Dr Brock: PVP are very important as they make anesthesia better. Of course there are challenges to PVPs but they are well worth the effort. For me they are a game changer. When I began to address anxiety in my patients I found that the anesthetic was more predictable, and there was much less drama as far as how the went under GA and how they work up.
The PVPs help to address the flight or fight syndrome that occurs as our patients arrive in the parking lot. The effect on the brain can be counteractive to our drugs and we often need to use more drugs that we would like when the patient is very anxious; putting the at risk of secondary effects.
Also, the calm patient will be easier to handle, less combative and therefore less dangerous to staff and less likely to create havoc with the day’s already overwhelming schedule.
