I have a question. For starters, I'm a fairly new RN, thus seeking some knowledge on anesthetics. I recently started a job at an eye surgery center doing PACU. When I receive pts from the OR, I see the anesthesia sheet and see the drugs used. This place pretty much uses MAC.
To my understanding, MAC is a type of conscious sedation, correct? I also understand that the predominant drug for MAC / conscious sedation is versed, because i see it on the anesthesia sheet. However, sometimes the patient is also given propofol in addition to versed. Here is where my confusion comes in.
I was under the impression that propofol is pretty much general anesthesia agent. So why is it sometimes used for MAC along with versed. Some patients get just versed, and some other get both drugs.
And one more question. I understand that versed is a benzo that "takes the edge off" and relaxes you before the procedure, and that you will be somewhat conscious during the procedur and won't remember a thing after. Does versed itself provide pain relief, because as mentioned before, when I see my pt's anesthesia sheet with only versed, I dont see any kind of opioid med for pain control.
Any clarification on these topics would be so appreciated. I am too embarrased to ask the CRNA / anesthesiologist at the clinic for fear of being considered a "stupid" new RN.