FACTS & RESOURCES

FACTS

A pediatric anesthesiologist is a medical doctor who has completed 4 years of college, then 4 years of medical school, followed by 4-5 years of training in anesthesiology including specialty training in pediatric (infants and children) anesthesiology. This typically includes more than 12,000 hours of clinical training. Our anesthesiologists receive some of the highest level of training available, so you can be assured your child receives the safest care.

Modern anesthesia has never been safer. Our nurses will collect your child’s medical history and it will be reviewed carefully by our doctors. You may be referred to a hospital or surgery center if your child is in a higher risk category.

In the United States, more than 1 million children under the age of four, undergo surgical procedures requiring anesthesia. Young children usually do not undergo anesthesia unless it is medically necessary, if the procedure is postponed it can lead to significant health problems. For more information visit www.smarttots.org.

It is essential that your child does not eat or have any dairy products six hours prior to the procedure. Clear liquids (water, gatorade, jello, popsicles) are allowed up to three hours prior to the procedure.

NOTHING BY MOUTH FOR 3 HOURS PRIOR TO THE PROCEDURE

This is a safety issue and can result in postponing your child’s dental procedure if not followed correctly. Please call the office if you have any questions regarding these directions.

Plan to stay at home with your child the rest of the day; they will be able to go back to their normal daily routine the following day.

Your child will be monitored with the same type of equipment and level of intensity that is used for general anesthesia in the hospital. An IV will be placed after your child is asleep with either flavored sleepy air or a twilight medication injection. Pulse oximeter, blood pressure, EKG, and breathing monitors will be utilized.

We recommend you do not tell your child about the IV, in our experience this only increases their anxiety and may make them more resistant. We like to make it a fun experience for your child to make future dental visits go smoothly.

You will not be able to come in the room while your child is being sedated. This is solely for your child’s safety. Our doctors will be accompanied with a medical team who will be caring for your child.

Your child’s safety is our top priority; our doctors will carefully review your child’s medical history and will inform you if your child is not a good candidate for IV sedation in the office. If that is the case, we will refer you to a hospital or surgery center. Insurance companies are now required to cover hospitalizations or outpatient surgical procedures for pediatric dental patients.

It is essential that your child does not eat or have any dairy products six hours prior to the procedure. This is a safety issue and can result in postponing your child’s dental procedure if not followed correctly.

Plan to stay at home with your child the rest of the day; they will be able to go back to their normal daily routine the following day.

We are not a provider for any insurance company; therefore you will need to pay out of pocket prior to the procedure. However, we will help you receive the maximum benefits possible. You can contact your insurance company to preauthorize the care ( see the insurance section of this website).

Questions to ask your dentist about anestheia & sedation for your child

The American Dental Association offers the following questions that parents and guardians should ask concerning in-office sedation or general anesthesia for their children provided either by the dentist or by a separate sedation/anesthetic practitioner in that dental ofiice. The ADA recommends talking to your dentist about any concerns you might have about the treatment plan prior, during and after the procedure:

Prior To The Procedure

A PDAA nurse will call you to get this information and it will be reviewed by an anesthesiologist several days before the procedure to insure your child is safe for anesthesia. This information will again be reviewed on the day of the procedure when your child is examined by the anesthesiologist.

You will be given eating and drinking instructions by our nursing staff. Your child must not have any solid foods for six hours prior to the procedure and may have clear liquids BM (Remove “BM”) three hours prior to procedure. Nothing by mouth for three hours prior to the procedure. Most children do not require sedative medications before coming to the office. In the event that a sedative is required, you will be given specific instructions.

Your child will be administered anesthesia by a board certified anesthesiologist with pediatric subspecialty training. This is the highest standard of care available.

The PDAA staff have training in Basic Life Support, Advanced Life Support, and Pediatric Advanced Life Support. Emergency drills are performed on a regular basis.

Yes and PDAA meets or exceeds all state requirements

During The Procedure

Your child will receive only enough medication for deep sedation/ light general anesthesia in which your child will be unconscious but still breathing on their own with normal blood pressure and vital signs.

PDAA monitors all physiologic variables and following all national standards. All emergency medications and equipment are immediately available.

After The Procedure

You will receive detailed discharge instructions which include the cellphone number to your pediatric anesthesiologist.

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