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Possibilities of anesthesia

The up to date surgery, the developed anaesthesiology and the evolution of the medical sciences established a new form of care, the day patient care and the one day surgery.
This form of treatment lays in-between outpatient and inpatient care

Ambulatory (outpatient anaesthesia) 

The goal of ambulatory anaesthesia is to provide sedation and analgesia during the surgical procedure and prompt return to the preoperative physiological and conscious state at the conclusion of the surgery. Ambulatory dental anaesthesia is provided in case of special procedures and generally for children in certain cases. Appropriate medical equipment and professionalism are indispensable to the successful operation. Only certified anaesthesiologist may perform anaesthesia! Resuscitation devices, suitably equipped anaesthetic machine with suction unit and patient monitor are indispensable.
Patients are admitted, operated and discharged on the same day. Tests described at the beginning of the chapter are to be carried out to assess the patient’s condition. Patients receive detailed information about the procedure and they have to sign the consent form prior to the surgery. As premedication, Eunoctin or Rudotel pills are recommended for sedation, 12 hours prior to the surgery. Atropin is administered immediately before the surgery, to decrease secretion.

1. Sedation

Additionally to local anaesthesia sedatives are administered in such a quantity that patient snoozes but maintains spontaneous breathing and communication abilities. Diprivan or Propofol can be administered. The administration of Nitralgin gas results in quick awakening and appropriate sedation during the surgery.

2. General anaesthesia

Dormicum, Diprivan, Diazepam (Seduxen) can be administered in intubation narcosis. From the inhalational anaesthetic agents nitrous oxide, Isoflurane and Sevoflurane are in use. Fentanyl may be efficient as well. The patient has to lay in bed for some hours after awakening, under permanent medical control. Headache, tiredness, nausea, vomiting, sleepiness, dry mouth may occur after awakening. In the postoperative period pain of the operation site is common; analgesics are to be administered and cold compresses may be very useful. The advantage of dental procedures under general anaesthesia is that different types of interventions may be performed in the upper and lower jaw at once. The procedure is absolutely painless, there are no defensive reflexes, and no numbing injection is necessary, free access to the surgical site, no stress. Based on appropriate indication, in the ambulatory dental practice any dental procedure may be carried out under narcosis, at suitably staffed, equipped and prepared clinics.