BEFORE THE PROCEDURE
After sedation is recommended for you or your child, our office staff will call you to discuss the current medical history, give you pre-sedation information and instructions, and discuss the IV sedation procedures with you. Our physician anesthesiologist will review each patient’s medical history and may call you if more information is needed. When considering a medical or dental procedure, you deserve to have all of your questions answered and all of your concerns addressed prior to the procedure. Please feel free to call our office to discuss your child’s procedure; we can also arrange a preoperative call with the physician anesthesiologist.
ON THE DAY OF THE PROCEDURE
When you arrive for the procedure, a nurse will ask when was your, or your child’s last meal, review the medical history, and explain what to expect. After all your questions are answered, you will be asked to sign the anesthesia consent. For adults, a peripheral IV will then be placed for sedation administration in the procedure/operative suite.
For children, your child will be distracted with toys and/or video games while flavored sleepy air or a twilight medication injection are administered. After asleep, an IV will be placed for continuous administration of anesthesia medications until the procedure is completed. We recommend you do not tell your child about the IV, in our experience this only increases their anxiety and may make them more resistant. We like to make it a fun experience for your child to make future visits go smoothly. For children, you will not be able to come in the room while your child is being sedated. This is solely for your child’s safety. Our doctors will be accompanied with a medical team who will be caring for your child.
DURING THE PROCEDURE
During the procedure, vital signs, including EKG, blood pressure, breathing, and oxygenation will be monitored throughout the procedure. The sedative medication infusion is continued throughout the medical or dental procedure. For pediatric patients, a breathing tube may be place in the child’s nose and into the lungs to assist with breathing during the procedure. The pediatric dentist will inform you if local anesthesia was used.
AT THE END OF THE PROCEDURE
At the end of the medical or dental treatment, the inhaled or IV medicine is turned off, and the IV and monitors are removed as you awaken. For children, parents can be with their child as they awaken.
Our recovery nurse will monitor your progress and review the discharge instructions with you. It usually takes about 30 to 60 minutes before you or your child will be ready to travel home.
Children may be sleepy and dizzy for 3 to 4 hours. Children can drink and eat soft foods soon after the procedure. Nausea and vomiting are rare. A common post-operative complication is a nosebleed. A breathing tube may be placed through the nose and into the lungs for surgery, and the insertion of this tube may cause a small nosebleed. This will go away soon after surgery. If your child gets a nosebleed, treat it by pinching the nose for 10 minutes. Some children develop a croup-like barking cough post-operatively if a breathing tube was placed. If this occurs, run a hot steamy shower and let your child inhale this air; or take your child for a walk in the cooler night air. If at any time you become concerned that this cough is getting worse, please go to your local emergency room.
Expect a follow up call the next day about the anesthesia care.
Metropolitan Anesthesia Consultants (MAC) is a physician anesthesiologist mobile anesthesia company that provides in-office sedation services to both pediatric and adult patients with a special emphasis on pediatric dental patients. Our physicians are licensed board-certified anesthesiologists.
4737 County Road 101, #305
Minnetonka, MN 55345
M-F: 7:00 AM- 5:00 PM
SAT: 7:00 AM- 3:00 PM