Local With Sedation

Question: Intravenous Sedation with local anesthetic ? I'm having my 4 impacted wisdom teeth cut out of my gums next week . and i'm having a local anesthetic with Intravenous Sedation . Why does it say on my consent form that i need to wear clothing that allows easy access to both arms ? I've had a general anesthetic before, but never a local . What exactly is an Intravenous sedation with local , will i be awake during the whole thing ? When i had a general Anesthetic years ago, it said on the form , not to wear any metal or piercing jewelery , no nail polish and no make-up. It says nothing about any of that on my consent form for the local with sedation, why is that ?

Answer: They need to acess both arms for an IV. This means that if they can't get an IV in one are then they will use the other. Next after giving you an IV in one or the other arms you will get sedated or knocked out through the IV with something good feeling. Its good too. Then they will inject into your gums a local anesthetic numbing while you sleep. you wont feel a thing. The whole no make up and metal thing is for surgery purposes

Question: local with sedation vs general anesthesia which safer?

Answer: It really depends on the type of surgery and the duration. It it's minor, then local. Otherwise, general is the way to go for major. You don't want to feel any pain during the surgery. Plus you don't want to hear the surgeon's lousy singing voice. Lately, a lot of anesthetic agents that the anesthesiologist use plus their expertise have really improved. There is less incidence of complications such as infection; bleeding and paralysis and even death.

Question: Getting wisdom teeth pulled. Local anesthetics, sedation, or getting put to sleep? I got high once in middle school (I know.. shame on me), and the feeling it gave me mane me panic (probably because I have an anxiety disorder). So I'm not sure something like laughing gas is a good idea for me. Getting put to sleep will probably have a similar effect, but I've never been put to sleep, so I don't know. I really don't feel like waking up groggy and sick. I've had a few fillings before, and I had the local anesthetics. I didn't find the procedures frightening or uncomfortable, instead they were actually quite relaxing. Have you had your wisdom teeth taken out simply with the LA? What was your experience with that? Do you think it's a good idea?

Answer: Sedative drugs are nothing like getting high. Many of them make you forget what happens anyway, so people often think they've slept through the whole thing. We stopped using laughing gas for this a long time ago. The sedatives can make sure you have a relaxing and safe trip to the dentist, provided they are administered by a qualified physician.

Question: local with sedation safe? for surgery and what are risk factors

Answer: Local with sedation is A local (just the area affected) anaesthetic to numb the area. Sedation is a very peaceful twilight sleep that is caused by a certain drug combination. You are so relaxed with this. Surgery using these two factors is very safe and much safer than a full GA (general anaesthetic) that can cause a long list of complications under GA, although rare, surgical complications and post-op complications. But is often neccessary for a major operation. The only risks with local is local nerve damage and continued numbness. Sedation is over-sedation, breathing and O2 levels and adverse reactions. If you can get away with the local and sedation I would go for it. But discuss it with your Surgeon if you are still concerned. I had sedation on Tuesday, again, and here I am alive and well answering questions on Yahoo again. The sedation is so relaxing though it's a bit addictive!

Question: IV sedation plus local anesthesia? I’m supposed to have surgery, around my chest area, and will be getting IV sedation plus local anesthesia (twilight sedation). Are you asleep during the operation with IV sedation? Also will I feel the local anesthesia injection once sedated? I would appreciate it if anyone would tell me their experience with their surgery under this anesthesia.

Answer: to be honest i would ask for general anesthesia in your situation. IV sedation plus local anesthesia is alright during like wisdom teeth removal cuz they also give you an amnesia drug so that you don't remember any of it and if there was pain during the process you wouldn't know it. with IV sedation plus local anesthesia in the hospital setting for some reason they don't seem to like to add the amnesia drug. at least thats what i've found out from experience. you will most likely be dead to the world (figure of speech lol) when they inject the local anesthesia but you'll also most likely become aware of pain and fully wake up before they are done with the procedure. i became wide awake during an eye surgery and it hurt like hell and no matter how much local anesthesia they gave me it was still very painful. after they gave me all the local anesthesia and sedation my body could handle and i was still awake and in pain they put me under general anesthesia to finish the surgery. since they didn't give me an amnesia drug along with the IV sedation i clearly recall everything that was said and everything that was going on until the put me all the way under general anesthesia. i'm really not trying to freak you out but it is something to be aware of and talk to your dr about.

Question: Does Local Anasthesia have same risks as IV sedation and general anasthesia? Does General Anasthesis or IV sedation put a risk that it can damage the head/brain or make it change in any way and be different? Can that happen with Local? What are the differences in risks between Local and General/IV? Which has least risk and which has most risk? Are they minor? Are they permanent or go away?

Answer: Local anesthesia has the least risk. I does not have any irreversable damages caused to the body. Unlike the others you will be able to see whats is going on, as local only makes the are numb. Local has hardly got any risk compared to others. Its effects stay for 3-6 hrs

Question: Having two wisdom teeth and one molar pulled tomorrow, should I go with IV sedation or local anesthesia & gas? Hi I have an abscess on a molar, (top tooth #3) and two top wisdom teeth (one is poking out of the gum, the other is inside still) that I am getting pulled tomorrow morning. I have to get a little bone grafting done on tooth #3 because it is right near a sinus. They said the whole thing will be about 1 hour long. My question is from everyones experience will it be better to get IV sedation or local anesthesia with the nitrous to take the edge off? I am worried about nausea and vomitting with the IV and also it costs like $350 more than just the local with gas. For those who have had teeth pulled, is it worth it to get totally knocked out or should the gas be enough to help me relax? Thanks!

Answer: After 42 years as a dentist, I never had a patient regret having their wisdom teeth removed using IV sedation. Can't say the same about gas and a local anesthetic. Good luck tomorrow.

Question: I'm getting a nosejob under sedation, how would it feel? Basically I will be half awake, half asleep (hence the name 'twilight anesthesia'). It's not general anesthetic (fully asleep), but more local anesthesia with sedation. So I will be sort of aware of what's going on (nose will be hammered, ripped, etc). How will I go through that? How would I feel? Had to ask here since a lot of people in this section have tried sedation.

Answer: i had four badly impacted wisdom teeth removed under this type of anesthesia. i was initially given a number of numbing shots. once the drip sedative was applied, i no longer cared what was going on. i could accept verbal commands, but felt only movement and pressure. no pain at all. it worked quite well. it was interesting that surgery could be performed while you were "aware" of your immediate surroundings. at the same time, you were completely indifferent. the pain will come after the anesthesia wears off. then you,ll need pain pills.

Question: Intravenous conscious sedation for wisdom teeth extraction or nitrous oxide or just local anasthesia? I'm getting 3 wisdom teeth extracted pretty soon in a month or so. I see that IV conscious sedation and the nitrous oxide are common options. But why can't I just get freezing in my mouth? The thought of sedation makes me really nervous even if it's conscious. I've had a bad experience with general anasthesia b4 (nausea, throwing up). So, i'm assuming anything intravenous or things like the laughing gas give bad side effects afterwards, i don't wanna have to deal with throwing up after gettin teeth pulled.

Answer: My mom (71 years old) just recently got a few teeth extracted. Ok they weren't the wisdom teeth and they were pretty rotten but all they did was local anasthesia. So it's definitely worth asking your dentist. I got my wisdom teeth pulled when I was young but they put me under. I don't blame you for not wanting to get sedated. During my labor I had a bad experience, started frothing at the mouth with the shot they gave me (seizure for about 15 seconds, my husband said it was like a scene from ER) . If I ever get pregnant again I'll definitely go with the laughing gas! Good luck with your teeth. You'll look like a chipmunk for a week, sorry. I have some great photos just to remind me how cute I was.

Question: What dangers are there for surgical sedation in people with liver cirrhosis? For a facelift, is local anaesthetic (lidocaine) plus sedation a safe option?

Answer: A localised anaesthetic is really different to sedation. A localised anaesthetic infiltrates only the area to which is being operated on. Sedation may include some form of drug being injected in the vein. Some drugs have contra indication with people with liver cirrhosis. The Anaesthetist will make the decision on what drug to use if possible.

Question: Who has had liposuction and what was the surgery like? I would like to know more about what sedation you were given. What did it feel like? (Not talking about general anaesthetic but local with sedation) Was it painful? Where did u go for the surgery? I'd like to know as much as possible. Please. Thanks v much.

Answer: Hello, Liposuction can be done under local, local with sedation or a more involved anesthetic. Local alone bothers some patients as under this circumstance they are very aware of what is going on during surgery. Sedation makes the patient sleepy, but you aren't "all the way" asleep. The bottom line on anesthesia is you need to ask yourself whether being more aware during the surgery is worse than having more anesthesia. As long as you are healthy, many anesthetic options are usually possible. Discuss this with your surgeon and it can be more easily sorted out. Good luck, JPD

Question: Dental Sedation? Hi, I am a dental assistant, but in a practice where dental sedation is not used. If anyone requires sedation they are referred to a specialist clinic, so do excuse me for not knowing about sedation in dentistry. Today, I was told that I need two roots removed, but both are not easy for my normal dentist to extract. This is because the only way of getting one of the roots out is to go through the side of my gum. So I am now being referred to a specialist clinic. I was given 3 options: local anaesthetic, sedation or GI (general anaesthetic). Personally, it sounds quite a painful experience, so I opted for the sedation. I'm just wondering how exactly sedation is administered and more information about it. Apparently, I will still be conscious during the procedure and will be able to respond. As dental sedation is not something we offer at the practice I work at, I'm not overly familiar with the technique. I'd be grateful for any advice anyone can give. Kind regards.

Answer: Sorry but I'm not really sure what your three choices are , I know about the local anaesthetic bit is all about, that has never been a problem for me at the dentist or anywhere else, I also know what GI is, it just means you are out of the picture and you wake up with job done! Now for some reason they want you to be able to respond? I have no intention of even wondering why, but I can only assume that this procedure will be the same as I had a few weeks ago. At the risk of boring you to death I had a stroke it was discovered that I had an 85% blockage in an artery from the heart to the brain box (to use the full medical terms)!!!! Now to ensure that I didn't have another stroke during this vein rodding out job I had to remain conscious throughout the operation (5 hours)! So once again I will 'assume' that your job on your gums must be similar. You will know better than I what a local anaesthetic is all about, well this was very similar, a couple of local injections, that don't hurt at all, they then wait a couple of seconds and spray the area they want 'dead' with that stuff that is like spray on ice, you cant feel anything, they then spray the same stuff on an area they don't want 'dead' you can certainly feel that and they seem very pleased with that result! Your minor op' will likely only take 10 - 15 minuets and some one will be chatting with you during that time to make sure that you are having a good time! I was almost bored to death! The real object of my answer is to assure you that there is no pain involved and in your case no risk at all, futher I asked a smilar question about my op' prior to the event on this forum, and recieved many helpful and true replies , one from a nurse wo certainly knew what she was talking about. If I had suffered any pain at all then belive me I would have told you. I would also have told the surgeon during the op' but it was a doddle! You have nothing at all to worry about. Go for it!

Question: how is local anesthesia administered? (with sedation) -- no IV, right?

Answer: local anesthesia is when just a small area is numbed. it is either administered by a numbing shot or by a topical gel/liquid. you would be completely awake and aware of everything. you confuse me a bit when you then say "(with sedation)--no IV right?" cuz while there is no IV used for LOCAL anesthesia an IV IS used when also being sedated. a sedative is administered through an IV. you will drift in and out of sleep and you will be able to do what the dr asks you to do but typcially you don't even recall anything if a amnesia drug was also used. so basically if you are being sedated there WILL be an IV.

Question: Local or general anesthetic? I am going through IVF and the egg collection part is coming up,I don't know if I should have the local anesthetic with sedation or the general anesthetic because I am unsure of how uncomfortable it will be.Which is the better one to have ?

Answer: My clinic does local sedation. Believe me you won't feel or remember a thing with local anesthetic! I have done it 4 times and never remember a thing and have been very comfortable. I think it is better because, if need be, they can ask you questions about how you are feeling and you can respond. I know of some who have done general sedation and I have had it for surgery as well. You get so groggy, sometimes nauseous, and feel pretty crappy for the rest of the day. With the local sedation, a few minutes after your collection you will wake up feeling clearheaded. Hope they get lots of eggs and that you have some beautiful embryos that snuggle in soon!

Question: can wisdom teeth be done like that ? I have about 2 impacted wisdom teeth where the doc will have to open the gum and cut the bones of the teeth then remove the whole moral and then stitches the teeth .. My question is 1-Can i do this with Only local sedation ?????? 2- or it is a must to use a sedative such as iv sedation or general any experience plz by the way they r 2 moral .. thnx

Answer: 1) No you would need local anesthetic in addition. 2) No you do not have to use sedation or have a general but it would be a more relaxing experience to do so.

Question: Panicking about sedation options for wisdom teeth extraction? 22/m here. The oral surgeon told me that I have need to have 3 impacted wisdom teeth extracted. During the procedure, he said he could give me either local anesthesia, light sedation, heavier sedation, or general anesthesia. I opted for general anesthesia because I'm really nervous about the effects of the sedatives and the thought of being "half conscious" makes me very uneasy. He then said only 5% of people choose that option and that I'd have to do the surgery at the hospital with a "Level 4" anesthesia and a breathing tube in my throat!! When I heard that I got even more nervous!! A breathing tube for a wisdom tooth extraction just seems like complete over kill to me and it's making me panic here. When I was in high school I had arthroscopic knee surgery and I was put to sleep but I didn't have a breathing tube in my throat (unless they didn't tell me about it). I thought it was going to be like that! I'm panicking here because now all my options are scaring me. Advice?

Answer: Why are you panicking? Calm down. It's not a big deal. I recommend being put to sleep with general anesthesia. You do not want the "half sleep" and you don't want to be awake at all for this. Trust me, I had it done. You want to be completely knocked out. I had it done in the oral surgeon's office. No hospital. No breathing tube. You need to find the right oral surgeon to do this. It's done in the office EVERYDAY and you'll be fine.

Question: Wisdom teeth removal using conscience sedation - can you feel anything during the procedure? I am getting my wisdom tooth removed tomorrow and am terrified. Apparently there are three types of anaesthetics: 1 - Local anaesthesia (conscience sedation) 2 - Local anaesthesia with Intravenous (IV) sedation 3 - General anaesthesia procedures at a private hospital I will be getting the first one (conscience sedation). My question is: Since you are conscience, can you feel what is happening during the procedure? the pulling, the cracking, the pressure, the drilling etc. Does anyone have any info on this type of anaesthetic? How do they do it without an IV? My tooth is already fully mature and broken through the gums. I just don't want to feel anything during the procedure!!! Thanks in advance.

Answer: It doesnt hurt with conscious sedation-you just feel a lot of tugging and pulling-Its more of a pressure feeling-personally, I would get knocked out and woken up after its all over-Locals are novacaine-anytghing that numbs the area-local with IV sedation is numbing up the area and then knocking you out so your not awake--General is unconscious all together-just make sure to get a script for pain med after the procedure is over-Good Luck!

Question: How soon can I go back to sports/work after having my wisdom teeth removed? Late teens, very active, getting 3 teeth (no roots, not impacted) out on a Thursday morning, with local and IV sedation. How soon can I do sports/workout and go back to work (retail, not too exhausting ;) I'm totally not one of those people who can just sit on the couch all day so what would a reasonable (read: shortest) time that I could take off, do you think? Thank you :)

Answer: Well, it is different for every person. Personally I had the same basic procedure you're about to have, and I was out and about less than 2 days later. But other people can be laid up for a week from the pain. Unfortunately you will just have to wait and see how you feel afterward. Good luck. Mine went well, I hope yours does too.

Question: Can you still get surgery if you have frequent PVCs and heart palpitations? i suffer from frequent PVCs and heart palpitations but i want to get Otoplasty. Am i still able to get the surgery? Can the local anesthesia with sedation or the pain killers that need to be taken after a surgery trigger palpitations or PVCs, because i am not allowed to have any substance that has caffeine or any drug that causes the heart to race or beat abnormally. I am afraid of having any heart complications during this surgery.

Answer: Of course you can have surgery. We take care of people a lot sicker than you. PVC's are benign and we almost never treat them when we see them under anesthesia. The only thing that might be an issue is the epinephrine that is in the local anesthesia that you'd probably get while you are under general anesthesia (so you can wake up comfy and require less anesthesia during the procedure). Even that is no cause for concern, really. What WILL help a LOT is a note from your family doc or cardiologist (whomever is following you for the PVC's) detailing your cardiac status. It will help reduce delays in getting that information on the day of surgery. Pain killers won't be a problem. Most of them slow the heart down.

Question: getting two wisdom teeth out? has anyone done only local anesthetic as I cant afford IV sedation? my last wisdom tooth is coming through, it hurts like hell... I have had the pain for three days now... its in my assignments time, so I'm gonna tolerate the pein until next month when I'm getting them out... I dont have medical insurance... should I go with local anesthetic? is it safe? would it hurt? or I should save up for IV sedation? I'm generally a brave person but if having IV means I will feel no pain or my recovery would be faster or after the surgery I feel less pain I go for it... I might take two at a time, one is fully errupted but sideway... one is impacted... do i need to take antibiotics in the mean time, cause my gum is swollen and is so sore... would the pain go away sometime soon before my surgery? a dental surgeon is doing this job not an oral surgeon cause its way cheaper, is it safe??? thanks

Answer: You could definitely get them removed with just local anesthetic. A lot of people do get their wisdom teeth removed with just local anesthetic. Local is actually a lot safer then general. You can breath on your own with local and often they will be more gentle with your mouth when you are awake. A lot of dentists let you listen to music or something while it's all being done so you will be frozen and distracted - the only think you should feel is a bit of pressure when they extract the tooth. Whether you go with local or general, they will prescribe you pain killers and antibiotics. You shouldn't have to take antibiotics right now, but take advil to help reduce swelling and pain for now. It may also help to drink cold drinks to help with the pain and swelling. Whether you go with local or general, recovery time is the same, assuming you follow the after-car instructions. And don't worry, dentists are trained for these things. An oral surgeon would definitely be a better choice for a really complex oral problem, but since your teeth are actually coming through, they should be fine for a dentist to remove. Best of luck =)