Deep sedation and local anaesthesia: A safe and suitable association for outpatients undergoing vein stripping

Gabriele Armellin, U. Baccaglini, C. Castoro, C. Ori

Research output: Contribution to journalArticle

Abstract

Varicose veins of the lower extremity is a common disease surgically treated on ambulatory basis. We describe an easy and safe anaesthetic technique to perform vein stripping in a day surgery freestanding unit. 1259 patients were studied. A deep sedation was induced and maintained with propofol and alfentanil while the surgeons infiltrated the groin and anynwhere they need to perform the phlebectomies with ropivacaine 0.5%. Patients were manually ventilated only for two brief periods: before the injection of the local anaesthetic and during the stripping of the saphenous trunk. All patients had a prompt awakening and none of them required postanaesthesia care unit. The postoperative complications rate was generally low. All patients but two were discharged the same day of the surgery and none of them was readmitted. Light general anaesthesia coupled with local anaesthetic infiltration is a simple and reliable technique to perform vein stripping for day surgery patients.

Original languageEnglish
JournalAmbulatory Surgery
Volume13
Issue number4
Publication statusPublished - Dec 2007

Keywords

  • Ambulatory anaesthesia
  • Anaesthetic techniques
  • Vein stripping

ASJC Scopus subject areas

  • Surgery
  • Anesthesiology and Pain Medicine
  • Medical–Surgical

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