Anesthesia
Several methods of anesthesia are available. The method of anesthesia that is chosen by a patient usually depends upon the nature of the surgical procedure and the patient’s level of apprehension.
Anesthesia Options
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MethodTypes of AnesthesiaDescription of TechniqueUsual Indications
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Method Local AnestheticDescription of Technique The patient remains totally conscious throughout the procedure. A local anesthetic (e.g. lidocaine) is administered in the area where the surgery is to be performed.Usual IndicationsFor patients who have no anxiety and do not mind being aware and conscious during the procedure.
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Method Nitrous Oxide Sedation with Local AnestheticDescription of Technique A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious throughout the procedure, but is in a more relaxed state. Nitrous oxide has an anxiolytic, sedative and a weak analgesic (pain- controlling) effect.Usual Indications For patients with mild to moderate anxiety and do not mind being aware and conscious during the procedure.
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Method Office Based General Anesthesia/Deep Sedation with Local Anesthetic*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 Versed, Fentanyl, and Propofol. Supplemental oxygen is delivered through a nasal breathing apparatus and the patient’s vital signs are monitored throughout the procedure.Usual IndicationsFor patients with moderate to severe anxiety and do NOT want to be aware or conscious during the procedure.
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Method Hospital or Surgery Center Based General AnesthesiaDescription of Technique A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.For patients undergoing extensive surgical procedures with extensive medical conditions who request general anesthesia.