Out Patient Anesthesia Management
A quote from a classic anesthesia text states, “Anesthesia is recognized as a major American contribution to medicine”. Anesthesia actually has its origins in dentistry with the introduction of nitrous oxide by Dr. Horace Wells in the 1840s and the introduction of ether by Dr. William T. G. Morton in 1846, both dentists. Since then, the practice of anesthesia has split into all areas of medicine and also into an integral and daily part of modern dental practice.
The modern Oral and Maxillofacial Surgery residency is currently 4 – 6 years in length, with 6 – 24 months of hospital-based anesthesia training. This anesthesia training is the most of all surgical specialties, medical or dental.
Safety Record and Requirements to Provide In-Office Anesthesia
The extremely high safety record of dental office general anesthesia is second to none and has been developed and refined by the specialty of Oral and Maxillofacial Surgery over the generations. Our training background is therefore sound and allows us to provide predictable and safe office anesthesia management for healthy patients. Patients are typically run at levels of anesthesia in which protective reflexes and airways are predictably intact. Monitoring of patient vital signs with automated blood pressure units, ECG’s, pulse oximetry, and now, end title CO2 monitoring, have increased our predictability in monitoring patients under general anesthesia.
In addition, in order to provide in-office general anesthesia under a dental license in the State of California, the practitioner must have a general anesthesia permit which is issued only after showing evidence of advanced training and the passing an in-depth office review given by two examiners. For renewal of this license, the office and the anesthesia provider must be re-tested every five years of the practice life. The Pacific Coast Center for Oral, Facial and Cosmetic Surgery is permitted by the Dental Board of California to provide outpatient general anesthesia.
Finally, one of the unique services offered at The Pacific Coast Center for Oral, Facial and Cosmetic Surgery is the availability of a modern hospital level outpatient surgical suite within our office facilities. The Pasadena Ambulatory Surgery Center, Inc. was initially established as a multi-specialty Medicare Certified ambulatory surgery center but recently has been reorganized and absorbed into our office facilities. This fully equipped hospital level ambulatory surgical suite allows The Pacific Coast Center for Oral, Facial and Cosmetic Surgery and Drs. Elias, Stephens and Verratti to provide hospital-level surgical care for our patients in a convenient, controlled, and private setting. This also allows a high degree of cost control, privacy, and scheduling convenience for our patients requiring this level of care.
Our surgical suite provides a unique environment allowing safe anesthetic management options for high anxiety patients, developmentally impaired patients, and children in need of our surgical services. Our entire out patient surgical facility and fully equipped operating suite along with our staff anesthesia providers allows us to offer care to our patients without the inconvenience of having to go to the hospital.
What Type of Anesthetic Do You Need?
The Pacific Coast Center for Oral, Facial and Cosmetic Surgery is well versed in all forms of anesthesia, pain and anxiety control, and can provide a comfortable experience for even the most nervous patient. A complete and supportive consultation with an understandable explanation of the planned procedures is the first step in alleviating patient’s fears. Even though occasionally pre-medication is useful, but not often found necessary.
The choice of anesthetic technique is usually, for the most part, up to the patient. Many procedures are done with local anesthesia or local anesthesia and nitrous oxide. Everyone does not need to go to sleep. Drs. Elias, Stephens and Verratti will guide each patient toward the best anesthetic option for them based upon their medical status, anticipated surgical procedure, and their desires for treatment.
Finally, anesthetic management options also exist with in our practice for high anxiety patients and children. Our hospital level outpatient surgical facility and operating room allows Drs. Elias, Stephens and Verratti to offer care to patients with special management problems without having to go to the hospital. This includes patients with developmental disabilities and children. We have anesthesia providers on staff, that are well versed in all forms of ambulatory anesthesia.
Please feel free to contact our staff if you have any questions about our anesthesia services or our surgical facilities. Also, please click on Tour our Facilities to learn more about our surgical facilities.