Conscious sedation: what has really changed in the comfort of vascular treatment The fear of feeling pain is, by far, the main reason why people put off treating varicose veins. For decades, this hesitation made sense: traditional surgery, general anesthesia, hospitalization, prolonged recovery. Today, this scenario is different — and the key to this transformation is not just the laser. It is conscious sedation with nitrous oxide. Conscious sedation is not general anesthesia. The patient continues to breathe on their own, maintains reflexes and can talk to the doctor — but reaches a state of relaxation so deep that, in many cases, it is even possible to sleep during the procedure. The effect comes from inhaling nitrous oxide together with oxygen, in controlled concentrations, with continuous monitoring of vital signs. There is no need for general anesthesia, fasting or other preparations. This completely changes the treatment experience. Procedures that previously needed to be fragmented into several short sessions — because the patient could not tolerate the discomfort — can now be performed in a single visit, in sessions of up to two to three hours, with multiple applications, with the patient in effective pain control at all times. At the end of the procedure, the patient is discharged and resumes their routine activities of the day. The difference isn't just clinical — it's behavioral. When the fear of pain is removed from the equation, the patient seeks treatment at the right time. You don't wait for varicose veins to get worse, you don't live with weight and fatigue for years, you don't arrive at the office with complications that could have been avoided. This is the point that many still don't know: conscious sedation and pain control are patient rights, not privileges. It is not a difference linked to costs or values. It is the technical standard that every elective procedure should offer today. At LYS Clínica Vascular, in Divinópolis (MG), vascular procedures requiring sedation are conducted with inhaled nitrous oxide, under a complete monitoring protocol. The clinic serves patients not only from the city, but from the entire Midwest region of Minas Gerais. Dr. Carlo Rachid Dellaretti is in charge of diagnosis and treatment — CRM-MG 43.200 / RQE 37.358 (Vascular Surgery and Angiology). Results may vary. Each case is evaluated individually. The indication, dose and duration of sedation are determined by the responsible physician, according to specific clinical protocol. Schedule vascular assessment via WhatsApp At LYS Clínica Vascular, sedation procedures use inhaled nitrous oxide, with complete monitoring Personal file Technical Responsible: Dr Carlos Rachid Dellaretti — CRM-MG 43.200 / RQE 37.358 (Vascular Surgery and Angiology).