Abstract
Monitored Anesthesia Care (MAC) is indicated in all situations during invasive medical procedures. An essential component of MAC is the anesthesia assessment and management of a patient's actual or anticipated physiological derangements or medical problems that may occur during a diagnostic or therapeutic procedure. While MAC may include the administration of the sedatives and/or analgesics often used for Moderate Sedation, the provider of MAC must be prepared and qualified to convert to general anesthesia when necessary. Additionally, a provider's ability to intervene to rescue a patient's airway from any sedation-induced compromise is a prerequisite to the qualifications to provide MAC. Concerning the importance of MAC, it is an unobjectionable issue in Japan. Therefore, we should reach a common understanding of MAC, and educate patients on the need for MAC during invasive medical procedure.