Is there a monitored anesthesia care for a failed sedation?

Question

Hello doctor,

My wife recently had a renal angioplasty, and the sedation did not work. She had Versed and Fentanyl. It seemed to get her wired.

What are the alternatives if she needs another procedure?

Please help.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I recommend her to go for MAC (monitored anesthesia care) or if she is very apprehensive she can be given GA (general anesthesia). The anesthetist has to assess for airway, if not in difficult intubation category. They can give Remifentanil infusion with Propofol infusion as well. Airway can be supported by LMA (laryngeal mask airway).

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

It is not a problem for your wife to undergo renal angioplasty (a procedure that treats a narrowed or blocked renal artery, the main blood vessel to the kidney).

MAC is monitored anesthesia care. Renal angioplasty can be done by an interventional radiologist, which can be done as a daycare surgery. Hence MAC, otherwise if it is an open surgery, GA can be done.

I hope I have answered your query.

Thank you.