For procedures that require sedation, performed by Gastroenterology Consultants at Regional Surgicenter, you will be sedated using Monitored Anesthesia Care (MAC) with Propofol. This anesthesia will be administered by our anesthesia team under the supervision of an anesthesiologist, during your procedure. You will be in a semi-conscious state, which will reduce your anxiety and provide a pain-free experience. You will likely not remember having your procedure.
Propofol offers advantages for many patients regardless of the kind of procedure that they are undergoing.
Propofol is optimal for both the patient and the physician, in that it provides optimal conditions for endoscope advancement and viewing by the physician, while providing superior comfort and recovery for the patient. It also has a lower risk for side effects, such as nausea. We at Gastroenterology Consultants believe that all patients deserve such quality, not just the sickest.
The amount of pain experienced by the patient is quite unpredictable, and it is our concern that if a patient has an uncomfortable procedure, it may deter them and their family members from future screening.
Propofol sedation allows colonoscopy to be done efficiently. Since the medication wears off much faster than traditional conscious sedation, patients can be in and out of Regional Surgicenter faster, because propofol allows such a rapid recovery.
We also strongly believe that anesthesia professionals should administer this more powerful anesthetic agent, with close monitoring throughout the procedure by an anesthesia professional.
Quick Fact Tip
When President George W. Bush had a colonoscopy back in June 2002, the medication that the President received was propofol. It was also reported that the President was expected to have the procedure in the morning and then go running or exercising that afternoon. With some of the other types of medications that would not be possible.
"One fun way I like to question my physicians, when investigating a test that has been recommended for me, as a patient, is to ask what medications the President would be receiving if he were having the same test. This way I can generally find out what options there are for medications that are fast acting. I’m personally not interested in taking any medications, which put me out of commission for an entire day or days if I can help it. So asking this question generally gets providers you’re working with to think along the lines of safety, and efficiency in terms of minimal down time for work etc."
- Arvind Movva, MD
Monitored Anesthesia Care (MAC)
What is it?
MAC anesthesia is accomplished by giving you medications which help you relax during your procedure at Regional Surgicenter. This is different from general anesthesia because you remain breathing on your own during the procedure and do not have a breathing tube. A member of our anesthesiology staff will monitor you throughout the procedure just the same as he or she would during general anesthesia.
What is the purpose?
The purpose of MAC anesthesia is to provide the patient with relief of discomfort and anxiety associated with the procedure. Although you will be able to respond to your doctors and nurses during the procedure, the medicines you receive will likely lead to you not remembering the procedure.
What procedures is it used for?
MAC anesthesia is used for uncomfortable procedures or minor surgeries that do not usually require general anesthesia. Examples of these are upper endoscopy and colonoscopy, procedures done under radiologic guidance, and minor surgeries for which the patient needs to lie still for more than a few minutes.
What are the benefits?
The medicines used for MAC anesthesia work quickly and also wear off quickly. They allow for you to undergo the procedure in a safe manner. When the procedure is done, most patients are awake quickly afterward and do not get some of the side effects commonly associated with general anesthesia, such as nausea and feeling sleepy.