Conscious sedation v. monitored anaesthesia care--20 years in the South African context.

Conscious sedation versus monitored anaesthesia care.

1 regarding the safety of sedation practice done by untrained sedation practitioners. Non-anaesthesiologists are involved in sedation worldwide, and I agree that sedation of patients for minor procedures 'is here to stay'. But I am concerned that a dark picture is painted of conscious sedation, which is very safe when done by trained practitioners. In order to help solve the problem, we need to...

Choice of Anaesthesia for Day Care Surgery

Aims and Objectives: To review choice of anaesthesia and anaesthetic management of all day care surgeries performed at our centre over the past 10 years. Results: 8808 cases were operated at our centre over the past 10 years with different modalities of anaesthesia applied as per the requirement of the case. 51.5% patients were operated under local with sedation whereas 44.1% were operated unde...

A prospective randomized comparative study of dexmedetomidine and propfol for conscious sedation in middle ear surgery under monitored anaesthesia care

Introduction: Monitored Anesthesia Care (MAC) is proposed to be a suitable technique for middle ear surgery. Aim: In present study we compared the efficiency of dexmedetomidine and propofol as an adjunct to local anesthesia for in producing analgesia, sedation, variation in respiratory and hemodynamic responses, along with patients and surgeons satisfaction. Materials and Methods: Fifty patient...

Awake craniotomy under local anaesthesia and monitored conscious sedation for resection of brain tumours in eloquent cortex--outcomes in 20 patients.

INTRODUCTION Resection or even biopsy of an intra-axial mass lesion in close relationship to eloquent cortex carries a major risk of neurological deficit. We review the safety and effectiveness of craniotomy under local anaesthesia and monitored conscious sedation for resection of mass lesions involving eloquent cortex. MATERIALS AND METHODS We performed a 3-year retrospective review of patie...

A conscious decision. A review of the use of general anaesthesia and conscious sedation in primary dental care.