conscious sedation?

Question

Has anyone been through conscious sedation, as for oral surgery? I'd rather not be put entirely under, but I'm way too much of a wuss to be fully conscious the whole time....How much are you actually aware of, under conscious sedation? Any anxiety/fear/pain during it? How long does it take to wear off afterward, and how much are you capable of doing before it finishes wearing off?

Answer 1

Not sure if you mean conscious sedation with pills or by I.V.

Have had the I.V. sedation for wisdom teeth extractions by oral surgeon. (have a hard time staying open & jaw gets Very tired fast). Said this way I wouldn't remember jaw being tired/sore from being open. As for me I don't remember a thing. Couldn't even tell you how long I was there. Started with inhalation oxygen (didn't want the gas), wasn't nervous..but, gas was their usual start. Quite relaxing where I was. They had darkened the room a bit too. Then I.V. started by doc. (pretty good at it, didn't even feel it). Last thing I remember was him telling me he was starting the meds now. Then..ok...you're done! They did also use local anesthetic but, after 'asleep' with the I.V. A bit groggy right after but, it wore off quite quickly. (had to get my 'sea legs' back..had me rest for about 10-15 minutes) You do need someone to drive you home. Felt fine after. Didn't need to sleep the rest of the day or anything.


I work in the dental field and have seen I.V. sedation on someone else. You aren't completely asleep in the way we think of as sleep. Only 'conscious' (sort of) for the docs. Not up & talking or anything but not in a really deep surgery type sleep. You won't remember anything. The versed (midazolam) is an amnesiac.

If using the I.V. don't be afraid. Wasn't bad at all! Would def. do it this way again! Good Luck!

According to this site the oral sedation (pills) are in the same class of drugs as the I.V. sedation. http://www.osseodental.com/Sedation.htm

Sedation by tablet (Oral Sedation)

A common oral sedative is Temazepam, which is a benzodiazepine, a family of medicines that is used to help a person to sleep (hypnotic). They also have the effect of reducing anxiety. This can be taken the night before your appointment in order to have an undisturbed night's sleep and also an hour before the treatment begins. As it makes a person drowsy, a patient must be accompanied by a responsible adult to act as a chaperone.

This method of sedation is very useful in that the method of administration is simple (taking a tablet), it calms a patient to allow dental treatment, and with this medication, there is shorter duration of post-treatment sedative effects. However, with this method, the level of sedation is difficult to predict and control, as this depends on the rate at which the individual metabolises the medicine: this is quite variable.



Sedation by intravenous injection (I.V. Sedation)

Again, the medication used is a benzodiazepine called Midazolam, which is injected into the vein in a precise, controlled way. The dose of sedative, and therefore the level of sedation, is determined by carefully observing the patient's response to each small incremental dose. This is a very useful method of conscious sedation because it has the advantage of causing amnesia for the events after the injection is given (retrograde amnesia): patients often remark afterwards that the procedure didn't last long, when it may have been 45 minutes of difficult tooth extraction! After the sedative is eliminated from the body, memory is unaffected. Like oral sedation, this procedure would not be carried be carried out unless a chaperone is present for the entire duration and post-operatively.

Answer 2

A little info I think should be considered about this drug Versed ( Midazolam ) that is used for Sedation for many medical procedures..Sedation and General Anesthesia are not the same and quite a few people being given Sedation
think they are being given General Anesthesia!

There is simply no good or valid reason to ever purposely induce amnesia during a medical procedure. It is only a recent development in medical thinking that amnesia is somehow a "benefit" to the patient. On occasion some
some patients will remember a bad experience. Forgetting does not mean it did not happen!!
I feel that if people were aware of the effects of this drug they would Opt For Another Drug!
Erasing someones memory of what was done to them is wrong!!
In fact, many people who use Versed for " IV Sedation,Conscious Sedation" Twilight Sedation, during a procedure are Awake For The Entire Procedure but remember nothing, often Believing They Were "Out" the whole time.

Versed (Midazolam) is an amnestic. It is also commonly used for minor procedures like setting broken bones,colonoscopies,endoscopies, dental procedures like extractions,conscious sedation,twilight sleep, so that patients won't remember pain and discomfort.HOWEVER THAT DOES NOT MEAN THAT THOSE SENSATIONS WILL NOT BE EXPERIENCED!!!!


Here is a note from a Dentist Who uses Versed
I've used Versed 1000+ times during oral surgery procedures and I've never had a complaint. It's a miracle drug because it is safe and it causes you to not remember an unpleasant experience. My answer to him is isn't it better to have not experienced the pain than to have forgot it. No wonder you have had no complaints they have no memory of the procedure.....

I feel that giving a drug for amnesia is cruel I would not want it done to me!

A strange development in medical thinking that it's okay for a patient to have
pain as long as they don't remember it and think they slept thru the procedure..


Here is a link for some info

http://www.freehelpforcancer.com/manages...

Answer 3

I had conscious sedation for my wisdom teeth extraction. The oral surgeon numbed my mouth with injections and then gave me "laughing gas." The laughing gas really relieved my anxiety (it did make me laugh, too) and with the help of the numbing injections, I could not feel a thing. The only slight discomfort I felt was when they put this large rubber thing in one side of my mouth to keep it propped open druring the surgery. But I hardly noticed it after a while. During the surgery, I had little to no anxiety. Once the gas is taken away, you don't really feel its effects anymore. The numbing went away about an hour after I got home, and by that time the pain meds were working, so I was fine. As far as what you may be capable of doing afterward, you should limit your activities to just resting immediately after the surgery to promote quicker healing (I heard that if you rest for 24 hours after oral surgery, it limits the bleeding that can occur). I recommend having someone else drive you home from the appointment, just in case you don't feel up to driving. You should feel normal the next day as long as you take the pain meds as directed.

Answer 4

I had conscious sedation and it worked well for me. I took a pill the night before and then another pill an hour before. I remembered very little (that was a good thing)!!! I came back around a couple of hours later. Slept most of the day. The pill the night before was supposed to help relieve anxiety and help me sleep. Simply Sleep would have been done the same thing. I would HIGHLY reccomend this for major work. My insurance did not cover- but it was WELL worth it. Feel free to relpy to me with additional questions.

Answer 5

Ah I asked the suitable same question final week using fact i grow to be freaking out approximately this huge unsleeping sedation situation. I recommend how ought to or no longer that's which you would be waiting to pay attention and communicate yet nevertheless be slumbering? I have been given mine out this morning and it is so common i had to kick myself for stressing. You take a seat and that they're going to start up the IV (it is the worst section while you're a needle phobic like myself). After that, you will experience completely calm and your eyes would be open for some minute. The oral physician will in all probability communicate with you approximately issues and that i do no longer even remember final my eyes. they say you "pay attention" human beings chatting with you yet have faith me you're no longer answering them consciously. 30 minutes later, I wakened to the IV being taken out of me. i'm able to promise you that's going to paintings. they won't start up the surgical treatment till you reflexively close your eyes to the medicine. Even then, I grunted at one factor and that they only antied up my IV drugs. did no longer experience something however the IV and the only discomfort is whilst it fairly is over. stable luck and have faith me, you would be definitely high quality!!!! deep breaths

Answer 6

When I have a tooth extracted I have lidocaine, which kills any pain I might have and yet, little or no side effects.

I don't like the idea of sedation via pill or IV, because you never know what could happen.