NEA uses the monitored anesthesia care (MAC) technique for many surgical procedures that do not require deep sedation or a general anesthetic. The anesthesiologist will perform a thorough review of the patient's medical history and insert an intravenous catheter through which anesthetic drugs are administered. Many of the same monitors used during general anesthesia are also used during monitored anesthesia care. NEA doctors carefully monitor blood pressure, heart rate and the amount of oxygen carried to vital organs during Monitored Anesthesia Care operations.
Local anesthesia for pain with relaxation drugs for anxiety
There are often procedures during which the surgeon injects local anesthesia into the surgical site to establish numbness while the NEA anesthesiologist administers anesthetic medications through an intravenous line to relax the patient and allay anxiety. NEA doctors often use a sedative called Propofol to induce a state of restfulness from which the patient is easily aroused. A narcotic drug is also part of a balanced sedative technique. Patients who receive local anesthesia with sedation under NEA's monitored care technique do not lose consciousness but may not remember many aspects of their operative experience.
Light general anesthesia
A light general anesthesia occurs when an anesthesiologist administers more sedation resulting in sleep and from which the patient is less easily aroused. By definition, this deeper level of sedation is called total intravenous anesthesia and is considered a form of light general anesthesia.
Nausea less frequent side effect with MAC
Monitored Anesthesia Care administered by NEA's highly qualified doctors is quite safe. Anesthesia levels must be closely controlled by the anesthesiologist during the technique. Deeper levels of sedation approaching a general anesthetic may result in lowered blood pressure and loss of wakeful breathing patterns. The most common side effect of MAC is nausea, but since fewer anesthetics are administered in comparison with general anesthesia, the incidence of nausea is much less. Lower doses of anesthetic also result in a faster recovery and, in some cases, patients bypass the recovery room altogether and are able to leave the hospital much sooner than they would had they had a general anesthetic.
Please contact Northeastern Anesthesia Services, if you'd like to discuss Monitored Anesthesia Care with NEA.
Geriatric AnesthesiaMany patients and their families express concern regarding the safety of administering an anesthetic to the geriatric patient. Elderly patients have a higher postoperative complication rate when compared to younger patients but age alone does not preclude the administration of a safe anesthetic for surgery.