The various forms of anesthesia/sedation provided include:
- Local Anesthesia (freezing)
- Nitrous oxide sedation (laughing gas)
- Intravenous Sedation
- General Anesthesia (fully asleep) with Medical Anesthesiologist (specialist)
Dr. Vigna is trained and comfortable to provide the first three forms on the list. If the patient wishes to be fully asleep, your procedure will be scheduled with a medical anesthesiologist. Dr. Vigna will perform the surgery. Dr. Vigna will assess your medical history in detail during the consultation to determine where and how your surgery should be performed. Dr. Vigna will also discuss your level of anxiety and suggest the appropriate form of sedation that is right for you. Surgery requiring intravenous sedation or general anesthesia is not performed on the same day of consultation. Instructions to prepare for surgery will be given. If you are to undergo general anesthesia or intravenous sedation, it is important to:
- not eat or drink anything for 6 hours prior to surgery (nothing after midnight is best)
- wear loose comfortable clothing
- do not wear jewellery. Remove all piercings if possible, especially nose rings, and lip rings
- bring a responsible escort with you to drive you home
- brush your teeth well prior to departing from home
Nausea may occur after any form of anesthesia. Medications will be given to try to prevent this. Often, the oral medications given to you by Dr. Vigna may cause nausea as well. Gravol is a good choice when nausea occurs. If it persists, call the office for further instruction.
It is also important that you DO NOT operate a vehicle or operate machinery for 24 hours after having a general anesthetic or intravenous sedation. Having an anesthetic in our clinic is similar to having surgery in the hospital except it is much more convenient and user friendly. There is less paperwork and much less waiting. You will be in and out usually in 1 ½ to 2 hours. All monitoring equipment used in the clinic is similar to hospital equipment. When you arrive to the clinic, the Registered Nurse will walk you into the operating room and attach monitors (blood pressure, EKG and pulse oximeter). An intravenous will be started by the Nurse. If you are fearful of needles, nitrous oxide gas may be used to help place the intravenous needle. The needle will be removed, and only the plastic tip will remain in the vein. This intravenous line will be used by the anesthesiologist to put you to sleep.
Once the procedure is completed, you will be escorted to the Recovery room by wheelchair by the Nurse. A separate Recovery Room Registered Nurse will monitor you, provide full instructions, give all the prescriptions written by Dr. Vigna and answer all questions. You will be escorted by wheelchair to your car once you are ready to go home. A responsible adult should stay with you for at least 4 hours after you arrive home. The Medical Anesthesiologists are available both Wednesday and Thursday mornings.