Anesthesia for outpatient head and neck aesthetic surgery.

Abstract:

:An approach to outpatient anesthesia using drugs that have reversible or very short-acting effects is described, along with a method of monitoring patients using pulse rate to assess tranquility. Preoperatively, the patient is given 1 mg of lorazepam the evening before surgery and sublingual lorazepam 1 mg combined with hydroxyzine 50 mg intramuscularly one hour before surgery. Before infiltration of local anesthesia, intravenous diazepam in 2.5 mg increments is given if needed, followed by a mixture of meperidine and pentazocine intravenously in exactly a 10:1 ratio. If hypnosis is needed, methohexital can be administered using a 0.2% drip by infusion pump. If respiratory depression is seen, intravenous naloxone, 0.2 to 0.4 mg, can be given to reverse any residual effects of meperidine and pentazocine, or, if large doses of intravenous diazepam have been used in a very agitated patient, one can administer physostigmine 1 to 2 mg.

journal_name

Ann Plast Surg

authors

Silver H,Codesmith AO

doi

10.1097/00000637-198012000-00013

subject

Has Abstract

pub_date

1980-12-01 00:00:00

pages

483-5

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

5

pub_type

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