Who gives your sedation? A question worth asking

Safety & setting · 2 min read

In one breast augmentation series, the protocol deliberately avoided propofol so it could be given by the surgeon and the circulating nurse. That works for some practices, and results were reported as safe in that series.

In another series, the authors framed safety as dependent on a board-certified anesthesiologist being present. And the large liposuction series that warns about complications when TLA is combined with other sedation or drugs, or guidelines are not followed, makes the same underlying point: details matter.

Ask any clinic: Who will be monitoring me? Is that person doing anything else during my surgery? What is the plan if I need more sedation, or an airway?

At awakeMD the answer is simple: a physician anesthesiologist, whose only job is you.

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References

1. Colque A, Eisemann ML. Breast augmentation and augmentation-mastopexy with local anesthesia and intravenous sedation. Aesthet Surg J. 2012;303-307. PMID 22290411
2. Rusciani A, Pietramaggiori G, Troccola A. The outcome of primary subglandular breast augmentation using tumescent local anesthesia. Ann Plast Surg. 2016;13-17. PMID 26670133
3. Habbema L. Safety of liposuction using exclusively tumescent local anesthesia in 3,240 consecutive cases. Dermatol Surg. 2009;1728-1735. PMID 19660028