A New Technique of Alfentanil-induced Conscious Sedation for Oculoplastic Surgery

Abstract

This technique describes a new painless method of injecting local anaesthetic in a highly pain-sensitive area of the body—around the eyes. We describe how a new technique using a bolus of intravenous alfentanil can help alleviate patient discomfort during the injection of the local anaesthetic and also reduce the amount of local anaesthetic injected. This also helps oculoplastic surgeons to work in a relaxed environment, whilst still utilizing the efficiencies that are provided by an ambulatory day surgery unit.

KEYWORDS:

• Oculoplastic
• Conscious sedation
• Alfentanil
• Local anaesthetic

Declaration of interest: Presented at the Joint Meeting of Brtitish Oculoplastic Society (BOPSS) and European Society of Oculoplastic Surgeons (ESOPRS) in London, June 2006. None of the authors have any proprietary interest in any of the products mentioned. The authors alone are responsible for the content and writing of the paper.