Quick prone MAC colorectal cases: what do you use?

Recently out from residency into private practice. We didn’t do these prone cases (fistula, hemorrhoids, etc) much in residency. I was just curious what you all do for them. Seems like the only painful part is the local injection. So I was thinking maybe versed and propofol would be best, but was also thinking of using remifentanil? Seems like it would wear off faster that propofol if patient went apneic. The operating time for these cases is usually less than 5 minutes.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums