Ocular surface, refractive, cosmetic, plastic, and reconstructive surgery can now be performed safely and efficiently in the office setting without the aid of an anesthesiologist. To make the transition to office-based surgery, an ophthalmologist must minimize anxiety in the conscious patient, manage anesthesia during surgery, and prevent postoperative pain and nausea. Pearls on patient selection, conscious sedation, and pain and nausea prevention will be discussed.
Motion Sickness Postoperative Nausea Fast Onset Breakthrough Pain Office Setting
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Sutton JH. Office-based surgery regulation: improving patient safety and quality care. Bull Am Coll Surg. 2001;86(2):8–12.Google Scholar
Sutton JH. Patient safety update – office based surgery regulation expands. Bull Am Coll Surg. 2002;87(4):20–4.PubMedGoogle Scholar
American Society of Anesthesiology. Continuum of Depth of Sedation. Joint Commission on Accreditation of Hospitals, House of Deligates. Oct. 1999.Google Scholar
American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004–17.CrossRefGoogle Scholar
Otley CC, Fewkes JL, Frank W, Olbricht SM. Complications of cutaneous surgery in patients who are taking warfarin, aspirin, or nonsteroidal anti-inflammatory drugs. Arch Dermatol. 1996;132:161–6.CrossRefPubMedGoogle Scholar
Maze M, Segal IS, Bloor BC. Clonidine and other alpha2 adrenergic agonists: strategies for the rational use of these novel anesthetic agents. J Clin Anesth. 1988;1(2):146–57.CrossRefPubMedGoogle Scholar
Kranke P, Schuster F, Eberhart LH. Recent advances, trends and economic considerations in the risk assessment, prevention and treatment of postoperative nausea and vomiting. Expert Opin Pharmacother. 2007;8(18):3217–35.CrossRefPubMedGoogle Scholar
Chen BK, Eichenfield LF. Pediatric anesthesia in dermatology surgery: when hand-holding is not enough. Dermatol Surg. 2001;27:1010–8.CrossRefPubMedGoogle Scholar
Hanna MN, Elhassan A, Veloso PM, et al. Efficacy of bicarbonate in decreasing pain on intradermal injection of local anesthetics: a meta-analysis. Reg Anesth Pain Med. 2009;34(2):122–5.CrossRefPubMedGoogle Scholar
Davies RJ. Buffering the pain of local anaesthetics: a systematic review. Emerg Med (Fremantle). 2003;15(1):81–8.CrossRefGoogle Scholar
Crews JC. Multimodal pain management strategies for office-based and ambulatory procedures. JAMA. 2002;288(5):629–32.CrossRefPubMedGoogle Scholar