what do they give you for twilight sleep
Twilight anesthesia The same drugs used in general anesthesia are also used for twilight anesthesia, except in smaller doses and in a bolus interval (A concentrated mass of a substance administered intravenously for diagnostic or therapeutic purposes). These drugs can be administered via gases, such as nitrous oxide (laughing gas), or intravenously, with drugs such as ketamine (pediatrics primarily, and infrequently in adults), propofol, and midazolam.[3] Twilight anesthesia alone is not used to provide relief from surgical pain, therefore, it is always given in conjunction with a local or regional anesthetic. Additionally, IV sedation is frequently administered as a concoction of several agents including those previously mentioned for induction and maintenance of anesthesia, as well as a benzodiazepine (usually midazolam, but temazepam or flunitrazepam are also used via the oral route[4]) and a narcotic/systemic analgesic such as demerol or fentanyl. As discussed in the levels of sedation by anesthesia, assistance with breathing tubes (ETT or LMA) are not generally used for this type of anesthesia.