I'm planning on studying medicine and have eben studying it on my own for a few years now. I'm currently researching Percutaneous Transluminal Coronary Angioplasty, and I think have pretty much everything I need except one thing - I can't seem to figure out which analgesic and which sedative/s are used for the procedure. If anyone can help me out with this, I'd really appreciate it. Thanks, it'd be really useful. =)
Answer:
Most likely a patient would be given a supportive IV (e.g. 5% dextrose in water or NSS or sometimes 0.5 NSS). The sedative (calming kind of sedative e.g. valium or midazolam) is given into the IV line but not infused. Patient is awake. A local anesthetic such as novacaine, mepivacaine or bupivicaine is administered s.c. to the groin area in the vicinity of the femoral artery (or other area at which the catheter will be inserted.
local analgesia is with 1%lidocaine to numb the skin where they cannulate the femoral artery.
sedation is provided by intravenous midazolam and fentanyl. very rarely, propofol will be used but most patients do fine with just midazolam and fentanyl.
No sedation is needed. Novocaine is given locally over femoral artery.
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