Last month marked the 29th anniversary of my start in private practice. My first case was with a plastic surgeon who arrived an hour late, then asked for IV sedation for an eight-hour facial case. I had no idea how to do such a thing. I ended up using 500cc IV bag, 500mg thiopental (Pentothal), 100mg meperidine (Demerol), 60 drop IV set (mini or pedi drip) oxygen by nasal cannula and local by surgeon. Amazingly, the case went well, but the patient was so hung over she had to sleep the night in the hospital. No one was shocked that a patient had to stay overnight after surgery.