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Total intravenous anesthesia for office‐based laser facial resurfacing
Author(s) -
Trytko Rodney L.,
Werschler W. Philip
Publication year - 1999
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/(sici)1096-9101(1999)25:2<126::aid-lsm5>3.0.co;2-y
Subject(s) - medicine , propofol , anesthesia , glycopyrrolate , midazolam , fentanyl , anesthetic , sore throat , surgery , american society of anesthesiologists , atropine , sedation
Background and Objective Providing general anesthesia in an office‐based setting can be time consuming, risky, and expensive. The purpose of this study was to describe a technique for total intravenous anesthesia (TIVA) technique that can be easily utilized by anesthesiologists in an office‐based setting for laser facial resurfacing. Study Design/Materials and Methods Twenty‐five American Society of Anesthesiologists (ASA) status classification I–II patients (22 females and three males) elected general anesthesia for laser facial resurfacing. All patients were premedicated with glycopyrrolate (0.2 mg IV). All anesthetics were administered by board‐certified anesthesiologists, and ASA Standards for Anesthesia Monitoring were strictly followed. An induction dose of propofol (2.0–2.5 mg/kg IV) was followed by laryngeal mask airway insertion (size 3 or 4). TIVA was maintained with a propofol infusion (50–250 mcg/kg/minute IV). Supplemental midazolam (2–4 mg IV), fentanyl (0.05–0.20 mg IV), and oxygen (2–4 l/minute) were administered as needed. After completion of the laser procedure, TIVA was discontinued and the patients were allowed to awaken. Patients were discharged after achieving a Modified Post‐Anesthetic Discharge Score of ≥ 9. Results Mean procedure duration was 48 ± 21 minutes, and time to discharge after the procedure was 16 ±6 minutes. All procedures and anesthetics were well tolerated and without complications. The only post‐procedure complaint was an isolated, minor, and temporary sore throat. Conclusions TIVA is an excellent method for providing anesthesia for laser facial resurfacing in an office‐based setting. Lasers Surg. Med. 25:126–130, 1999. © 1999 Wiley‐Liss, Inc.