In-office Anesthesia - Paracervical Block
Anesthesia is one of the key considerations you will have to make for performing the NovaSure procedure in-office. A paracervical block is a common pain management technique used for performing endometrial ablation. Choosing the specific type of medication and technique is a decision you'll make based on the specific characteristics of your patient, your comfort level and the degree of intervention you're planning.
Outpatient surgery guidelines
For your reference, the following organizations have established outpatient surgery guidelines:
Physicians using anesthesia in the office setting should adhere to guidelines outlined by the American Society of Anesthesiologists1,2 in order to help ensure patient safety.
- Familiarity with proper doses, administration of medications, the response to adverse reactions and other potentially required interventions.
- Familiarity with the relevant guidelines and regulations published by departments of public health, medical organizations and individual states.
- Accessibility to adequate monitoring equipment.
- Having the necessary equipment for resuscitation, including an automated external defibrillator.
- Thorough risk assessment and understanding of possible contraindications.
- Select patients with ASA physical status less than 3.
Independent or mobile anesthesia groups available for IV sedation
If your office prefers IV Sedation as its pain management technique, you may want to consider using the services of an independent or mobile anesthesia group. Typically, these groups provide the majority of the equipment required to perform the NovaSure procedure in the office setting (including hysteroscopy, suction, instrumentation, etc.). They also provide the services of a local Anesthesiologist or Nurse Anesthetist to administer the drugs and monitor the patient.
Each service provider operates differently, so it is important to inquire about each of the above considerations before deciding to utilize an independent anesthesia group.
1. American College of Surgeons. Guidelines for Office-based Surgery (Adopted December 18, 2003). 2. American Society of Anesthesiologists. Guidelines for Office-based Anesthesia (Approved by the ASA House of Delegates on October 13, 1999, and last affirmed on October 27, 2004).