Treatment FAQ

what vein treatment can i do that uses a sedative

by Laura Rolfson Published 2 years ago Updated 2 years ago
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What sedation is used for vein ablation?

In most cases of ablation, we use a combination of a local anesthetic to numb the topical area. Tumescent IV sedation will then be used down the length of the vein that is being closed off or removed. If a patient is anxious about a procedure, we can provide oral sedation.

Do they put you to sleep for vein ablation?

Unlike painful hospital vein stripping surgeries of years past, modern endovenous laser treatment only requires local anesthesia (the patient is awake), reducing the risks and downtime associated with general anesthesia.

Does sclerotherapy need anesthesia?

Sclerotherapy is typically done in your doctor's office and doesn't require anesthesia. It generally takes less than an hour to complete.Feb 6, 2021

Are you sedated for varicose vein surgery?

Sedation is not required for varicose vein treatment; we offer it only to help if you are feeling nervous. After you have been given relaxing medication, you will be asked to undress from the waist down and change into shorts that we will provide. Your leg will then be cleaned and prepped in sterile fashion.

How painful is vein ablation?

Endovenous ablation is a minimally invasive, pain-free procedure that's done in the office with a local anesthetic. The procedure only requires a tiny opening so we can insert a slender catheter into the vein.Oct 1, 2019

What is foam sclerotherapy?

Foam sclerotherapy, performed under the guidance of ultrasound, is often used to treat varicose veins near the skin's surface. A non-surgical, minimally-invasive technique, ultrasound-guided sclerotherapy with foam is designed to close varicose veins causing the problem vein to shrink or possibly disappear.

What drug is used for sclerotherapy?

The most commonly used agents are hypertonic saline, sodium tetradecyl sulfate, polidocanol, and chromated glycerin. Hypertonic saline 23.4% concentration is approved by the US Food and Drug Administration (FDA), but its use in sclerotherapy is off label.Jan 25, 2021

What happens if you don't wear compression stockings after sclerotherapy?

Therefore, it is our practice at EMA to order compression stockings after sclerotherapy treatment. If you choose NOT to wear the compression, you acknowledge that you are at higher risk for complications, in particular: HYPERPIGMENTATION: This is a brownish discoloration which can appear several weeks after treatment.

What do they inject into hemorrhoids?

Sclerotherapy involves the injection of a chemical solution into the area around each hemorrhoid. The most commonly used chemicals include zinc chloride, quinine, and polidocanol. The intent of the procedure is to damage the blood vessels feeding the hemorrhoid, which causes it to shrink.

Are you awake for sclerotherapy?

Children are not awake for sclerotherapy. Depending on your child's medical history and the location of the malformation, we will use either IV sedation or general anesthesia. This procedure takes about one hour.

How much does sclerotherapy cost?

The average cost of spider vein treatment (sclerotherapy) is $413 and the average cost of laser treatment for leg veins is $312, according to 2020 statistics from the American Society of Plastic Surgeons.

What is saphenous vein ablation?

Involves "sealing" the saphenous vein shut with radio frequency energy and replaces the old procedure of Vein Stripping. This is often the first step in patients with severe varicose vein decease and is performed as an outpatient procedure in the office.Oct 27, 2017

Can IV sedation be reversed?

In mild sedation, the patient is awake and can respond to instructions during the procedure. With IV sedation, the effects can be reversed almost immediately once the drip to the vein is stopped. What is local anesthesia?

What is vein stripping?

Vein stripping, a traditional surgery to remove varicose veins before the advent of laser and radiofrequency ablate, required the used of general anesthesia. What is regional anesthesia? Regional anesthesia is like a nerve block or epidural that numbs large areas of the body.

How long does it take for anesthesia to go away?

One frequent side effect is drowsiness after the procedure, which typically goes away within the first 1-2 hours after surgery. Some patients may experience a sore throat or nausea.

What is the treatment for varicose veins?

If you don't respond to self-care or compression stockings, or if your condition is more severe, your doctor may suggest one of these varicose vein treatments: Sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution or foam that scars and closes those veins.

Can you get treatment for varicose veins outpatient?

Thanks to less invasive procedures, varicose veins can generally be treated on an outpatient basis. Ask your doctor if insurance will cover any of the cost of your treatment. If done for purely cosmetic reasons, you'll likely have to pay for the treatment of varicose veins yourself.

How to diagnose varicose veins?

Diagnosis. To diagnose varicose veins, your doctor will do a physical exam, including looking at your legs while you're standing to check for swelling. Your doctor may also ask you to describe any pain and aching in your legs. You also may need an ultrasound test to see if the valves in your veins are functioning normally or if there's any evidence ...

How to prevent varicose veins from getting worse?

Self-care — such as exercising, losing weight, not wearing tight clothes, elevating your legs, and avoiding long periods of standing or sitting — can ease pain and prevent varicose veins from getting worse.

How long does it take for varicose veins to fade?

In this procedure, your doctor injects small- and medium-sized varicose veins with a solution or foam that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once, sclerotherapy is effective if done correctly.

How to close spider veins?

Laser treatment. Doctors are using new technology in laser treatments to close off smaller varicose veins and spider veins. Laser treatment works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used.

What is the procedure to remove varicose veins?

Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers if other techniques fail. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins and then removes the veins through small incisions.

What is the treatment for varicose veins?

Overview. Sclerotherapy effectively treats varicose and spider veins. It's often considered the treatment of choice for small varicose veins. Sclerotherapy involves injecting a solution directly into the vein. The sclerotherapy solution causes the vein to scar, forcing blood to reroute through healthier veins.

How long does it take for veins to fade after sclerotherapy?

After sclerotherapy, treated veins tend to fade within a few weeks, although occasionally it may take a month or more to see the full results. In some instances, several sclerotherapy treatments may be needed.

How does sclerotherapy work?

Sclerotherapy involves injecting a solution directly into the vein. The sclerotherapy solution causes the vein to scar, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.

Why do veins return blood to the heart?

To return blood to your heart, the veins in your legs must work against gravity. Varicose veins may be caused by weakened valves (incompetent valves) within the veins that allow blood to pool in your veins instead of traveling to your heart.

What is the risk of pulmonary embolism?

Deep vein thrombosis carries a risk of pulmonary embolism (a very rare complication of sclerotherapy), an emergency situation where the clot travels from your leg to your lungs and blocks a vital artery. Seek immediate medical care if you experience difficulty breathing, chest pain or dizziness, or you cough up blood.

What is ultrasound for legs?

Ultrasound is a painless procedure that uses sound waves to produce images of structures inside the body.

How long after a syringe removal can you drive home?

Your doctor will probably advise you to avoid strenuous exercise for two weeks after the procedure. You'll also want to avoid sun exposure to the treated areas during that time.

Why is conscious sedation used?

Conscious sedation is safe and effective for people who need minor surgery or a procedure to diagnose a condition. Some of the tests and procedures that conscious sedation may be used for are: Breast biopsy. Dental prosthetic or reconstructive surgery.

Who gives conscious sedation?

Description. A nurse, doctor, or dentist, will give you conscious sedation in the hospital or outpatient clinic. Most of the time, it will not be an anesthesiologist. The medicine will wear off quickly, so it is used for short, uncomplicated procedures.

Can you wake up after sedation?

But you may receive extra oxygen through a mask or IV fluids through a catheter (tube) into a vein. You may fall asleep, but you will wake up easily to respond to people in the room. You may be able to respond to verbal cues. After conscious sedation, you may feel drowsy and not remember much about your procedure.

Can you drink alcohol the night before a syringe?

DO NOT drink alcohol the night before and the day of your procedure. Take the drugs your doctor told you to take with a small sip of water. Arrive at the hospital or clinic on time. After the Procedure. Expand Section. After conscious sedation, you will feel sleepy and may have a headache or feel sick to your stomach.

What happens after sedation?

After the Procedure. Expand Section. After conscious sedation, you will feel sleepy and may have a headache or feel sick to your stomach. During recovery, your finger will be clipped to a special device (pulse oximeter) to check the oxygen levels in your blood.

How long after a syringe procedure can you go home?

You should be able to go home 1 to 2 hours after your procedure. When you are home: Eat a healthy meal to restore your energy. You should be able to return to your everyday activities the next day. Avoid driving, operating machinery, drinking alcohol, and making legal decisions for at least 24 hours.

How to restore energy?

Eat a healthy meal to restore your energy. You should be able to return to your everyday activities the next day. Avoid driving, operating machinery, drinking alcohol, and making legal decisions for at least 24 hours. Check with your doctor before taking any medicines or herbal supplements.

What is the best treatment for DVT?

These may include, but are not limited to, one or more of the following: Heparin.

How to keep blood flowing?

Keep your blood flowing by moving around at least once per hour. Other than while sleeping at night, try not to sit, lie down, or even stand in place for more than 1 hour at a time. At least once per hour, take 2-5 minutes to get up, move around, stretch out, and do some light exercises.

What is a DVT?

If, however, you are diagnosed with DVT (deep vein thrombosis), a blockage of one of the large veins in your legs or elsewhere, you must get immediate medical care and follow your doctor’s treatment plan closely. Steps.

How to prevent blood clots on plane?

If you’re on a long plane flight, get up once an hour and move around the cabin to prevent clots.

Why do you wear compression stockings?

Compression stockings help to reduce the swelling that is commonly caused by blocked veins, and also help to prevent future blood clots in the area. You’ll probably be told to wear them during the daytime for a period of months or even years.

How to get rid of a swollen thigh?

5. Stay adequately hydrated by drinking water throughout the day. Drink a full glass of water in the morning, before meals, and during meals, and take sips throughout the day before you feel thirsty. Additionally, eat healthy foods with high water content, such as fresh fruits and vegetables.

How long does heparin stay in the hospital?

It can be delivered by injection or IV and requires close monitoring afterward, which means you may have to stay in the hospital for 3-10 days. Low molecular weight heparin (LMWH).

What is the best way to administer sedation?

Sedation is usually administered intravenously for adults, but for children it be administered using one of the following methods: Oral. Intranasal. Intramuscular. Intravenous. Rectal. The drugs that are commonly used for procedural sedation and analgesia include the following:

Why is sedation used in surgery?

Procedural sedation makes it easier for patients to tolerate unpleasant procedures, while being partially conscious and able to breathe on their own. The patients are usually able to respond to verbal commands and physical stimulation.

What is the purpose of a procedural sedation?

The doctor uses low doses of rapid- and short-acting anesthetic agents to achieve minimal or moderate sedation. Procedural sedation makes it easier for patients to tolerate unpleasant procedures, while being partially conscious and able to breathe on their own. The patients are usually able to respond to verbal commands and physical stimulation.

What are the risks of sedation?

Rapid onset and very short duration of effects. Consistent state of sedation. Lack of respiratory depression. Lack of effects on laryngeal and pharyngeal reflexes. Risks include: Patients may not be able to speak or respond purposefully. Delirium and hallucinations in patients older than 15.

What are the advantages and disadvantages of midazolam?

Advantages of midazolam include: Rapid sedation. Minimal sedation. Complete amnesia of the procedure. Anticonvulsant properties. Very little pain on injection. Risks include: Lack of analgesic effects.

Is propofol a sedative?

Propofol is a hypnotic sedative agent used in both adults and children. Often an anesthesiologist is required to administer propofol and monitor its use because of the deep sedation it can induce.

What is etomidate used for?

Etomidate (Amidate) Etomidate is a hypnotic sedative agent useful in adults with hypotension and trauma. Advantages include: Rapid onset and ultra-short duration of effects. Lack of histamine release and allergic reactions.

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Benefits

  • The benefits of using intravenous sedation during a plastic surgery procedure include the following:
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Signs and symptoms

  • Because the patient is able to breathe on their own with IV sedation, both the surgeon and the anesthesiologist become aware of the patients discomfort before the patient does and can respond with an increase in the local anesthetic or level of sedation.
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Management

  • Heavy sedation has the ability to suppress the respiratory drive and requires careful monitoring of both respiration and oxygen saturation levels. If sedation is too deep, endotracheal intubation may become necessary.
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Preparation

  • Prior to undergoing a procedure with intravenous sedation, you should advise your doctor about allergies or medical conditions you may have. You should also inform the doctor about any medications you are taking and any prior surgeries, including the type of anesthesia, you have had. You will be advised of the need to arrange for a responsible adult to drive you to and from t…
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Results

  • Most often you will feel groggy after your procedure and may have a slight headache and nausea. During the recovery process, your nurse will monitor your vital signs, including blood pressure, pulse, and oxygen levels. You will usually be observed for one to two hours after the procedure before you will be able to return home with your driver. It's often recommended that you have so…
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Overview

  • Intravenous sedation (IV sedation) or monitored anesthesia care (MAC) offers a safe alternative to general anesthesia for minor surgical procedures. It can provide sedation ranging from slight (mildly sleepy) to deep (deep sleeping.) Certainly, all forms of anesthesia have risks , and it's important to talk to your surgeon and anesthesiologist abou...
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Diagnosis

  • Your health care provider will do a physical exam, including looking at your legs while you're standing to check for swelling. Your provider might also ask you to describe pain and aching in your legs.
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Treatment

  • Treatment for varicose veins may include self-care measures, compression stockings, and surgeries or procedures. Procedures to treat varicose veins are often done as an outpatient procedure, which means you usually go home on the same day. Ask your insurer if varicose vein treatment is a covered expense. If varicose vein treatment is done only to improve the appearan…
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Lifestyle and Home Remedies

  • Lifestyle and home remedies for varicose veins include: 1. Exercise.Get moving. Walking is a great way to encourage blood flow in the legs. Your health care provider can recommend an appropriate activity level for you. 2. Manage weight.Shedding excess pounds takes unnecessary pressure off the veins. 3. Avoid salt.Follow a low-salt diet to prevent s...
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Alternative Medicine

  • Though they haven't been well studied, a number of alternative therapies claim to be helpful treatments for chronic venous insufficiency. This is a condition associated with varicose veins in which leg veins have problems returning blood to the heart. Alternative therapies for varicose veins may include: 1. Horse chestnut 2. Butcher's broom 3. Grape (leaves, sap, seed and fruit) 4. …
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Preparing For Your Appointment

  • Your health care provider will need to look at your bare legs and feet to diagnose varicose veins and figure out what treatment might be best for your condition. Your primary care doctor might recommend that you see a doctor who specializes in vein conditions (phlebologist), a vascular surgeon or a doctor who treats skin conditions (dermatologist or dermatology surgeon). In the …
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