Dissociative Anesthesia in an Office-Based Plastic Surgery Practice

Infiltrative anesthesia in office practice.

When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain associated with injection. Local cutaneous infiltration is the most commonly used anesthetic technique and involve...

Plastic Surgery in General Practice

The difficult airway in office-based anesthesia.

The skills required to anticipate and manage a difficult airway are very important skills that the anesthesia provider must possess. However, it is axiomatic that the night before surgery, the patient was breathing room air unassisted by any devices. (Note that this discussion excludes the sleep apnea patient who requires a continuous positive airway pressure device.) It is therefore anesthesia...

Anesthesia for minor surgery in the office or outpatient department.

Advances in office anesthesia.

BACKGROUND Recent developments in anesthesia applicable to family practice settings are reviewed. METHODS MEDLINE was searched using the key words "EMLA"; "iontophoresis"; "lidocaine," "tetracaine, adrenaline, cocaine"; and "lidocaine, epinephrine, tetracaine." RESULTS AND CONCLUSIONS Clinical experience has shown that there is a definite and evolving role for the newer methods of office an...