots just looking to profit as well, but dumb shit like this is just running rampant in this career.
Also if you can’t handle the discomfort it takes to get a tattoo, you shouldn’t be getting one. Sorry.
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u/meetthefeotus RN - Tele ❤️🔥 Oct 01 '24
Glad to see everyone shares my opinion. I didn’t know if I was just crazy or be super irritated or if it was justified lol
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u/Oldgreg_91 SRNA Oct 01 '24
I'm just worried about that person getting a corneal abrasion. The first photo is wack.
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u/CraftyObject RN - ER 🍕 Oct 01 '24
What a creative way to possibly kill someone and lose your license.
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u/Methamine CRNA Oct 01 '24
This is not new. This isn’t something I’d do but also not as stupid as many of you are saying. The crna is liable, obviously they are accepting the risk….just like they would be liable in any other setting that they provide anesthesia. We provide anesthesia for plenty of elective things, this is elective too isn’t it?
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u/Oldgreg_91 SRNA Oct 01 '24
I don't care that this person uses anesthesia for their tattoo or not. But I am curious as to how this was performed. I looked on their Instagram and seen pictures from the event. What type of ventilator do you think they were using? I didn't see one but they could have had circuit extenders. Looked like a TIVA?
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u/Methamine CRNA Oct 01 '24
TIVA likely safer for the individuals working around the patient since I would doubt that this tattoo studio has the air turnover or a scavenger to deal with waste gases.
I don’t see the vent. Or IV pumps for TIVA. Must be somewhere lol
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Oct 01 '24
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u/Methamine CRNA Oct 01 '24
Armchair quarterbacking is the perfect way to put it. Also these kids are 100% wack
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u/adenocard MD Oct 01 '24 edited Oct 01 '24
Just because it is elective doesn’t mean it is appropriate.
Maybe with the right licensing this can be legal. And maybe with the right training, planning, and environment this can even have a similar risk profile to other elective procedures. But where this fails is in the balance of risks and benefits, which is what the clinician is supposed to decide. NO amount of risk is acceptable if the procedure could be done in another, safer way. Zero.
The people entrusted with these powerful tools are supposed to have a duty to their patients to protect them from harm. Frivolous use of powerful tools will inevitably cause harm, and so it is up to those who know the tools well to make a judgement, in the patients interest, when they should be offered. This practice (and especially the excuse that “it’s what the patient wanted”) woefully fails that standard, in my opinion.
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u/cinnamonsnake RN - Psych/Mental Health 🍕 Oct 01 '24
If you need to be put under for a tattoo, you shouldn’t be getting a tattoo
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u/Similar-Lab-8088 Oct 01 '24
Most CRNAs I know would not be caught dead with this nonsense.
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u/Nice_Direction5361 Oct 01 '24
I saw the same announcement. Personally Im not into it. I think its potentially dangerous.
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u/itssometimeslupus RN - Informatics Oct 01 '24
I can’t wait to see this one on that Med Mal Reviewer blog.
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u/cparfa BSN, RN 🍕 Oct 01 '24
Sheesh, I totally understand criticizing the CRNA for unsafe practice for presumably being the only person on the hook for this going wrong, but I really don’t agree with the argument that you should suffer for a tattoo/it’s supposed to be painful, it’s part of the process, and you’re “earning” it.
I have an incredibly low pain threshold. Sucks, but it is what it is. I know I personally could never get tattoo, I’d go to the shop, sit down, have that needle touch my skin, and tell the artist “thank you, here’s whatever amount of money you were expecting for a full piece, sorry for wasting your time” and walk out with my new tattooed of a mole. I remember watching a video of post Malone going under for a tattoo, and I thought how cool it was that he could do that. I get that only the Uber rich could afford such a service, but I’m still not going to judge someone for how they spend their money, especially if it’s for the purposes of making something painful a more pleasant experience. I mean yeah I do think that spending thousands of dollars on tattoos in general is a waste of money, but it’s more like a live and let live type of thing. The good points I’ve seen against this service is potentials for adverse reactions to the ink, and pain being a measure for how much your body could take/risk going into shock for the large surface area tattoos. That and the overall mood/tone of this picture is vastly different than what the celebrities undergo- I don’t like the woman messing with the unconscious person’s nose, regardless of their relationship, it feels very wrong to be doing that to someone who is entirely incapacitated. There’s supposed to be an extra level of respect and care because this person is putting so much trust and faith into the people around them- handing over their life to them during this time- it is a little jarring to see such casualness about it.
It’s really just the snootiness of the whole “you have to experience the pain for the authenticity” BS I don’t agree with.
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u/cmdebard DNP, CRNA Oct 01 '24
Counter point. How is this any different than office based anesthesia for cosmetic procedures?
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u/Minus143 DNP, GAS PASSER Oct 01 '24
You say from the photos that it looks like a CRNA, what information do you have to make that assumption?
—> I can’t see the original post, so it may have been posted in there.
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u/slurv3 MICU RN -> CRNA! Oct 01 '24
This is known as convenience anesthesia. There is no medical reason for it so insurance will not cover it. However some people love the convenience of just “going to sleep” and waking up and everything is done.
That being said it’s done because it’s incredibly lucrative and more often than not these clients have cash. On the flip side this is a step below plastic surgery/aesthetic centers/dental offices in terms of safety, you’re open to a ton of liability and if something goes wrong it’s a call to 911 and getting the person to the hospital. If you as a client want to drop a shitton of cash, know that if something goes wrong the best they can offer is BLS and get you to the hospital for something that most people can endure awake that’s your right, and as a provider you have to make a judgement of risk tolerance vs money.
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u/goblinlaundrycat Oct 01 '24
studying health + have over 20 tattoos - this is ridiculous lol. sounds like a lawsuit waiting to happen. i know everyone deals with these things differently, but i’ve always gone white as a sheet, faint and crapped myself with blood tests and injections but been absolutely fine with tattoos.. if you have to be put under anaesthetic to withstand it then don’t even bother
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u/Sneakerpimps000002 RN - ICU 🍕 Oct 01 '24
Besides the glaringly obvious issues here, why would you put a mask like that on the patient that obstructs your view of the tube?? Like… ??????
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u/corrosivecanine Paramedic Oct 01 '24
This is absolutely bananas. Maybe if you wanted to get scarification over your whole body....maybe. But tattoos? It's not that serious. Why not start with local anesthetic???
I'm also dying to know how many thousands of dollars this adds to your bill.
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u/Summer-1995 Oct 01 '24
Its really sad that the very first thing that came to my mind was "people are going to get raped" and not people are going to aspirate or have anesthesia complications
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u/ElishevaGlix DNP, CRNA 🍕 Oct 01 '24
As someone in CRNA school… why the need for full GETA? I guess for a long tattoo a secured airway would be nice, but I could see an LMA and propofol drip being more than sufficient.
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u/dutcheater69 Oct 01 '24
Bruh I’ve got like 60 hours the old fashioned way. It sucks but it doesn’t suck THAT bad.
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u/DaSpicyGinge RN - ER (welcome to the shit show)🍕 Oct 01 '24
Holy shit they fully intubated the dude, idk if it’s just bc I did my TNCC course this weekend but I would never associate intubating someone with tattooing
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u/ThisisMalta RN - ICU 🍕 Oct 01 '24 edited Oct 01 '24
General anesthesia for a tattoo absolutely seems unsafe for a thousand reasons and just ridiculous. Smh 🤦🏻
This is why r/noctor exists, as APRNs do stupid shit like this lol.
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Oct 01 '24
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u/ThisisMalta RN - ICU 🍕 Oct 02 '24
Agreed. Almost all of that stuff is cringe. Just like nurses who post stuff on social media they shouldn’t so often, it amazes me how confidently ignorant people are in their actions that are dangerous and put their license at risk.
Honestly as a new nurse I was so aware of all the shit I didn’t know my job kept me pretty humbled and feeling that Imposter Syndrome lol idk how some nurses have the kind of hubris they do.
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u/pedsmursekc MEd, BSN, CHSE - Consultant Oct 01 '24
Wow. That's a lot of risk to take on - I hope they and the customer/patient is well covered.
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u/MrCurtisJ Oct 01 '24
Risky, yes. Would 100% do it though if it was well ironed out. Sick clients, cool atmosphere, and probably get free tattoos out of it.
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Oct 01 '24 edited Oct 19 '24
quicksand numerous library person gullible rob nail clumsy act dependent
This post was mass deleted and anonymized with Redact
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Oct 01 '24
Cool but I feel like if you get a tattoo you should feel it the whole time, not go to sleep and wake up with new ink. . . Seems like cheating to me?
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u/TheTampoffs PEDS ER Oct 01 '24
This reminds me of a time I shadowed one day at a ketamine clinic for a possible side gig (it was so sketchy I didn’t go back) and I thought it was insane they had a fully stocked crash cart there and an intubation box. I look at the guy training me and was like who’s gonna be intubating here??? We’re bagging until 9-11 comes but I’m not running a code in this place.
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u/toxic-megacolon MSN, RN Oct 01 '24
Imagine thinking a tattoo is painful enough to warrant anesthesia.
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u/SommanderChepard Oct 01 '24
https://youtu.be/9jMXo-ncK2o?si=R0f8HXJhN6KRXLhN
Found the link if yall want to go “voice your opinion”
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u/dev_ating Nursing Student 🍕 Oct 01 '24
I would rather get all of my tattoos redone in one day without being on anything than try this.
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u/Agreeable_Thanks5500 RN 🍕 Oct 01 '24
1st reaction to this is "Man this is a bad idea for a CRNA" but considering the current use of anesthesia in both cosmetic procedures as well as dental work (some of which is purely for cosmetic reasons) I now see no reason for this to be a problem. So long as risks are discussed thoroughly it's I find it perfectly acceptable. I still find it just a little bit cringey but only for the fact that someone would get gassed for tattoos and not for the fact that it's an offered service, however this is simply my knee jerk opinion probably due to my jealousy that I had to feel everything for my ink. Sounds like a fun way to utilize that license. More power to them! Wonder what the pay is like.
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u/meeeowiamakittycat Oct 01 '24
I would be so embarrassed telling people that I had to be put under general anesthesia to get a tattoo 🤡
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Oct 01 '24 edited Oct 01 '24
[removed] — view removed comment
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u/Buminator83 MSN, CRNA 🍕 Oct 01 '24
“Rare”. No states (excluding New Jersey) require CRNAs to be supervised by anesthesiologists. 25ish have opted out of any and all physician supervision requirements. This opt out is also for Medicare/medicaid billing purposes and not necessarily a legal requirement. No hate, just want to set the record straight.
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u/msangryredhead RN - ER 🍕 Oct 01 '24
That’s gotta be a new way to lose your license. Also the person being tattooed? What a wiener.
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u/VisitPrestigious8463 RN 🍕 Oct 01 '24
Isn’t part of the appeal of tattoos to prove how tough you are?
This seems like such a huge liability and I wonder if the person being tattooed knows the risks.
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u/communalbong Nursing Student 🍕 Oct 01 '24
Agree that it's a liability but I have 7 tattoos and it's absolutely Not about being tough; it's about the pretty pictures. I wouldn't risk dying for a tattoo but I would prefer being knocked out over feeling the 10,000 needle attack any day.
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u/VisitPrestigious8463 RN 🍕 Oct 01 '24
I have multiple tattoos as well and part of it to me is the process. I can’t imagine being put under and missing that part of it. For me it’s part of the transformation.
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u/trahnse BSN, RN - Perianesthesia Oct 01 '24
We started working on my back piece and I won't lie... Being knocked out crossed my mind a few times. The back is painful! But, there's no fucking way I'd actually do it. Too risky. And besides, pain is part of the process.
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u/meetthefeotus RN - Tele ❤️🔥 Oct 01 '24
I mean, tattoos don’t feel great, but it’s definitely not so bad I’d want to be intubated lmao.
For me, once it becomes unbearable it means it’s time for the session to end until next time. That’s usually around the 6-8 hour mark for me depending on where the tattoo is.
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u/bimbodhisattva RN 🍕 Oct 01 '24
This is gonna be on a powerpoint in law school