Anesthesiologist Questions Anesthesia

What is procedural anesthesia?

I have heard the term procedural anesthesia. What is that? How is it different from surgical anesthesia?

30 Answers

Typically the terms can be mixed up with Conscious sedation. Procedural anesthesia is a general term meaning an anesthetic agent either local, regional block or general may be used. In some cases this can be done by a non-anesthesiologist. Surgical anesthesia generally implies that the procedure being done is done in a surgical facility, or hospital and that general anesthesia by IV or IV/Inhalation anesthesia is being done.
Procedural Anesthesia is another term for “Monitored Anesthesia Care”, or a means of intravenous Anesthesia that does not require an invasive airway device. In other words, the patient is breathing without assistance and is given a titrated anesthetic strategy that is just sufficient enough to accomplish the task at hand; be it a radiologic scan for an anxious patient, or sedation combined with local anesthetic from the surgeon for minor procedures.
It's a type of moderate to mild sedation given to patients to undergo certain non operating room procedures, i.e., endoscopy, cath, etc. Can't be affected cardiovasc or respiratory. Airway must be patent and not entubate spontaneus respiration. It's provided by non anesthesia personal, md, nurses. But must be closely evaluate by anesthesia dpt.
Procedural anesthesia likely refers to anesthesia for short procedures such as GI endoscopy, injections, etc. It is usually sedation (twilight) with amnesia of the procedural events. It can also be used during surgical procedures in conjunction with local anesthesia which is administered by the surgeon
Procedural anaesthesia differs from surgical anaesthesia in the depth of anaesthesia. In the procedural one, enough sedation is given to ensure patient can tolerate the procedures without having to completely depend on machines to support breathing. In both cases, full monitoring should be on the patient and the anesthesiologist should be with the patient in the room.
I assume this refers to anesthesia for a procedure. It is usually not general anesthesia but what we call conscious sedation. No breathing tube necessary.
This is about semantics. Anesthesia is the insensitivity to pain, especially as artificially induced by the administration of gases or the injection of drugs before surgical operations. Surgery is a procedure, Combine the both and you can take your pick how you want to describe the event.
Procedural anesthesia for such things as colonoscopies is really just sedation, commonly using propofol. Surgical anesthesia is General Anesthesia, more meds and a deep level of unconsciousness.
Although all surgeries are procedures, not all procedures are surgeries. Examples of non-surgical procedures include colonoscopies, endoscopies and certain radiology procedures. For example general anesthesia is frequently needed for CAT or MRI scans for patients unable to lie still (infants and young children or adults unable to lie still for psychological and/or medical reasons).
The term "procedure" refers to all the intervention that could be both surgical and nonsurgical. There are painful nonsurgical interventions that require sedation/anesthesia.
Typically, most "procedures" involve endoscopy of the GI tract where no skin incision is performed. Stoic patients with high pain tolerances can tolerated these procedures with mild sedation given by nurses. On the other hand, anxious, sensitive patients require deep sedation that requires the skill and training of an anesthesiologist to induce and maintain a deep anesthetic state with close control and monitoring of oxygenation, ventilation and hemodynamics. These are usually short procedures and short anesthetics with rapid emergence and early readiness for discharge. "Surgical" anesthesia is required for surgeries where skin incision and internal exploration occurs; anesthesiologists induce patient unconsciousness, control their oxygenation and ventilation, and may administer muscle relaxants to insure an immobile surgical field.
Procedural anesthesia or conscious sedation is given in a outpatient setting The patient usually maintains spontaneous breathing and cardiac functions while medications which cause sedation are given, and a dissociative state of consciouness, is being maintained so that the patient is usually unaware of the unpleasantness of the situation. This type of anesthesia is given for minor procedures usually where it does not require the anesthesiologist to take over control of the respiratory functions of the patient.
Anesthesia for a procedure as opposed to an actual surgical operation. Example: epidural steroid injection
Procedural anesthesia generally refers to conscious sedation or, in more anesthesia parlance, MAC, for Monitored Anesthetic Care. MAC delivered by an anesthesiologist or CRNA can span a broader range of sedation levels as we are trained in airway mgt and thus can handle times when the patient's level of consciousness may fall below "conscious" sedation such that they require intermittent it even constant airway support. This is where the 2 terms you ask about can become blurred. Procedural sedation, delivered by a nurse not specifically trained for airway management, is limited to sedation levels where loss of airway protective reflexes is not considered a likely possibility. Procedural sedation, or MAC, can may bridge to sedation so deep that airway protection is lost. At that point, technically, the sedation has become a general anesthetic (anesthesia to a level where awareness and the ability to protect one's airway are both expected to be lost).
I hope this was helpful.
Procedural anesthesia is anesthesia for procedures, usually minor compared to typical surgery. These may include colonoscopy or endoscopy, radiologic procedures. The difference is that anesthesia varies by type. General, regional, neuraxial, mild moderate and deep sedation. Both procedures and surgeries can be done by either of the above depending on type of procedure or surgery or patient specific issues.
I am sorry but I am not familiar with the term procedural anesthsia.

There are four types of anesthesia: monitors anesthsia care, general anesthesia,
regional anesthesia, and neuroaxial anesthesia. The type of anesthesia may be a combination of the above or a single type of anesthesia. If you are able to elaborate more and describe the type of anesthesia, I may be able to help.
Most procedures are less than 10 minutes and have minimal stimulation so require minimal sedation, as opposed to a surgical procedure that requires a deeper level of anesthesia.
Procedural anesthesia seems to be a term generated by ambulatory surgical centers and surgeons' offices that perform small routine procedures with local anesthesia with a component of sedation. The problem with these terms is that the procedure can vary and therefore the anesthesia technique. It is prudent to ask the person who will be providing the procedure about details of the type of anesthesia or an opportunity to speak to the anesthesia provider.
Often referred to as "conscious sedation", procedural anesthesia involves administering sedatives, and other anesthetic agents with or without pain medications to induce a state that allows the patient to tolerate uncomfortable procedures such as colonoscopy or upper endoscopy while breathing on their own. You should still be able to follow commands even though most patients do not remember anything during the procedure. Anesthesia is a continuum and there may be times where these same medications are increased to induce periods of General Anesthesia (controlled unconsciousness) for parts of the procedure that become too uncomfortable to tolerate with conscious sedation. During these times an anesthesiologist may need to support your airway/breathing or give medications to support your blood pressure. Surgical anesthesia can involve conscious sedation with regional anesthesia such as an epidural or spinal injection, a peripheral nerve block or local anesthetic injected in the surgical field. General Anesthesia can also be used for surgical procedures with or without regional anesthetic techniques. Your Anesthesiology professional should discuss your anesthetic options and answer any questions or concerns before any medications are administered. I hope that helps.
Procedural anesthesia is the application of anesthetic techniques to allow a procedure to take place. This often is a lighter plane of anesthesia than the depth required for surgical cases. With this in mind, we often think of procedural anesthesia more in terms of procedural SEDATION, as that is a more accurate descriptor. This may be sedation for minor surgical procedures on an extremity, it could be for something a bit more stimulating such as endoscopies (colonoscopy, EGD), or it could be for reasons requiring an immobile patient such as sedation for MRI. Surgical anesthesia is often a deeper anesthetic technique that more often than not requires instrumentation of the airway and management of respiratory function, while procedural sedation aims to stop short of eliminating respiratory drive.
A matter of semantics.. procedure implies
less or non- invasive i.e. colonoscopy
Usually sedation of varying degrees is
Surgical anesthesia : when an actual cut is made in the intact surface followed by dissection and removal/repair of pathological process. Many a times requiring post operative hospital and/or ICU admission.
Procedural anesthesia: usually minimum to blood loss is involved, At times the procedure can be done in outpatient surgicenter.
In my opinion, a procedure is a non-surgical process such as a colonoscopy, MRI, EGD or Cat Scan. Anesthesia for these types of "procedures" usually only require sedation or a MAC (monitored anesthesia care). A surgery is actually getting cut which can also sometimes only require a MAC or general anesthetic.
Procedural anesthesia is a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. It was formerly called conscious sedation. There are 3 types of procedural anesthesia, (minimal sedation, moderate sedation and deep sedation) depending on the level or responsiveness to verbal and tactile stimuli and whether airway intervention may be required or not.
In minimal sedation there is usually normal response to verbal stimulus and the airway usually would not require intervention. In deep sedation, there is usually purposeful response to repeated or painful stimuli. Moderate sedation would respond purposefully to verbal or tactile sedation, but airway intervention may be needed.
They actually are the same. I believe the term you may have heard is
procedural analgesia or procedural sedation, which implies administration
of medications to maintain cardiorespiratory function while allowing a
patient to undergo a procedure without significant pain or anxiety.

What is the Difference between Surgical Anesthesia and Procedural Anesthesia?

The basic difference is in the level of consciousness during different type of medical procedures.
(1) Minimal Sedation: this is drug induced anxiolysis {minimum effect on the sensorium}-good for dental procedures. Patients will respond normally to verbal commands. Airway, cardiovascular functions are not affected.
(2) Moderate Sedation (Procedural Sedation): with the help of drugs there is a depression of consciousness, where the patient can still respond to verbal command and/or touch. These
patients will have amnesia of the event. Examples of procedures this is useful: GI Endoscopies.
(3) Deep Sedation: is a level of depression of consciousness where the patient cannot be easily aroused, but will respond to painful stimuli. and finally
(4) General Anesthesia is a loss of consciousness where the patients are not arousable even to extremely painful stimuli....Examples of where you would need General Anesthesia is
Open Heart, GI surgeries, etc.
Procedural means no surgery is involved. Colonoscopy or electroshock therapy would usually be called "procedures", not surgeries.
Surgical anesthesia is a general term used when one is undergoing a surgery and anesthesia is deep enough to keep the patient so they do not feel, remember, or move. Procedural anesthesia can be used for any "procedure." The depth of anesthesia can be minimal or deep, depending on the procedure.
Procedural anesthesia is for procedures which can be painful or create anxiety, but do not require deep anesthesia. Examples of those procedures would include pain management injections, endoscopes and imaging procedures. Typically, only sedative/hypnotic drugs and low dose opioids are used and NOT anesthetic gasses. The same monitoring is required as for general anesthesia.
Although "procedural anesthesia" is not commonly used, it represents the type of anesthesia used for non-surgical procedures, such as electroconvulsive treatments, joint manipulations, and others. It may involve any form of anesthesia (local, nerve block, regional, or general) and is usually specific to the procedure involved.