Anesthesia

The oral surgeons at Berkshire Facial Surgery are fully trained and licensed to provide all forms of anesthesia from local (numbing) anesthesia to general (fully asleep) anesthesia. It is normal for patients to experience anxiety before surgical procedures. At Berkshire Facial Surgery we strive to make your experience with us as comfortable and stressfree as possible.

What are my anesthesia options?

Local anesthesia means that the surgical area will be numbed but you will still be fully awake. For minor procedures this is all that may be necessary. You do not need to refrain from eating before a procedure that is performed with only local anesthesia and you will be able to drive yourslef home afterwards.

IV sedation means that an IV will be started on you and medications will be delivered through that IV which will make you sleepy and relaxed. The goal of this type of sedation is not to put you all the way to sleep, but to lessen your anxiety.  The surgical site will be numbed after you are relaxed. Prior to procedures performed with IV sedation, you must refrain from eating or drinking anything for 8 hours before your appointment. This is very important for you safety during the procedure.  You will also need an escort to arrive with you on the day of the surgeryto drive you home afterwards.

It is very important to tell your oral surgeon if you think you might be pregnant as some of the medications used may be harmful to a developing baby.

This type of anesthesia may be recommended for procedures that are a little more involved or for patients with mild to moderate anxiety about their surgery.  

General Anesthesia means that an IV will be started on you and medications will be delivered through that IV to put you to sleep. The surgical site will be numbed after you are asleep. Prior to procedures with general anesthesia you must refrain from eating and drinking anything for 8 hours before your appointment. This is very important for your safety during the procedure. You will also need an escort to arrive with you on the day of surgery to drive you home afterwards.  It is important to tell your oral surgeon if you think you might be pregnant as some of the medications used may be harmful to a developing baby. This type of anesthesia my be recommended for procedures that are more involved or complex or for patients with any level of anxiety about their surgery.  

Are IV sedation and general anesthesia safe?

IV sedation and general anesthesia are very safe. While there are always potential risks associated with any type of anesthesia, oral surgeons have a proven track record of providing safe in-office anesthesia. Our surgeons have undergone extensive anesthesia training and are all certified in Advanced Cardiac Life Support. During your procedure your blood pressure, pulse, heart rhythm, and blood oxygenation will all be continuously monitored. At your evaluation appointment, your oral surgeon will discuss the risks and benefits of your desired anesthetic option with you and answer any questions that you may have.

How do i prepare for IV sedation and General Anesthesia?

Your oral surgeon and our office staff will review with you how to prepare for your anesthesia depending on the details of your individual case. In general, though, we ask that you wear loose fitting clothing to your appointment.  It is best if you don’t wear alot of jewelry or contact lenses.  As mentioned above, it is required that you do not eat or drink anything for 8 hours prior to your appointment.

This is very important for your safety during the procedure. It is usually okay to take your morning prescription medications prior to the procedure with a small sip of water. Ask your oral surgeon if you have any questions about this.  It is also required that you have a responsible adult person arrive with you on the day of the surgery to serve as an escort and to drive you home afterwards.

What happens after my surgery with IV sedation or general anesthesia?

You will be continuously monitored by our clinical staff until you are awake and meet our discharge criteria. Post operative instructions will be given to you and your escort. As the anesthetic medications continue to be metabolized by your body until the next day, you should not drive a car, operate any machinery, or sign any important legal documents for 24 hours after your surgery. Occasionally patients may experience nausea in the immediate post operative period due to some of the anesthetic agents. It is best to try to stay hydrated by drinking small amounts of clear liquids until this resolves, which is usually no later than the next day.