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(Conscious Sedation; Monitored Anesthesia Care; MAC; Sedation, Conscious; Sedation, Moderate)
Reasons for Procedure
- Faster recovery time
- Fewer complications
- Nausea and vomiting
- Temporary memory problems—you may be unable to recall the surgery
- Breathing problems during the surgery
- Advanced age
- Poor overall health, such as cardiovascular disease
What to Expect
Prior to Procedure
- Your medical history, including any previous reaction to anesthetics
- Medications, herbs, or supplements you are taking
- Avoid eating and drinking 8-12 hours before the surgery
- Take an anesthetic the morning of the surgery
Description of Procedure
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Immediately After Procedure
How Much Will It Hurt?
Average Hospital Stay
Call Your Doctor
- Signs of infection, such as fever and chills
- Nausea and vomiting
- Pain that cannot be controlled with the medications you were given
- Cough, shortness of breath, or chest pain
American Association of Nurse Anesthetists http://www.aana.com
American Society of Anesthesiologists http://www.asahq.org
Canadian Anesthesiologists' Society http://www.cas.ca
Health Canada http://www.hc-sc.gc.ca
American Society of Anesthesiologists. Distinguishing monitored anesthesia care (MAC) from moderate sedation/analgesia (conscious sedation). 2009;Oct 21.
Bayman E, Dexter F, et al. National incidence of use of monitored anesthesia care. Anesth Analg. 2011;113(1):165-169.
Furstein J, Patel M, et al. Use of dexmedetomidine for monitored anesthesia care for diskography in adolescents. AANA Journal. 2011;79(5):421-425.
Ghisi D, Fanelli A, et al. Monitored anesthesia care. Minerva Anestesiol. 2005;71(9):533-538.
Moderate (conscious) sedation FAQ. American College of Emergency Physicians website. Available at: http://www.acep.org/content.aspx?id=30480. Updated June 2014. Accessed August 20, 2014.
Monitored anesthesia care. Northeastern Anesthesia Services website. Available at: http://www.northeasternanesthesia.com/youranasthesia/care.php. Accessed August 20, 2014.
Thompson K. Chapter 47: Monitored anesthesia care. University of North Carolina at Chapel Hill website. Available at: http://www.unc.edu/~rvp/old/RP%5FAnesthesia/Barash/Ch47%5FMAC.html. Accessed August 20, 2014.
- Reviewer: Marcin Chwistek, MD
- Review Date: 08/2014
- Update Date: 08/20/2014