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MONITORED ANESTHESIA CARE

(MAC)

MONITORED ANESTHESIA CARE (MAC) OVERVIEW

  • Medicines are given through your IV (intravenous) line to keep you relaxed, sleepy, and comfortable. This is also known as “twilight anesthesia”

  • Often used for surgery that is short or not too invasive (outpatient surgery)

  • Different levels of sedation are possible, depending on the type of procedure and patient’s preference

  • Most people do not remember events during the procedure

  • A local anesthetic (numbing medicine) is often injected into the skin around the surgical site to numb the area in addition to your IV sedation

  • A CRNA will be with you and closely monitor your vital signs, such as heartrate, blood pressure, and oxygen levels, throughout the procedure

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EXAMPLES OF PROCEDURES THAT USE MAC

  • Dental procedures

  • Procedures that look inside the body

    • Bronchoscopy (airways & lungs)

    • Colonoscopy (the colon)

    • Esophagogastroduodenoscopy (EGD - the throat, esophagus, stomach, and first part of small intestine)

  • Eye surgery

  • Ear surgery

  • Pain management procedures

  • Orthopedic procedures (MAC is often given along with Regional Anesthesia)

POSSIBLE SIDE EFFECTS & RISKS

Risk of Aspiration

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Breathing problems 

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Nausea and vomiting

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Allergic reaction to the anesthetic

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Trouble waking from sedation and drowsiness

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