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Brandon A. Van Noord, MD; Craig L. Cupp, MD, EdD

Arch Facial Plast Surg. 2008;10(4):282-284.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Nasal surgery requires numerous, painful local anesthetic injections. Systemic sedation-analgesia is therefore administered concurrently via intravenous conscious sedation (IVCS), deep sedation (DS) with propofol, or general endotracheal anesthesia (GETA). Although DS and GETA are effective, these approaches are substantially more resource intensive than IVCS. The study by Byrd et al¹ showed that outpatient plastic surgery can be safely performed; however, multiple procedures and anesthesia methods were pooled. Given the difficulty in achieving and maintaining analgesia in nasal surgery, it is not clear whether IVCS is appropriate in these procedures. Furthermore, recent reports of adverse outcomes in outpatient surgery and increased regulations² suggest that more studies to verify safety of surgeon-directed IVCS are necessary. The current study examines the safety of IVCS limited to patients undergoing nasal surgery.

Methods

The medical records of all patients who underwent nasal surgery (rhinoplasty, septoplasty, and . . . [Full Text of this Article]

Results

Comment

AUTHOR INFORMATION