Total intravenous anesthesia for office-based laser facial resurfacing

✍ Scribed by Trytko, Rodney L.; Werschler, W. Philip

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 49 KB
• Volume: 25
• Category: Article
• ISSN: 0196-8092
• DOI: 10.1002/(sici)1096-9101(1999)25:2<126::aid-lsm5>3.0.co;2-y

✦ Synopsis

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.