Conscious Sedation

 

Dr Leslie Gritzman

 

Is an experienced general practitioner with an anesthetic background. He qualified as a General Practitioner in 1980 from the University of Pretoria. He then did Medical Officer work in Anaesthetics and ENT (Ear Nose and Throat). In 1985 he went into general practice. In 2009 he completed a postgraduate diploma in Conscious Sedation and Pain Control through the University of the Western Cape. He is currently a member of the Society Of Sedation Practitioners Of South Africa (SOSPOSA).

 

 

State of the art equipment.


Welsh Allan Propac Monitor – which monitors Oxygen saturation,
Blood Pressure, ECG, Capnograph (CO2 levels).

 

Pulse Oximeter (measures oxygen concentration in the blood),

 

Alaris Infusion Pump (to deliver sedation drugs)

 

AED (Automated External Defibrillator)

 

Resuscitation Equipment

 

 

What is conscious sedation?


This is a very light form of anaesthesia where the patient does not lose consciousness.

Sedative drugs are used in very low doses so that the patient is rendered free of any anxiety and discomfort, but can communicate verbally throughout the procedure.

 

 

Who would benefit from conscious sedation

 

It is ideal for minor but painful procedures
For people who have a high level of anxiety that prevents good coping skills
Procedures that cause pain, but doesn’t always qualify for General Anaesthesia which includes:

 

More specifically this service is aimed at:

 

People who get very anxious during medical procedures.

 

Anybody that has a very low pain threshold and needs a medical procedure.

 

Children who need sutures after an accident.

 

Children who need to see a Dentist, but are anxious.

 

Dental appointments, for multiple extractions or complicated long procedures.

 

Periodontist – tooth implants.

 

Gastroscopy.

 

Colonoscopy (other Gastroenterologist procedures includes ERCP.

 

Laser Therapy at the Dermatologist, which can be very painful.

 

Multiple Plastic Surgery procedures, which includes tummy tugs and facials.

 

At any Casualty / Emergency Department: after an accident for a dislocated limb or sutures – especially in children.

 

Gynecology for Colposcopy, Hysteroscopy, egg retrievals in IVF etc.

 

 

Advantages

 

Procedures are less traumatic for patient

 

Costs are significantly lower than General Anesthesia

 

Anxiety is minimized

 

Recovery period shorter

 

Lower incidence of nausea and vomiting

 

 

Before the procedure

 

Make sure you understand and carefully follow all instructions.

 

 

Generally:

 

No solid food 6 hours before the procedure.

 

Adults can have liquids up to 4 hours before the procedure.

 

Children: Parents to follow their doctor’s advice.


Someone else must take you to the center /hospital.


Before the procedure, remember to tell your doctor about any other medicines which you are taking, any allergies or other medical conditions which you have. Ask him about any special instructions.

 

 

During the procedure


You are likely to have a small injection needle inserted and taped to your arm.

 

You will most probably be monitored by certain equipment during the procedure: a pulse monitor clip on one of your fingers, a blood pressure cuff on your arm and perhaps some small patches attached to your chest to monitor your heartbeat.

 

You may have a small oxygen mask, or a tube placed near your nose for oxygen.

 

After the procedure


Once your doctor is happy with your recovery, you will be allowed to go home.

 

A responsible adult should take you home.

 

You must not drive or operate any machinery for 24 hours after the procedure.

 

You should not sign any legal documents for 24 hours after the procedure.

 

Do not drink alcohol for 24 hours alter the procedure.

 

Contact your doctor immediately if you experience any problems such as pain in the neck, chest or stomach.

 

You may drink any fluids (other than alcohol), and eat a half an hour after the procedure.