9 doctors weighed in:

Why are some painful medical procedures done without anesthesia or sedation?

9 doctors weighed in
Dr. Matt Malkin
Anesthesiology
2 doctors agree

In brief: Risk vs benefit

Everybody has a different pain tolerance.
Some people are too sick to receive much sedation. Keep in mind that sedation during procedures requires special training and increased risk from meds and added cost. Local numbing anesthesia alone is often the safest, cost-effective technique. If you feel that you need more, you can request to be scheduled.

In brief: Risk vs benefit

Everybody has a different pain tolerance.
Some people are too sick to receive much sedation. Keep in mind that sedation during procedures requires special training and increased risk from meds and added cost. Local numbing anesthesia alone is often the safest, cost-effective technique. If you feel that you need more, you can request to be scheduled.
Dr. Matt Malkin
Dr. Matt Malkin
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Dr. Benjamin Sanidad Jr
Anesthesiology
2 doctors agree

In brief: No Excuse

Anesthesia & sedation require training.
No excuse for not using these techniques to prevent pain in "painful medical procedures.".

In brief: No Excuse

Anesthesia & sedation require training.
No excuse for not using these techniques to prevent pain in "painful medical procedures.".
Dr. Benjamin Sanidad Jr
Dr. Benjamin Sanidad Jr
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Dr. David Edsall
Anesthesiology
2 doctors agree

In brief: Pain kills

Improperly treated pain can lead to chronic pain, anxiety disorders, traumatic stress, hypertentiion, high heart rate, and these last two can lead to death, heart attack and stroke.
Many providers simply do not want to admit to themsleves that they are causing significant pain. They are not properly trained. All painful procedures should have good pain control.

In brief: Pain kills

Improperly treated pain can lead to chronic pain, anxiety disorders, traumatic stress, hypertentiion, high heart rate, and these last two can lead to death, heart attack and stroke.
Many providers simply do not want to admit to themsleves that they are causing significant pain. They are not properly trained. All painful procedures should have good pain control.
Dr. David Edsall
Dr. David Edsall
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Dr. David Edsall
Anesthesiology
2 doctors agree

In brief: Excuses

The key to your question is "painful".
No painful case should be done without anesthesia if you mean pain control. If you mean by an anesthesia provider then the answer is they are not needed for all situations of pain control.And that would increase the expense. There are not enough to do all painful procedures. The danger comes when the non anesthesia person cannot relieve the pain.

In brief: Excuses

The key to your question is "painful".
No painful case should be done without anesthesia if you mean pain control. If you mean by an anesthesia provider then the answer is they are not needed for all situations of pain control.And that would increase the expense. There are not enough to do all painful procedures. The danger comes when the non anesthesia person cannot relieve the pain.
Dr. David Edsall
Dr. David Edsall
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Dr. Pedro Hernandez
Internal Medicine - Geriatrics
2 doctors agree

In brief: I & D

Sigmoidoscopy is one.
Injections or aspirations of fluids may be done without anesthesia. Drainage of small absesses or cysts is done without aneshesia because dead tissue does not respond to topical anesthesia ( i & d incision & drainage). When there is allergy or possible allergy. When the procedure is short and is more painful to inject the anesthesia than insert a sharp fine needle ( vaccines).

In brief: I & D

Sigmoidoscopy is one.
Injections or aspirations of fluids may be done without anesthesia. Drainage of small absesses or cysts is done without aneshesia because dead tissue does not respond to topical anesthesia ( i & d incision & drainage). When there is allergy or possible allergy. When the procedure is short and is more painful to inject the anesthesia than insert a sharp fine needle ( vaccines).
Dr. Pedro Hernandez
Dr. Pedro Hernandez
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2 comments
Dr. David Edsall
sigmoid oscopy usually has anesthesia there is no such thing as allergy to anesthesia. there are allergies to medications used but not to 100 medicines avaiable from many different classes. Most anesthetics have never had one documented case of allergy.
Dr. David Edsall
the question said " painful procedure" not 'none painful procedure' so this anser is off the point.
Dr. David Rosenfeld
Pain Management
1 doctor agrees

In brief: Bad care

Therecaret here is no excuse for a physician doing a painful procedure without providing adequate analgesia.
It is due to ignorance on the part of the md.

In brief: Bad care

Therecaret here is no excuse for a physician doing a painful procedure without providing adequate analgesia.
It is due to ignorance on the part of the md.
Dr. David Rosenfeld
Dr. David Rosenfeld
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Dr. Gabor Racz
Anesthesiology
1 doctor agrees

In brief: Choice or pay

Some procedures need it but it still remains a choice when it comes to who pays for it? Not enough people raise the issue and the payors dictate the practice by not approving the procedure.
Unpaid services add up and the hospitals and the facilities can not for ever cover the costs.

In brief: Choice or pay

Some procedures need it but it still remains a choice when it comes to who pays for it? Not enough people raise the issue and the payors dictate the practice by not approving the procedure.
Unpaid services add up and the hospitals and the facilities can not for ever cover the costs.
Dr. Gabor Racz
Dr. Gabor Racz
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Dr. Richard Pollard
Anesthesiology

In brief: Talk to your MD

In some of these cases it is the decision of the surgeon to not use anesthesia or sedation.
In other cases the sedation or anesthesia would not be paid for by your insurance policy. Talk to your doctor if you have any questions about a procedure.

In brief: Talk to your MD

In some of these cases it is the decision of the surgeon to not use anesthesia or sedation.
In other cases the sedation or anesthesia would not be paid for by your insurance policy. Talk to your doctor if you have any questions about a procedure.
Dr. Richard Pollard
Dr. Richard Pollard
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