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A 46-year-old member asked:

Is anesthesia required for dilation and curettage?

4 doctor answers12 doctors weighed in
Dr. Karen Sibert
Anesthesiology 39 years experience
Depends why: Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl. The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan.
Dr. Matt Malkin
Anesthesiology 16 years experience
Many: D+c can be done with a variety of techniques. Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.
Dr. Matt Malkin
Anesthesiology 16 years experience
Many: D+c can be done with a variety of techniques. Can be mac/sedation helped with pudendal block, general, spinal. Depends on your health and aspiration risk, what you prefer, and anesthesiologist comfort level. You can discuss with your anesthesia provider your preferences.
Dr. Richard Pollard
Anesthesiology 30 years experience
Usually general: In my hospital this is usually done under a light general anesthetic.

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