What is your protocol for conscious sedation during T&O insertion?

I have used many forms of anesthesia for cervix HDR and all have some disadvantage. For the last couple of years I have moved to spinal anesthesia which has been ideal for our workflow. Patients receive a single dose of bupivicaine via CRNA/anesthesia team in our in brachy suite. The provides about ...

In our department it is done by nurse anesthetist using propofol and this sedation is used for insertion only. We also use IV toradol and tyelonol for post procedure pain as patient is awake for MRI, planning time and removal of applicator. For Hybrid applicator we also use local polocaine in parace...