Monitored Anesthesia Care
Always administrated by an anesthesia provider, there are a variety of medicines used when using MAC, typically for a procedure that requires a deeper level of sedation. MAC is intended to provide comfort, maintain cardiorespiratory stability, improve surgical conditions and prevent recall of unpleasant peri-operative events for the patient.
Unlike general anesthesia, MAC invokes less physiological disturbance and allows for a more rapid recovery than general anesthesia. However, the anesthesia professional administering the medicines should be prepared to convert to general anesthesia when and if necessary, which would occur if the there is a shift in the patients level of consciousness and is not done through the use of an airway instrument.
Coming in two forms–Spinal and Epidural Anesthesia–regional anesthesia is used to reduce potential “stress responders” to surgery and incidence of post-surgical complications, as well as extend analgesia into the post-operative period, as it’s known to provide better analgesia than parenteral opioids.
The difference between spinal and epidural anesthesia can be found in the below table from Advancing Business and Healthcare.
Both of these methods are intended to numb or completely block feeling altogether in specific parts of the body only, and is frequently used when (1) child labor is too painful, (2) the procedures are occurring in the legs, feet, or abdomen, (3) the body can remain in a comfortable position throughout the procedure, (4) reduced side effects and recovery period is desired, and (5) oxygen levels the blood, the pulse, and blood pressure are checked during the procedure.
To learn more about the different forms of anesthesia and their history, watch the video below!