Oral and Maxillofacial surgeons are unique
among the surgical specialties with regards to anesthesia training. Every Oral
and Maxillofacial surgeon, during
their residency, receives formal anesthesia
training with the department of anesthesia
in the hospital. They are taught the skills to safely administer anesthesia to patients.
This includes IV
sedation, general anesthesia,
airway management and intubation techniques. This also includes complete training
in Advanced Cardiac Life Support. Dr. Fatehi follows the guidelines and
protocols set forth by our state medical and dental regulatory boards. By doing
so, our office is regularly inspected. All surgical staff are certified in CPR.
Many patients can have their procedures completed using a
local anesthetic to
"numb" the area. For those people wishing to be sedated so that they
are unaware of the surgery, IV sedation
is offered. Ambulatory anesthesia
is the administration of medications in the office that induce either general anesthesia where the patient
is totally asleep or sedation
where the patient is in a semi-conscious state. All anesthesia is performed by Dr. Fatehi.
During the initial consultation you and Dr. Fatehi will discuss the type of
procedure involved, your medical history and your level of anxiety. Some
procedures do to their nature require the use of general anesthesia or IV
sedation, whereas others are best accomplished under local anesthesia. The choice of anesthesia is always a personal
decision and should be made only after an informative consultation with Dr. Fatehi.
In addition, during the initial consultation, you will also be given
instructions to prepare for surgery such as: wearing loose, warm and
comfortable clothing, not having anything to eat or drink for 6 hours prior to
surgery, taking all of your regular medications with only a sip of water,
bringing an escort with you and making arrangements for your recovery at home.
The medications used for sedation and 'general
anesthesia' do persist in the blood stream for up to 24 hours. Therefore
it is understood that you WILL NOT operate a vehicle or operate machinery for
24 hours after being sedated or
receiving 'general anesthesia'.
Dr. Fatehi is also available to answer any specific
questions you may have in regards to the anesthetic. The benefits of general anesthesia and / or
intravenous sedation include a
decrease in anxiety and awareness during the surgery. This translates into near
or total amnesia of the
procedure, lack of noise perception and no pain. During the procedure it is
important to note that patients are still given local anesthetic to
"numb" the area.
Coming to our office on the day of surgery is no different than having surgery in your own hospital and it is often much more user
friendly. The monitoring equipment in our surgical suites and recovery room are the same as those used in
the hospitals. When you arrive in the surgical suite the dental assistant will
connect you to a number of monitors and Dr. Fatehi will start a small I.V.
demands the use of several non-invasive monitors that we attach to you. These
devices are typically a blood pressure cuff, an EKG (electrocardiogram) and a
pulse oximeter (a device that measures the amount of oxygen in your blood).
Therefore, it is suggested that you wear loose clothing to facilitate the
application of these important devices. Routinely drugs will be injected intravenously to cause you to relax or sleep.
Following the procedure the IV will be removed and
you will be escorted to the recovery area. At this time the recovery room
assistant will review all the post-operative instructions with you and your
escort and answer any questions. Dr. Fatehi is always on-call and he can also
answer any emergency questions you may have in regards to your care following