Choice of primary anesthetic
regimen can influence intensive care unit length of stay after coronary surgery with cardiopulmonary bypass.
Propofol is used in inpatient and outpatient surgical procedures to induce anesthesia prior to the administration of an inhaled general anesthetic or as the primary anesthetic
for total intravenous anesthesia (TIVA).
While the medical literature includes an occasional description of hypnosis being used as the primary anesthetic
in a major surgical procedure--it hasa reportedly been used for everything from dilatation-and-curettage to open heart surgery--proponents of the practice say its real value is as an adjunct to chemical anesthesia, relaxing the patient and allowing less anesthesia to be used, thus shortening recovery time.
According to the new indication for use statement cleared by the FDA, BIS monitoring may be used as an aid in monitoring the effects of certain anesthetic agents and may be associated with a reduction in primary anesthetic
use and a reduction in emergence and recovery time.
Peripheral nerve blocks are widely used as the primary anesthetic
technique for perioperative pain management during upper and lower extremity surgery.