Periocular Anesthesia in Aesthetic Surgery

Skibell, Bentley C.; Soparkar, Charles N. S.; Tower, Robert N.; Patrinely, James R.

doi:10.1055/s-2007-967746

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…The eyelids are quite vascular, and as such a thorough medication history should be obtained with special attention to anticoagulants, especially the newer anticoagulants such as dabigatran, apixaban, and rivaroxaban 31. Pre-operative dialog including explanations of the procedure, cosmetic concerns,32 and the provision of treatment options such as the type, dose, and timing of sedation may help decrease patient’s anxiety during awake procedures 63…”

Section: Pre-operative Considerationsmentioning

confidence: 99%

Local anesthesia and anxiolytic techniques for oculoplastic surgery

Ing¹,

Philteos²,

Sholohov³

et al. 2019

OPTH

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This study discusses local anesthetic agents, administration techniques, ancillary considerations, and safety precautions for oculoplastic surgery including eyelid, lacrimal, orbital, and temporal artery biopsy procedures. Methods for reducing patient apprehension and discomfort including systemic premedication, topical pre-anesthetic, visual, auditory and tactile distraction techniques, regional blocks, small gauge needles, warmed lidocaine, and buffered lidocaine are discussed.

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Section: Pre-operative Considerationsmentioning

confidence: 99%

Local anesthesia and anxiolytic techniques for oculoplastic surgery

Ing¹,

Philteos²,

Sholohov³

et al. 2019

OPTH

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show abstract

“…Among the few review articles on office-based anesthesia for oculofacial surgery, all are retrospective in nature and focus on local anesthesia techniques instead of validated oral sedation protocols. 1–7 To the authors knowledge, there have been no studies comparing office-based oral sedation to IV sedation or general anesthesia for oculofacial plastic surgeries. The goal of this study is to present a standardized oral sedation protocol and determine whether safety and patient experience are comparable between in-office and outpatient surgery center environments.…”

mentioning

confidence: 99%

Oral Sedation Anesthesia Protocol for In-Office Oculoplastic Surgery

Conger,

Manipud,

Elhalouti

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To present an oral anesthesia protocol for in-office oculoplastic surgery and to compare safety outcomes and patient and physician experiences to ambulatory surgery center (ASC)-based surgery with intravenous sedation or general anesthesia. Methods: A prospective study was performed on consecutive patients undergoing surgery at an oculofacial plastic surgery practice. Surgery was performed in an in-office setting using our standardized oral sedation protocol or at an ASC with intravenous sedation or general anesthesia. Preoperative and postoperative surveys were conducted by patients and physicians to compare surgical experience, safety, and efficacy of our oral sedation protocol for in-office surgery in the ASC setting. Results: Two hundred and fifty-three patients (167 in-office and 86 at ASC) underwent surgery between March and November 2022. There was no significant difference in how patients or physicians rated their experience between the 2 locations. A significantly higher proportion of ASC patients would have rather had surgery in-office (34.9% vs. 19.2%; p = 0.006). A significantly higher number of physicians in the office setting would have rather performed surgery at the ASC than the reverse (12.7% vs. 2.3%, respectfully; p = 0.007). There were no safety complications reported in either setting. Conclusions: Within our patient cohort, the presented oral sedation protocol provided safe and effective anesthesia for in-office oculoplastic surgery that is comparable to an ASC.

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