CARE BY A DENTAL ANESTHESIOLOGIST
Dental anesthesiologists, in addition to their hospital training, are specifically trained to provide anesthesia in an office setting. Dr. Sadeghi has provided anesthesia safely without any complications for thousands of pediatric and adult patients for the past 24 years.
Anesthesia delivered by Dr. Sadeghi WITHOUT anesthetic inhalation gases is safer for dental procedures in an office setting than any other methods in which these gases are used.
Utilization of mask induction technique (having the patient inhale anesthetic gases and fall sleep), without establishing an IV first is a very unsafe method that should not be used in an office setting. An IV line is necessary to administer emergency drugs in case of MH occurrence.
Utilization of mask induction technique (having the patient inhale anesthetic gases and fall sleep), without establishing an IV first is a very unsafe method that should not be used in an office setting. An IV line is necessary to administer emergency drugs in case of MH occurrence.
Anesthetic gases like Sevoflurane, Isoflurane, Desflurane, and Halothane can trigger a life-threatening emergency called Malignant Hyperthermia (MH). MH is one of the most difficult emergency conditions to diagnose and treat. MH treatment requires multiple trained staff and a standby laboratory to process blood tests for the purpose of diagnosis and treatment, along with a well-equipped hospital facility to coordinate treatment for different aspects of this potentially fatal condition. Unfortunately, a dental office is NOT properly equipped to manage and treat MH successfully. Dr. Sadeghi has eliminated all drugs that trigger MH from his practice.
Intubated and non-intubated techniques are used by anesthesiologists to provide anesthesia in dental offices. Dr. Sadeghi has used both techniques for over 20 years to provide safe anesthesia in a dental office setting. Non-intubated airway techniques allow the anesthesiologist to provide a lighter level of anesthesia referred to as deep sedation. Intubation, on the other hand, is an invasive process that requires the anesthesiologist to insert a blade deep into the oral cavity and pharynx (Laryngoscopy) to facilitate an insertion of a tube into the trachea either through the nose or oral cavity. This process exerts a tremendous amount of stress on the body, and the pharyngeal tissue can be damaged as a result of manipulation by the anesthesiologist. Since the invasive intubation process is not utilized in non-intubated techniques, the patient does not require a very deep level of anesthesia. The patient's airway is fully protected with a multilayer throat pack which prevents any foreign material to enter the throat.
Anesthesia utilizing non-intubated techniques is provided routinely by anesthesiologists for a majority of minor surgeries such as dental, eye, foot, hand, plastic and many diagnostic procedures like colonoscopy and MRI.
Having used both intubated and non-intubated techniques in the past, Dr. Sadeghi has come to the conclusion that non-intubated anesthesia is the safest and least invasive due to allowing the anesthesiologist to keep the patient asleep and comfortable with a minimal amount of drug administration. The non-intubated technique also prevents major complications that can occur as a result of utilizing anesthetic gases and the intubation process. In fact, the new trend in anesthesia training programs is to avoid full-intubated general anesthesia, if possible, especially for fragile and medically compromised patients.
Recovery from non-intubated anesthesia is a lot smoother than intubated anesthesia in which the patient can suffer from post-op agitation, nausea, vomiting, throat soreness, nose bleed, pharyngeal tissue damage, and swelling. Since dental patients are discharged shortly after the termination of the procedure, it is imperative to use anesthesia techniques that minimize post-op complications.
Dr. Sadeghi’s anesthesia delivery produces a very smooth recovery. Parents are pleased to observe their child being comfortable and relaxed with no post-op agitation, nausea, vomiting or any other complications during the recovery period.