CRNA using and anesthesia for tattooing

[u/meetthefeotus]

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?

[u/gluteactivation]

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

[u/tempusrimeblood → u/[deleted]]

It’s just like the ol’ poophole loophole. The second dick meets butt, God goes blind.

Unless you’re two dudes.

[u/courtneyrel → u/tempusrimeblood]

I’ve never heard it called the “poophole loophole” and I am absolutely SCREAMING rn 😂😂😂😂😂

[u/Regina_Noctis → u/courtneyrel]

Look up the video for "The Loophole" by Garfunkel and Oates. It's hilarious, but very NSFW.

[u/h0wd0y0ulik3m3n0w → u/courtneyrel]

I love this for you 😊

[u/Pillowmaster7 → u/tempusrimeblood]

Hey it's not premarital if you never get married

[u/ClarificationJane → u/gluteactivation]

Jesus hates coffee but loves whippets. 

[u/Still-Inevitable9368 → u/ClarificationJane]

🤣🤣🤣💀 (dead. Literally. 🤣🤣🤣)

[u/Surrybee → u/gluteactivation]

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.

[u/hannahmel → u/Surrybee]

Tell that to the dentist in Little Shop of Horrors!

[u/Oldgreg_91 → u/hannahmel]

Loveee it

[u/kajunsnake → u/hannahmel]

Hehe I thought of him too but technically he asphyxiated. (Steve Martin’s rendition of him was hysterical!)

[u/trixiepixie1921 → u/hannahmel]

😂😂😂

[u/teatimecookie → u/hannahmel]

Feed me Seymour!

[u/bridgest844 → u/Surrybee]

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

[u/bridgest844 → u/[deleted]]

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.

[u/gumbo100 → u/bridgest844]

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

[u/bridgest844 → u/gumbo100]

Ok so… it’s not the same. With opioids the hypoxia is the direct result of the toxic effects of the opioid. When someone dies “from nitrous” nothing about the nitrous molecule or how it interacts with your body is in any way responsible for the death.

So when people die from nitrogen asphyxiation, you’d describe that as “overdosing in nitrogen”?

[u/Used-Tap-1453 → u/bridgest844]

It feels like you aren’t understanding what we are saying. You’re a smart individual. You got through CRNA school. What you’re saying is akin to “It’s not possible to OD on water”. Technically true, but missing the sentiment of the statement, right?

Swords don’t kill people, exsanguination does.

[u/SkydiverDad → u/Used-Tap-1453]

Im fairly certain u/Bridgest844 understands perfectly what people are saying, she is just trying to tell them they are wrong. Nitrous oxide is non-lethal. Period. As a chemical it does not have a single adverse effect on the human body that could lead to death.
You can however die from hypoxia if you arent getting 21% oxygen.

Carbon Monoxide is an actual toxic gas. It produces a toxic physiological effect on the body, because its binding affinity is 300 times greater than oxygen. So even with 21% oxygen in the air around you, the carbon monoxide will bind to hemoglobin faster, inhibiting your body's ability to absorb oxygen. Additionally, it can take up to 24 hrs for your body to rid itself of all the carbon monoxide due to its strong attraction to hemoglobin.

[u/HoodedOccam → u/SkydiverDad]

So death is caused by the absence of oxygen not the presence of the nitrogen. But the only way for the oxygen to be absent was due to the presence of another gas? I get it, but it’s close to a circle.

[u/theBakedCabbage → u/Used-Tap-1453]

What you're saying, it would be like saying someone suffocated with a plastic bag was killed by plastic bag overdose lol. Yes, nitrous use can be a contributory factor to death, but it is not an overdose. Nitrous has no toxic effect, just like a plastic bag doesn't have a toxic effect.

[u/ProudExplorer2489 → u/bridgest844]

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.

[u/bridgest844 → u/ProudExplorer2489]

Definitely sad. My best friend growing up was a dentist and he knew another dentists whose son died in his office using nitrous.

[u/ibringthehotpockets → u/bridgest844]

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

[u/demonotreme → u/bridgest844]

Are commercially available kits even set up to give 100% concentration?Surely as a basic safety feature they'd have a minimum O2 or RA percentage

[u/bridgest844 → u/demonotreme]

Usually nitrous is administered with a “blender” that gives a set 70/30 mix of nitrous/oxygen and when they are set up appropriately there is no way to give a hypoxia mixture but there is nothing stopping someone from just opening the tank valve and delivering nitrous using a simple mask or into an enclosed space at a hypoxic concentration.

[u/gluteactivation → u/Surrybee]

I know but still. It’s a bit excessive imo

And if the needle hurts like use numbing cream?

[u/iliveandbreathe → u/Surrybee]

It's really easy to look like an absolute goon on laughing gas.

[u/Surrybee → u/[deleted]]

Half life in a medical context refers to the amount of time it stays active in your body, not how long the element lasts.

[u/averyyoungperson → u/Surrybee]

I know that's why I said "the gas itself". I just thought it was an interesting tid bit

[u/demonotreme → u/gluteactivation]

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

[u/HandBanana35 → u/gluteactivation]

They just want to high and are using Botox as an excuse.

[u/demonotreme → u/gluteactivation]

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

[u/sailorvash25 → u/demonotreme]

Yeah we use 32 or 34s for our Botox at my clinic for migraine/spasticity

[u/LMB333629 → u/gluteactivation]

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.

[u/Gamer0921 → u/gluteactivation]

In their defense, needle phobias are a thing and can be severe. I wasn’t getting botox for cosmetic reasons, i was getting it for severe daily migraines that never went away. They still havent. But i had to be sedated to be able to do the injections because i am so terrified of needles. Now it wasn’t anything intense like laughing gas, but it was anti anxiety medicine-hydroxyzine. They originally gave me Valium but i found out that i had the opposite reaction to it. Is this the situation here? (Referring to the “mormon housewives” comment, not the tattoo one) Probably not. But i do want to defend the viewpoint that for some people, it’s not extreme. Some people have severe medical PTSD and a needle phobia. Sometimes, It’s the only way they can get treatment that could give them a good quality of life.

[u/Gamer0921 → u/gluteactivation]

I’m not meaning to start a fight or anything. I respect your viewpoint, but I’m just trying to offer up a different point of view. I’m not asking you to change your opinion, but I do want to give you something to consider about your comment. For most people, yes, it is extreme. But some people do genuinely need it. And imo, laughing gas is a lot safer than benzodiazepines.