Technique - Deep MAC. Some like 2 of versed + 100 mcg of fentanyl + propofol drip. I personally prefer 30 -50 mg of ketamine push + a 50 mcg/kg/min infusion of propofol. Makes for a quick wake up and uneventful procedure. Position - If you hear this is going to be a "short" or "small" procedure, it means they are ablating the short/small saphenous vein. In this case, the patient will be in the lateral position (surgical side down). Some patients need the head of the bed up due to comorbidities (ie GERD). If the head is raised and the hips are flexed, it may occlude the area that will be ablated. In this case, it is better to utilize reverse trendelenburg to avoid hip flexure Airways are your friend - most of these patients airways will obstruct with the level of sedation needed to keep them motionless. Anticipate quick turnover.
