Dermatologist Dr. Cindy Lamerson is involved in what's called a MOHS procedure. She is slowly removing a cancerous lesion from a patient's face. Its time consuming but many patients opt for it because it involves an office visit and the end result conserves more skin.
Local anesthesia which is just at the site where the lesion is being taken out. And in some cases where the individual requests it we will give them a sedative like Adivan something fairly mild. Even with Adivan the person is fully conscious they shouldn't drive or operate heavy equipment, but they are fully conscious and interaction they are just more relaxed.
Because this procedure can involve "conscious" sedation, brought on by medication...state law makers want to know about it. But it doesn't stop there. They want to know about other in office procedures that go even farther with deep sedation, or general anesthesia.
The problem they say, no one knows how often these procedures take place in the office setting, how dangerous they are, and what guidelines if any should be drawn up to make these types of procedures safer.
That's where A-B-120 comes in. If passed it would require physicians who perform in office procedures to list the kind of surgical procedure, if anesthesia was used, and if anything unusual happens as a result of that sedation.
That complication would be handed to the state board of medical examiners who would look for patterns. Law makers would then decide if guidelines or statewide standards should be implemented.
Dentists already report this information to their licensing board here in Nevada. That board has regulations and inspects dentists and determines who can and can't deliver general anesthesia.