Before Intravenous Anesthesia Sedation
Anesthesia as an outpatient in our office can vary from local anesthesia to true general anesthesia.
- Local Anesthesia (“Novocaine”) with or without Nitrous Oxide (laughing gas)
- Intravenous Sedation (“Twilight Sleep”)
- General Anesthesia (Fully Asleep)
Oral and maxillofacial surgeons are unique among the surgical specialties with regards to anesthesia training. Every Oral and Maxillofacial Surgeon during his residency receives formal anesthesia training with the department of anesthesia in the hospital. They are taught the skills to safely administer anesthesia to patients. This includes IV sedation, general anesthesia, airway management and intubation techniques. This also includes complete training in AHA Advanced Cardiac Life Support, and AHA Pediatric Advanced Life Support. Most states have very strict guidelines regarding the administration of anesthesia in the office to ensure patient safety. All office staff and our doctors are certified in CPR.
Our practice is inspected on a routine basis and licensed by the Pennsylvania State Board of Dentistry to provide general anesthesia services. Additionally, Drs. Bianchi, Nordone, Kanter & Huffman are Board Certified by the American Dental Board of Anesthesiology.
Drs. Bianchi, Nordone, Kanter, Huffman, Kern, Schlesinger & Ilacqua have advanced training in all aspects of anesthesia and emergency care. Our aim is to provide our patients with highest standards of care and availability of the latest techniques and medications. It is our utmost goal to make your surgical experience as pleasant and stress free as possible while maintaining the highest levels of safety.
Many patients can have their procedures completed using a local anesthetic to “numb” the area. For those people wishing to be sedated so that they are unaware of the surgery, IV sedation is offered. Ambulatory anesthesia is the administration of medications in the office that induce either general anesthesia where the patient is totally asleep or sedation where the patient is in a semi-conscious state. All forms of IV sedation and general anesthesia are administered by Drs. Bianchi, Nordone, Kanter, Huffman, Kern, & Schlesinger.
During the initial consultation you and your oral and maxillofacial surgeon will discuss the type of procedure involved, your medical history and your level of anxiety. Some procedures do to their nature require the use of general anesthesia or IV sedation, whereas others are best accomplished under local anesthesia. The choice of anesthesia is always a personal decision and should be made only after an informative consultation with the oral and maxillofacial surgeon. In addition, during the initial consultation, you will also be given instructions to prepare for surgery such as: wearing loose warm and comfortable clothing, not having anything to eat or drink 8 hours prior to surgery, taking all of your regular medications, bringing an escort with you and making arrangements for you recovery at home.
It is important to follow all pre-operative instructions. The medications used for sedation do persist in the blood stream for up to 24 hours. Therefore it is understated that you WILL NOT operate a vehicle or operate machinery for 24 hours after undergoing sedation or general anesthesia.
We are also available to answer any specific questions you may have in regards to the anesthetic. The benefits of general anesthesia and/ or intravenous sedation include a decrease in anxiety and awareness during the surgery. This translates into near or total amnesia of the procedure, lack of noise perception and no pain. During the procedure it is important to note that patients are still given local anesthetic to “numb” the area after they are sedated or asleep. This allows patients to awaken from the anesthesia without pain.
Coming to Pennsylvania Oral & Maxillofacial Surgery Ltd. for the day of surgery and anesthesia is similar to having surgery in your own hospital and it is often much more user friendly. The equipment in our surgical suites and recovery room are the same as those used in the hospitals. When you arrive in the surgical suite the nurse or assistant will connect you to a number of monitors and the doctor will start an intravenous. Safe anesthesia demands the use of several non-invasive monitors that we attach to you. These devices are typically a blood pressure cuff, an EKG (electrocardiogram) and a pulse oximeter (a device that measures the amount of oxygen in your blood). Therefore, it is suggested that you wear loose clothing to facilitate the application of these important devices. Routinely medication will be injected into the intravenous to cause you to relax or sleep. If you have serious fear of needles, we can use gas to put you to sleep and an intravenous will be placed after you fall asleep.
After the procedure, once you are able to sit up and drink fluids, the intravenous will be removed and you are almost ready to leave. At this time the recovery room nurse will review with you and your ride all the post-operative instructions and answer any questions either of you may have in regards to care of your mouth. There is always a surgeon on-call 24 hours and he can also answer any emergency questions you may have in regards to your care following your surgery.