JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY
JUNIPER
PUBLISHERS-OPEN ACCESS JOURNAL
OF HEAD NECK & SPINE SURGERY
Conscious Sedation in Plastic Surgery: Patient Safety and Cost Reduction Midazolam/Meperidine Conscious Sedation
Authored by Joseph El Khoury
Background: Conscious sedation is an
anesthetic modality used in different procedures, among which are
plastic surgeries. This study evaluated the efficacy and safety of the
IV Midazolam - IM Meperidine conscious sedation protocol.
Methods: Adult patients undergoing elective
cosmetic surgeries were enrolled. Patients were excluded if they had a
history of cardiac or respiratory disease or in case of pregnancy.
Patient anxiety, nausea, and pain were evaluated during and after
surgery. Physician satisfaction and reported intraoperative level of
sedation were also assessed. Operative time, midazolam dose, and the
lowest hemoglobin saturation level in oxygen were noted. The primary
outcome was postoperative recovery time while cost reduction and post
operative complications were considered as secondary outcome measures.
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