The Use of Conscious Sedation for Outpatient Dermatologic Surgical Procedures

Abstract

The goals of anesthesia are to provide for patient safety and comfort, to increase patient acceptance of the procedure, and to enhance the surgeon's efficiency and satisfaction.

Midface Lift Using A Minimally Invasive Technique and a Novel Absorbable Suture

“…The patient is then prepped and draped, and sterile technique is maintained throughout the procedure. Although we routinely employ intravenous conscious sedation for our patients undergoing such surgery, this procedure can easily and safely be performed in an ambulatory setting solely with local tumescent anesthesia 11 . The conscious sedation is induced with midazolam, and the patient is titrated with propofol to level II to III on the Ramsey sedation scale.…”

Sedation and Analgesia in the Interventional Radiology Department

“…Many of these articles claim that propofol has a favorable side effect profile and improved sedative effects compared with the use of intravenous midazolam and opioids (5,(27)(28)(29)(30). It is administered by continuous infusion or in a 10-to 20-mg bolus.…”

Safe and Effective Conscious Sedation Administered by Dermatologic Surgeons

“…Standards of care for administration of conscious sedation in the outpatient setting have been established and reviewed. 5 The administration of conscious sedation should be restricted to facilities that are in compliance with these standards, which may exclude many office-based settings not specifically equipped for sedation.…”