Anestesia

Several methods of anesthesia están disponibles. El método de la anestesia que se elige para o por un paciente depende de la naturaleza del procedimiento quirúrgico y el nivel de aprehensión del paciente.

Opciones de anestesia

The following table illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique.

  • Types of Anesthesia
  • Method Local Anesthetic
    Description of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (por ejemplo. lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.
    Usual Indications Simple oral surgery procedures such as minor soft tissue procedures and simple tooth extractions.
  • Method Nitrous Oxide Sedation with Local Anesthetic
    Description of Technique A mixture of nitrous oxide (gas de la risa) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (pain- controlling) effect.
    Usual Indications Procedimientos de cirugía oral simple a más procedimientos como extracción de muelas del juicio y la colocación de implantes dentales.
  • Method Basado en la oficina sedación profunda
    Description of Technique Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are closely monitored.
    Usual Indications La sedación profunda está disponible para todos los tipos de cirugía oral. Un paciente puede elegir profunda sedación para procedimientos sencillos en función de su nivel de ansiedad. La mayoría de las personas a las que les extraen las muelas del juicio o les colocan un implante dental elegirán anestesia general.. La sedación profunda puede ser necesario si la anestesia local no logra anestesiar el sitio quirúrgico que a menudo se produce en presencia de la infección.
  • Method Hospital or Surgery Center Based General Anesthesia
    Description of Technique A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.
    Usual Indications Indicado en pacientes sometidos a extensos procedimientos como cirugía de TMJ y reconstrucción de la mandíbula y cara. Also indicated for patients with medical conditions such as heart disease or lung disease who require general anesthesia.

En nuestra oficina, administramos tres de las cuatro modalidades de anestesia.  La anestesia general se administra en un centro de cirugía ambulatoria o un hospital.  Si usted está interesado en la anestesia general, estamos encantados de discutir lo que se trata con más detalle y, potencialmente, que se refieren a la configuración adecuada. La mayoría de los pacientes les va bien con anestesia local, óxido nitroso y IV sedación.

De nuevo, when it comes to anesthesia, our first priority is the patient’s comfort and safety. If you have any concerns regarding the type of anesthesia that will be administered during your oral surgery procedure, No dude en comentar sus inquietudes con su médico en el momento de su consulta..

Óxido nitroso (Gas de la risa)

Óxido nitroso is a sweet smelling, no irritante, colorless gas which you can breathe. Nitrous Oxide has been the primary means of sedation in dentistry for many years. Nitrous oxide is safe; el paciente recibe 50-70% de oxígeno sin el óxido nitroso menos de 30%. Patients are able to breathe on their own and remain in control of all bodily functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment.

There are many advantages to using Nitrous Oxide

  • The depth of sedation can be altered at any time to increase or decrease sedation.
  • There is no after effect such as ahangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, etcetera.
  • Inhalation sedation is very effective in minimizing gagging.
  • It works rapidly as it reaches the brain within 20 seconds. In as few as 2-3 minutes its relaxation and pain killing properties develop.

Reasons to Not use Nitrous Oxide

Though there are no major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., un frío u otras dificultades con la respiración. You may want to ask your dentist for a5 minute trialto see how you feel with this type of sedation method before proceeding.

Intravenous Sedation (“Twilight Sedation”)

Our office offers our patients the option of Intravenous Sedation or Dental Intravenous Anesthesia or to some it is referred to asTwilight Sedationfor their dental treatment. Intravenous Sedation ortwilight sleephelps you to be comfortable and calm when undergoing dental procedures. Your treatment can be completed under intravenous sedation. La sedación intravenosa o “sedación intravenosa” (twilight sedation) is designed to better enable you to undergo your dental procedures while you are very relaxed; le permitirá tolerar como no recordar aquellos procedimientos que pueden ser muy incómodos para usted. IV sedation will essentially help alleviate the anxiety associated with your treatment. You may not always be asleep but you will be comfortable, calm and relaxed, entrando y saliendo del sueño – un “sueño crepuscular”.

If you choose the option of intravenous sedation your IV sedation/anesthesia is administered and monitored by the doctor therefore eliminating the costly expense of having your treatment carried out in an operating room or same day surgical facility.

How is the IV sedation administered?

A thin needle will be introduced into a vein in your arm or hand. The needle will be attached to an intravenous tube through which medication will be given to help you relax and feel comfortable. At times a patient’s vein may not be maintainable, en estas situaciones que se administrará los medicamentos y la aguja obtenido – ambos escenarios alcanzará el mismo nivel deseado de sedación consciente. Una vez más algunos pacientes pueden ser dormidos mientras que otros se deslicen dentro y fuera del sueño. Some patients with medical conditions and/or on specific drug regimens may only be lightly sedated and may not sleep at all.

The goal of IV sedation is to use as little medication as possible to get the treatment completed. It is very safe, much safer than oral sedation. Con IV sedación una constante “goteo” se mantiene a través del tubo intravenoso. At any time an antidote can be administered to reverse the effects of the medications if necessary. Junto con sedación IV también hay otros niveles diferentes”” de la sedación a su disposición en nuestra oficina.