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Do you have your patients get an IV for ALL fluoro cases? (select all that apply)
No. I do 95% of my RFA's in the office with just local. I have some patients I've inherited that are used to getting their RFA with sedation. I've talked a number of them into just doing it in the office with local, but reserve a half day a month at the hospital to do a few random cases with IV sedation for those few. (Will also do my RFA's with ICD's during that half-day, and SCS trials)For those saying No for RFA, are you not using IV sedation for RFA?
They lack confidence and suck at their job.I’ve seen quite a few docs in my area insist on IVs for all cervical cases (without sedation). What is the rationale for this?
Routine use of sedation for this procedure is not recommended.For those saying No for RFA, are you not using IV sedation for RFA?
Huge tactical error doing your scs trials at a hospital.No. I do 95% of my RFA's in the office with just local. I have some patients I've inherited that are used to getting their RFA with sedation. I've talked a number of them into just doing it in the office with local, but reserve a half day a month at the hospital to do a few random cases with IV sedation for those few. (Will also do my RFA's with ICD's during that half-day, and SCS trials)
Local not needed for RFA.. unless you have one of those patients.. you know the oneFor those saying No for RFA, are you not using IV sedation for RFA?
I’m assuming you meant IV sedation not neededLocal not needed for RFA.. unless you have one of those patients.. you know the one
all my cervical cases get an IV due to higher incidence of vasovagal vs lumbar injections (not IV sedation, IV access)I’ve seen quite a few docs in my area insist on IVs for all cervical cases (without sedation). What is the rationale for this?
You find it necessary to use it for IVF? My VV self resolve in a few minall my cervical cases get an IV due to higher incidence of vasovagal vs lumbar injections (not IV sedation, IV access)
Hasn’t been my experience. If they vasovagal I have them roll over and give them an PLR. All the hemodynamic effects, without the IV. Do you do cervical with patients seated or something?all my cervical cases get an IV due to higher incidence of vasovagal vs lumbar injections (not IV sedation, IV access)
Plr?Hasn’t been my experience. If they vasovagal I have them roll over and give them an PLR. All the hemodynamic effects, without the IV. Do you do cervical with patients seated or something?
Passive leg raise.Plr?
You are correct haha..I’m assuming you meant IV sedation not needed
Standing order is 1-2 T3 + 1-2 Xanax .5 or 1-2 Valium 5. Up to Perc 10 + Valium 10. MKO also an option.What medications and doses do you guys prescribe for oral sedation?
Fent/versedAlso, for the in office IV sed cases..what are you all using?
1% lido tract, 1.5 mL 2% lido MB. Bupi takes too long.For RFAs without iv sed do you guys use lidocaine 1% or 2% for needle tracts? What volume of bupi 0.5% prior to ablating?
Nice.Standing order is 1-2 T3 + 1-2 Xanax .5 or 1-2 Valium 5. Up to Perc 10 + Valium 10. MKO also an option.
Fent/versed
1% lido tract, 1.5 mL 2% lido MB. Bupi takes too long.
Can combine any of the above with nitrous.
RN places IV, pushes, monitors vitals during and after.Nice.
How are you handling versed/fent? Do you push the medications yourself, then perform procedure? MA watches patient while you perform next procedure?