Anesthesia Options

Local

Local anesthesia is administered directly to the surgical site and only affects the local area. It is commonly used for minor procedures, such as simple dental extractions or small soft tissue biopsies.

Nitrous Oxide

Nitrous oxide is also known as laughing gas and is a mild sedative inhaled through a mask over the mouth and nose. It is often used in conjunction with local anesthesia. The effects of the gas will dissipate after breathing some oxygen for a few minutes after the procedure.

IV Sedation

IV sedation is administered into the patient’s vein. This type of sedation is most commonly used during impacted wisdom teeth extraction, extensive dental implant surgery, or any surgical procedure that may be more complex in nature.

At James Oral and Maxillofacial Surgery sedation and general anesthesia are closely monitored by trained professionals to ensure the safety and well-being of the patient throughout the procedure.

 

Dr. James spent years receiving specialized training in the safe use of sedation and anesthesia.

 

The choice of sedation method will depend on factors such as the complexity of the procedure, your medical history, and level of anxiety. It is important to discuss these options with Dr. James to determine the most appropriate choice for the individual patient.

Is Sedation/General Anesthesia Safe?

Dr. James underwent extensive training in anesthesia as part of his education and specialization. During his residency training, he received comprehensive instruction in the administration of various types of anesthesia, including local anesthesia, sedation, and general anesthesia.

 

Oral surgeons learn how to assess patients’ medical histories and determine the most appropriate type and dosage of anesthesia for each individual case. They are trained to monitor patients’ vital signs during procedures to ensure their safety and well-being.

 

Additionally, Dr. James holds certification in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) to handle emergency situations that may arise during anesthesia administration.

 

Along with Dr. James, the surgical staff at James Oral and Maxillofacial Surgery has been trained to assist during all forms of sedation and anesthesia, are certified in Basic Life Support (BLS), and engage in mock anesthesia emergency drills to keep our patients safe.

Pre-Anesthesia Instructions

Prior to receiving anesthesia, it is imperative that you follow specific instructions to ensure a safe and successful procedure. These instructions before anesthesia include:

 

1. Fasting:
You are to refrain from eating or drinking anything (including water) for eight hours before the anesthesia. Usually your appointment will be scheduled in the morning, it is best to not eat or drink anything after midnight before your procedure. Fasting is to reduce the risk of aspiration during the procedure.

 

2. Medications:
You may be advised to adjust their medication schedule before anesthesia. Some medications may need to be temporarily stopped or adjusted to reduce the risk of complications.

 

3. Health History:
You have likely already provided a detailed medical history, including any allergies, current medications, and past experiences with anesthesia. This information helps the healthcare team tailor the anesthesia plan to the individual patient.

 

4. Clothing and Personal Items:
Patients may be instructed to wear loose, comfortable clothing and remove any jewelry or accessories before the procedure. It is also recommended to leave valuables at home or with a trusted person. All body piercings need to be removed before surgery. Please remove nail polish or fake nails prior to surgery as these can interfere with oxygen monitoring equipment.

 

5. Transportation:
You will not be able to drive yourself home after receiving anesthesia, as the effects of the anesthesia may impair your ability to drive safely. You need to arrange for a responsible adult to accompany you, stay in the office the entire length of the anesthesia, drive your home and ensure you are safe until the effects of anesthesia have passed.

 

6. Follow-Up Instructions:
You will receive post-anesthesia instructions, including guidelines for recovery, pain management, and when to contact healthcare providers in case of any concerns or complications.

 

It is important for patients to follow these instructions carefully and communicate any questions or concerns with their healthcare providers to ensure a smooth and safe anesthesia experience.