title: Conscious sedation/local anesthesia in the office-based surgical and procedural facility.
abstract: The safety, efficacy, and rapid recovery of conscious sedation/local anesthesia make this anesthetic technique useful in the ambulatory setting. The care of the sedated patient requires a team effort. The individual role and responsibility of patient, surgeon, anesthesia provider, and nursing staff are discussed. Using data obtained from a series of 1400 consecutive cases, the authors' experience with conscious sedation/local anesthesia is presented. The current technique, using low-dose propofol, is described in detail. Using conscious sedation, the patient's level of consciousness is depressed, but respiratory drive and airway reflexes are maintained and anesthesia is provided by infiltration of local anesthetic.
authors.affiliation: Texas Institute for Surgery, 7115 Greenville Avenue, Dallas, TX 75231, USA. hp@drpollock.com
authors.forename: Harlan
authors.initials: H
authors.lastname: Pollock
authors.forename: Susan
authors.initials: S
authors.lastname: Forman
authors.forename: Todd
authors.initials: T
authors.lastname: Pollock
authors.forename: Mark
authors.initials: M
authors.lastname: Raccasi
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods*; D016292:Procedural Sedation / Q000379:methods*; D006801:Humans
keywords: Balanced anesthesia; Conscious sedation; Constant infusion; Propofol; Titration infusion; Twilight sleep