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Anesthesiology/Local anesthesia administered by a doctor

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Expert: - 6/29/2009


Question
Can a Doctor (Plastic Surgeon), administrate by himself the local anesthesia named Lorazepam and Lidocaine for his breast implants procedures? He do not need an anesthesiologist or a nurse-anesthetist at the operation room?


I would like to know there are any standards or practice procedures to administrate those drugs. Thank you  

Answer
Lidocaine is a local anesthetic;  lorazepam is a sedative-hypnotic.  Your plastic surgeon is probably quite adept and qualified to administer the drugs you mention---but review his qualifications.  Practice standards vary according to country, state, Province and specialty, but  in most cases if a plastic surgeon is experienced with a given local/sedation technique which you describe, it would certainly be within any standard I've heard of to administer same.

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Volunteer

JM Starkman, MD

Experience

Over twenty-five years of adult and pediatric, inpatient and outpatient clinical anesthesia practice--some private, some group.

Organizations
American Association of Physicians and Surgeons. My county medical society.

Publications
[not a researcher]

Education/Credentials
American medical school graduate. Board Certified. Fellowship trained Cardiovascular and Pediatric anesthesia subspecialist.

Past/Present Clients
Over 20,000 anesthetics, the majority of which have been personally managed, with less than 5% consisting of supervising nurse anesthetists or in-training resident physicians.

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