Texas Institute for Surgery, 7115 Greenville Avenue, Dallas, TX 75231, USA.
Clin Plast Surg. 2013 Jul;40(3):383-8. doi: 10.1016/j.cps.2013.04.014. Epub 2013 May 23.
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.
镇静/局部麻醉的安全性、有效性和快速恢复使得这种麻醉技术在日间手术中非常有用。镇静患者的护理需要团队的努力。患者、外科医生、麻醉提供者和护理人员的个人角色和责任进行了讨论。作者使用从 1400 例连续病例中获得的数据，介绍了他们在镇静/局部麻醉方面的经验。详细描述了目前使用小剂量异丙酚的技术。使用镇静，患者的意识水平降低，但呼吸驱动和气道反射保持，通过局部麻醉浸润提供麻醉。
