Oral sedation for procedures.

IPSIS: Formerly the Spine Intervention Society
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Same, it just takes about 30 min from what I have read.
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It's been a while so I don't remember the conversion. I don't recall it taking very long. We had PO midazolam liquid on hand, and that's more like 20-30 minutes, so I think IM was faster, like 15 min.
 
SSdoc33 said:
no. actually not patient at all.

i just dont inject hyperalgesic fibromyalgia patients who wont get better with shots anyway. if they are a mexican jumping bean with the pointer, why would a MBB help?

by not choosing to injecting these patients i am making life EASIER for myself.

remind me again how haggling with patients over sedation, clicking all the buttons to send in the prescription, making sure they are NPO, waiting for the oral or IV meds to take effect, putting in the IV, not getting paid for it, then making the patients wait around after the procedure to confirm they are not too doped up to leave is easier?
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Completely disagree

I don't treat people with FM that's that hypersensitive.

But I have pts tht do great with mbb and esi. However cervical rf is too stimulating. Sedation is necessary. Same for a scs.
 
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I’ve not sedated a single pt for any ESI or RFA.
 
A young anxious patient with a painful acute HNP/radic needs an oral benzo for the ESI? Bfd. Send it to their pharmacy and move on.

Different ball game than routinely for MBB, SIJ, etc. Exceptions always exist, ie young/whiplash for cervical mbb/rf.

I don’t have the bandwidth to argue over this type of thing. As long as they have a driver I don’t really see any reason to draw a line in the sand over this
 
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Taus said:
A young anxious patient with a painful acute HNP/radic needs an oral benzo for the ESI? Bfd. Send it to their pharmacy and move on.

Different ball game than routinely for MBB, SIJ, etc. Exceptions always exist, ie young/whiplash for cervical mbb/rf.

I don’t have the bandwidth to argue over this type of thing. As long as they have a driver I don’t really see any reason to draw a line in the sand over this
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This. Its a d!ck measuring contest. Must be the water they drink in GA ;)
 
Valium 5-10mg has enabled me to do thousands of ablations with zero issues, and that's including ablations with no benzo.

Why is cervical "too stimulating" for some patients, but not for my patients?

I have no problem with anyone offering cash sedation BTW.
 
Oral sedation is sedation. Medico-legally need everything in your procedure suite you would if giving IV.
 
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nvrsumr said:
Oral sedation is sedation. Medico-legally need everything in your procedure suite you would if giving IV.
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Doesn’t make sense.

If you take Xanax at home, do you need a crash cart?

Edit - Jinx Steve
 
ASA guidelines:
These Guidelines are designed to be applicable to procedures performed in a variety of settings (e.g. , hospitals, freestanding clinics, physician, dental, and other offices) by practitioners who are not specialists in anesthesiology. Because minimal sedation (anxiolysis) entails minimal risk, the Guidelines specifically exclude it. Examples of minimal sedation include peripheral nerve blocks, local or topical anesthesia, and either (1) less than 50% nitrous oxide (N2O) in oxygen with no other sedative or analgesic medications by any route, or (2) a single, oral sedative or analgesic medication administered in doses appropriate for the unsupervised treatment of insomnia, anxiety, or pain.
 
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paindoc007 said:
This. Its a d!ck measuring contest. Must be the water they drink in GA ;)
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i stopped participating in dick-measuring contests years ago. it was so frustrating, they never had the yardsticks i needed!
 
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