10 doctors weighed in:

Why can't a temporal artery biopsy be done under partial or general anesthesia instead of just local?

10 doctors weighed in
Dr. Paul Grin
Pain Management
5 doctors agree

In brief: Why not?

Local anesthesia is usually used for a temporal artery biopsy.
This biopsy is an outpatient/ambulatory minor procedure it's done under local anesthesia. You can request IV sedation (insurance will not pay for it) but general anesthesia is an over-treatment for the minor procedure. It is very important test to rule out temporal arteritis.

In brief: Why not?

Local anesthesia is usually used for a temporal artery biopsy.
This biopsy is an outpatient/ambulatory minor procedure it's done under local anesthesia. You can request IV sedation (insurance will not pay for it) but general anesthesia is an over-treatment for the minor procedure. It is very important test to rule out temporal arteritis.
Dr. Paul Grin
Dr. Paul Grin
Thank
Dr. Karen Sibert
Anesthesiology
3 doctors agree

In brief: Why not local?

This is a very tiny spot to biopsy, and local anesthesia works very well.
Is the patient afraid of needles? Claustrophobic? Need to know why the patient prefers more anesthesia. It might be possible to take a sedative pill at home before coming in for the procedure. Also might be possible to use EMLA (lidocaine and prilocaine) cream to numb the skin so that the patient doesn't feel the injection of local.

In brief: Why not local?

This is a very tiny spot to biopsy, and local anesthesia works very well.
Is the patient afraid of needles? Claustrophobic? Need to know why the patient prefers more anesthesia. It might be possible to take a sedative pill at home before coming in for the procedure. Also might be possible to use EMLA (lidocaine and prilocaine) cream to numb the skin so that the patient doesn't feel the injection of local.
Dr. Karen Sibert
Dr. Karen Sibert
Thank
Dr. David Krulak
Family Medicine
3 doctors agree

In brief: Anesthesia

It is physically possilbe to do most procedures while someone is under partial or general anesthesia.
However, when the risks of the anesthesia outweigh the benefits received from the anesthesia, then it is not in the patients best interest to receive anesthesia.

In brief: Anesthesia

It is physically possilbe to do most procedures while someone is under partial or general anesthesia.
However, when the risks of the anesthesia outweigh the benefits received from the anesthesia, then it is not in the patients best interest to receive anesthesia.
Dr. David Krulak
Dr. David Krulak
Thank
Dr. Marc Abramson
Anesthesiology
2 doctors agree

In brief: It could

However, a general is overkill in most instances.
If the patient were mentally challenged a general may be used.

In brief: It could

However, a general is overkill in most instances.
If the patient were mentally challenged a general may be used.
Dr. Marc Abramson
Dr. Marc Abramson
Thank
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