title: Oral sedation allows for comfort and amnesia during office surgery.
abstract: Surgical procedures commonly associated with parenteral sedation or general anesthesia were completed in an office operating room with local anesthesia and oral medication. Diazepam and alprazolam were used in combination to produce a relaxed state, allowing local anesthesia to be instilled. Surgery was completed successfully in all patients, and no untoward effects were seen in the patients. Amnesia was associated with the drug combination, and a protective action of the long-lived drugs against lidocaine toxicity is theorized.
authors.affiliation: Division of Plastic Surgery, Virtua West Jersey Health System, Camden, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Gatti
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000328:Adult; D000525:Alprazolam / Q000008:administration & dosage; D000556:Ambulatory Surgical Procedures; D000647:Amnesia; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D014151:Anti-Anxiety Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis; D016292:Procedural Sedation / Q000379:methods*; D003975:Diazepam / Q000008:administration & dosage; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006853:Hydrocodone / Q000008:administration & dosage; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D014151:Anti-Anxiety Agents; D014662:Vasoconstrictor Agents; D000082:Acetaminophen; D006853:Hydrocodone; D008012:Lidocaine; D003975:Diazepam; D004837:Epinephrine; D000525:Alprazolam