MACing

Tibet - photo by JoAnn Sturman

Tara Chaudhari, M.D.

We rarely have the opportunity to observe our colleagues in action.  I asked a number of surgeons who often use MAC anesthesia if they recognize a difference in technique and a benefit to their patients.   --SS

No two patients are the same, but my basic technique is as follows: 

Salter Tube for CO2

Face mask for O2

2 mg versed and 75 mcg fentanyl on arrival to OR

Propofol before local till eyelid reflex is abolished

Propofol drop at 30mcg/kg/hr

Antiemetics

Titrate additional fentanyl to keep the respiratory rate between 8 and 12
  

                                                                                          

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  Family Transportation Hanoi - photo by JoAnn Sturman