When it comes to surgery, improved safety and quicker recovery are two
things at the top of a patient’s priority list. At Mile Bluff, those
two goals are also a main focus of the anesthesia team.
There are different types of sedation that can be used during surgery.
To help determine what is best for each individual, Mile Bluff’s
anesthetists perform an evaluation that includes: review of past procedures,
performance of a physical exam specific to the anesthetic, review of medications
that might influence the anesthetic, and discussion of the care being proposed.
There are some forms of sedation that can be provided by the nurses or
surgeons who are already a part of the care team. There are other times
when the addition of a certified registered nurse anesthetist (CRNA) is
required. When a CRNA is present during a procedure, there are additional
medications that can be made available to the patient, and the patient
will have the benefit of being closely monitored by a CRNA throughout
the entire surgery.
One example of when this option would be used is with the practice known
as monitored anesthesia care (MAC). With MAC, individuals experience varied
ranges of sedation - from none at all (just monitoring), to a deep sleep
comparable to general anesthesia. However, there is not a long-lasting
sedating effect from the medication used, so the recovery time is significantly
quicker with MAC than with other methods of sedation. In addition, because
patients are monitored by CRNAs - whose training and certification is
very specific to patient safety and improved outcome - the anesthesia
is extremely safe for patients. The use of MAC has gained wide acceptance
in recent years, and has become a popular choice of sedation for procedures
such as colonoscopy, EGD and cataract surgery. The quick recovery time
and constant monitoring for safety are two of the reasons MAC has become
so popular, and why patients are willing to pay an additional fee for
the CRNA to be present during the procedure.
All in all, if MAC is able to be used, it is a recipe for a sedative contributing
to a quick, uneventful recovery that leads to improved safety and quicker
discharge from the hospital. For more on this, call Mile Bluff at 608-847-6161,
and ask to speak to someone in anesthesia.