Table 3 Deep sedation protocol [10]

Dexmedetomidine (5 µg/kg IV)

Butorphanol (0.4 mg/kg IV)

Lidocaine (2 mg/kg IV followed by a lidocaine CRI of 0.04 mg/kg/min IV)

Etomidate (0.1 mg/kg IV)

Sevoflurane with a vaporizer setting at 0.5%. A local block of lidocaine/bupivacaine done over the surgical site. Dexmedetomidine at 1 µg/kg IV given if there is any movement. End of procedure-dexmedetomidine reversed with atipamezole 0.05 mg/kg IM

Buprenorphine (0.01 mg/kg IV)