Dr. Jay P. Malmquist offers his patients the option of Intravenous Sedation or General Anesthesia for their surgery treatment. All the surgical staff members are BLS, ACLS, and Certified Anesthesia assistants through the Oregon Board of dentistry.
Intravenous Sedation (Twilight Sedation)
Intravenous Sedation or “twilight sleep” helps you to be comfortable when undergoing your oral surgery procedure. Your treatment can be completed under intravenous sedation, if you so desire. Intravenous sedation or IV sedation (twilight sedation) is designed to better enable you to undergo your surgical procedures while being very relaxed. IV sedation will essentially help alleviate the anxiety associated with your treatment. You may not always be totally asleep but you will be comfortable, calm and relaxed, a twilight sleep. Most patient remember very little of their surgical experience.
The goal of IV sedation is to use as little medication as possible, titrating the medication to each individuals needs. With IV sedation, a constant drip is maintained via an intravenous tube allowing for replacement fluids that were lost during the preparation period of not eating or drinking prior to the procedure.
General Anesthesia is a type of anesthesia where you are totally asleep. Known as General anesthesia, it is administered by a licensed MD anesthesiologist.
The anesthesiologist will assist the patients breathing during the course of the surgery. This is most often accomplished by placing a small breathing tube (endotracheal tube or Laryngeal Mask Airway LMA) into the patients airway (trachea) after the patient is anesthetized and asleep. The endotracheal tube or LMA is most often removed while the patient is waking up and therefore most patients do not have any recollection of this event. You still have an I.V. line for fluid maintenance. This is the means by which the anesthesiologist can deliver medications and fluids necessary to safely perform the anesthetic. Post-operatively the I.V. line is maintained to continue fluids and allow for delivery of pain medications if necessary. The anesthesiologist will be continuously present to monitor the patient and provide safe anesthesia care.
This anesthesia is achieved by the inhalation of an anesthetic gas or a vapor. Although general anesthesia by inhalation has been used to permit surgical operations for over a century, the mechanism by which these anesthetics act is not completely understood. In adults, administration of an inhalation anesthetic is usually initiated after IV administration of a short-acting hypnotic drug, such as sodium pentothal or propofol. In pediatrics, inhalation anesthesia is often used to initiate anesthesia by using a mask to induce sleep with a nonpungent inhalational agent such as sevoflurane. The procedure may require endotracheal intubation. The principal inhalation anesthetics are nitrous oxide, desflurane, sevoflurane, and isoflurane.
Can I drive home after my surgery?
No. Even though many patients will feel quite awake and unaffected by the anesthetics after the surgery, the bodies reflexes will continue to be influenced for a minimum or 24 hours. Therefore it is mandatory the patient not drive or operate heavy machinery for a minimum of 24 hours.
Sedation for the Fearful
Oral surgery phobia is a real, often overwhelming reality for thousands of people. Negative previous experiences, fear of needles, and severe gag refluxes are just some of the reasons people feel extreme anxiety when thinking about visiting the Oral and Maxillofacial surgeon.
If you suffer from oral surgery phobia fear no more! Our practice is committed to understanding the very real nature of your fears. Not only will our staff treat you with delicacy and care, but IV sedation, general anesthesia, or inhalation anesthesia will allow you to experience oral surgery in a whole new way!