Safe and Effective Conscious Sedation Administered by Dermatologic Surgeons

Residual sleepiness after N2O sedation: a randomized control trial [ISRCTN88442975]

“…Its use has been described in the dentist's office, in the management of orthopedic procedures in the emergency room, for colonoscopy, and for dermatologic procedures [1-7]. Specifically, it is used to control pain and provide sedation.…”

Conscious Sedation of Pediatric Patients with Combination Oral Benzodiazepines and Inhaled Nitrous Oxide

“…The data presented herein were previously reported as part of a broader description of multiple modalities of conscious sedation. 11 Combination oral midazolam and inhaled nitrous oxide was administered by the attending surgeon. A registered nurse dedicated entirely to the monitoring and management of sedation was physically present with the patient from the beginning of the procedure until complete recovery.…”

Anesthesia in Hair Transplantation

“…A common "recipe" employs 50-100 ml of 2% lidocaine and 2-5 ml of adrenaline 1:1000 in 1 l of 0.9% saline (but the whole amount of the mixture is not needed). Some "recipes" include 10 ml of 8.4% sodium bicarbonate to diminish the irritating effects of the low pH of the mixture [2,3,21]. Many surgeons add bupivacaine to achieve a lasting effect or even corticoids to reduce the swollen, traumatic appearance of the scalp in the days after the procedure.…”

“…There are remarkable differences in attitudes toward this kind of anesthesia and they vary according to regions and training [21,22]. The presence of a standby anesthetist to cope with unwanted side effects seems unnegotiable to most surgeons.…”