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Who is a Pediatric Anesthesiologist?
A pediatric anesthesiologist is a medical doctor who has completed specialty
training in anesthesiology and extra training in anesthesia for infants and children
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How safe is anesthesia for my child?
Modern anesthesia has never been safer. We spot potential problems from your child's past and
current health history. The pediatric anesthesiologist reviews each child's history
and may refer you to the hospital or surgery center for care if
your child is in a higher risk category.
How will my child be monitored?
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Your child will be monitored with the same type of equipment and
level of intensity that is used for general anesthesia in the
hospital operating room.
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IV- The IV is usually placed in a
hand or foot vein. Pulse oximeter sensor on the big toe
monitors child's pulse and oxygen levels
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Multiparameter monitor displays:
EKG - the electrical activity of the heart
(Electrocardiogram)
Pulse Oximeter - child's pulse and oxygen levels
End tidal Capnography - child's breathing pattern |
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Blood pressure - automatically taken every 5 minutes.
Temperature - checked as necessary.
Pre-tracheal stethoscope - doctor listens to breathing and heart
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EKG
Leads shown on child's chest |
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ET C02 –
Sampling tube placed under the nose to monitor the child’s nose to monitor
the child's breathing (End tidal carbon dioxide) |
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Should I tell my child about the shot?
Usually it’s best not to. Most children have difficulty coping
with the anxiety this information provokes. In our
experience, children who have been told ahead of time about the
injection react more vigorously, cry longer and are more difficult to
comfort. You can help by being relaxed and confident
for your child. Let us explain the procedure to your child in
simple non-threatening terms.
My child has a special medical problem; can he/she be sedated?
Children with medical problems such as congenital abnormalities,
diabetes, seizures, severe asthma or severe behavioral
disturbances may not be able to have IV sedation in the office.
We may recommend that the child with special problems have their
dental care at the hospital or surgery center under general
anesthesia. Most medical insurance companies are now required to
cover hospitalization or outpatient surgery services for
pediatric dental patients. If you have individual questions
contact our office.
Do you have a sedation/emergency cart? We keep a sedation/emergency cart
in each pediatric dental office. The cart serves as a base for
anesthesia equipment and supplies and creates a standard workstation in each office. A consistent and
efficient workspace for the pediatric anesthesiologist facilitates the provision of quality sedation
care.
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Why can't my child eat for 6 hours or drink for 3 hours before the procedure?
A child with a full stomach can regurgitate food or fluid into
the throat and then into the lungs. Sedative medications
can relax the normal protective reflexes. A period of
fasting is necessary to make sure the stomach is empty. If
you do not follow these instructions, your child’s IV sedation
will be cancelled.
Why can’t I be with my child in the dental treatment room during the
sedation?
There will be at least two caregivers including the pediatric
anesthesiologist with
your child during the entire procedure. It is stressful for
parents to witness their own child’s medical or dental
treatments. Parental presence creates an emotionally distracting
atmosphere that inhibits open communication among your child’s
care team. This can delay or inhibit actions necessary for your
child’s safety or care. For this reason, it is our
policy not to allow parents in the dental treatment room during
the sedation.
What about insurance and insurance claims?
Your medical or dental insurance policy is a contract between
you and your insurance company. We are not a
provider for any insurance company. You are the customer in this
situation and your insurance company will be more responsive to
your claims. We will help you receive the maximum benefits
provided by your insurance company.
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