Our IV sedation regimen consists of two parts. A half hour before the procedure we give patients by mouth 10 mg of Valium, a potent anti-anxiety and relaxant medication. Then just before the procedure, we administer 50 mg of Demerol intravenously. Demerol is an efficient narcotic pain medication. The Valium potentiates the Demerol. Women will find their anxiety much reduced, and the pain of the procedure much diminished. This is not general anesthesia. Women are not asleep for the procedure. They will be sedated but awake, responsive, able to talk, and even walk. However, their judgment and motor skills will be impaired. After the procedure, they must remain under observation for at least 15 minutes before they leave.
Women receiving IV sedation must be accompanied by a responsible adult. They cannot drive or operate machinery for one day after receiving IV meds. They should not take the bus or walk home. They should be driven home, where they should rest for several hours before resuming regular activities.
Risks of IV sedation are slight in the dosage and manner that we employ. One could be allergic to the medications. Respiratory depression should not occur at these dosages. There could be bruising at the site of injection.
IV sedation is offered at an additional charge. Most insurers will not cover this service, so cash payment may be necessary.
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