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Oral Sedation Anesthesia Protocol for In-Office Oculoplastic Surgery.

Jordan R Conger^1,2, Nickolas Manipud¹, Ichrak Elhalouti¹

¹Eyesthetica, Los Angeles, California, U.S.A.

Ophthalmic Plastic and Reconstructive Surgery

|November 16, 2023

Summary

An oral anesthesia protocol for in-office oculoplastic surgery offers safety and efficacy comparable to ambulatory surgery centers (ASCs). Patient and physician experiences were similar, with a preference for in-office procedures among some ASC patients.

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Area of Science:

Ophthalmology
Anesthesiology
Plastic Surgery

Background:

Oculoplastic surgery is often performed in ambulatory surgery centers (ASCs) under intravenous sedation or general anesthesia.
In-office anesthesia protocols can potentially improve patient convenience and reduce healthcare costs.

Purpose of the Study:

To present a novel oral anesthesia protocol for in-office oculoplastic surgery.
To compare the safety, patient experience, and physician experience of in-office oral anesthesia with ASC-based anesthesia.

Main Methods:

A prospective study compared patients undergoing oculoplastic surgery in an office setting with oral sedation versus an ASC with intravenous sedation or general anesthesia.
Pre- and postoperative surveys assessed patient and physician satisfaction, safety, and efficacy.

Main Results:

No significant differences in patient or physician experience were found between in-office and ASC settings.
A higher proportion of ASC patients preferred in-office surgery, while more physicians preferred ASCs.
No safety complications were reported in either setting.

Conclusions:

The presented oral sedation protocol is a safe and effective anesthesia option for in-office oculoplastic surgery.
In-office oculoplastic surgery with oral anesthesia is comparable to ASC-based procedures in terms of safety and experience.