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What kind of anesthesia is used during EVLT?
Is local, topical, or general anesthesia typically used during this procedure?
The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice,
diagnosis or treatment by a qualified health care provider.
Answers

Replied on 10/4/2010

Replied on 2/17/2010
By: Vein Centers for Excellence of Kansas City | Craig I. Schwartz, D.O., FACOS, FICS
Kansas City, MO
The wonderful thing about EVLT performed in the office setting is that it is done under local anesthesia only, using a special type of local called tumescent. Patients do not require the use of general or regional anesthesia, and all the risk that goes along with those. We typically do give patients a small dose of oral valium, just to take the edge off, and make patients comfortable, but they can be wide awake during the procedure, and will walk out of the office shortly after completion.

Replied on 2/11/2010

Replied on 2/10/2010

Replied on 2/10/2010

Replied on 2/10/2010

Replied on 2/10/2010

Replied on 2/10/2010
By: Providence Inland Vascular Institute | Thomas R. Pellow, MD, FACS Gregory K. Luna, MPH, MD, FACS Stephen Murray, MD, FACS M. Kathleen Reilly, PhD, MD, FACS Megan A. Hoefer, MD Sandra L. Tidwell, ARNP
Spokane, WA
Local Anesthesia.

Replied on 2/10/2010
By: The Vein Treatment Center of NJ | Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ
This is a very important question. Tumescent Anesthesia is a somewhat revolutionary form of local anesthesia used for EVLT. This was first described by a dermatologist, Klein in the early 1980's. An anesthetic agent such as lidocaine is diluted in a fairly large volume of Sterile saline to which is added a small amount of epinephrine. Each component serves a purpose. Obviously the lidocaine provides pain elimination. The saline volume surrounds the area to be treated, in this case a vein, and pushes away other tissues such as skin and nerves in order to protect them from the subsequent laser heat energy. The epinephrine prolongs the numbing effect and also constricts blood vessels in the area to reduce bleeding. Tumescent technique has revolutionized procedures such as office based ambulatory liposuction as well as the endovenous ablative varicose vein procedures. Tumescent anesthesia is all that is required for EVLT, however some individuals chose to heavily sedate the patient and other add complete general anesthesia.

Replied on 2/10/2010
By: Innovative Vein | Paul Cheatum, M.D.
Wichita, KS
Typically a local anesthetic is used such as lidocaine.? No other anesthetic is necessary.? The lidocaine is important for the entire procedure because it is also used to anesthetize the part of the vein being treated so that the heat from the laser is not a problem for the patient.

Replied on 2/10/2010
By: Laser Vein Center | Thomas Wright M.D. F.A.C.P. RVT
O'Fallon, MO
Just local anesthetic , Lidocaine, is used for pain control. This is the safest and most effective way to prevent discomfort. General Anesthesia is just not necessary and it ads additional risks. Topical anesthesia rarely can provide adequate anesthesia.
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I have pain in my calf ,numbness in my ankle, and also get sharp elecrical-like pains down my achilles tendon when I kick my leg. I had the procedure 3 weeks ago. I also have horrible discoloration on my calf, which resulted after post-injecions
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Wound Care (8 questions, 0 answers)
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