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What Is Local Anesthesia?

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Posted on Mon, 9 Feb 2015
Question: I am going to a dental school and for the first time, I've been asked to meet the anesthestiologist (spelt wrong). Will he not clear me for surgery because I am taking prozac, lamictal and topomax? I have gone to a private dentist and they have given me versed with these drugs before and the school gave me a prior surgery with this medication and i was fine. Should I be concerned. Thanks in advance.

I need to explain that school is giving me a drip like twilight anesthesia not versed they explained it is safer. I would have prefered versed. They also had problems finding veins, so they switched anesthesiologists on me. It's still a form of twilight.

After the first surgery I had done at the school, the oral surgeon and the anesthesiologist were both shocked at how alert and how quickly I recovered after the original surgery I had with them.

The second time, they gave me too much nitris and they were concerned, I called the oral surgeon and told her I probably forgot to take my medicine and maybe that's what happened because I thought I caused the problem. They made me feel like it was my fault. They also couldn't find a vein & they sent me home.

That's why they are making me see another anesthesiologist.

Hope this helps.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
High Risk patient, Cautions in Anesthesia

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. The medicines you are on are anti seizure meds and SSRIs. Seizure meds with the history of seizures are all very big contraindication to the surgery or any anesthesia as that may recur or trigger the seizure foci during the procedure and complicate things. Thats why doctors and anesthesiologists hesitate to induce such patients.

the reason for the dosages were modified and your early awakening is the interaction which these seizure meds have with anesthetic meds.

Of course small veins may be challenge some time as invisible veins need an expert to pass an IV line and that may be a challenge some time.

So they might have referred you to an expert anesthesiologist who is better at anesthetizing patients. DOnt lose hope. I would advise a local anesthesia if its some dental procedure . The local the anesthesia the safer it is.

i hope it helps. Take good care of yourself and dont forget to close the discussion please.

Take care
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (42 minutes later)
Can you explain what a local anethesia is?

Thank you.

-Dana.
doctor
Answered by Dr. Shafi Ullah Khan (55 minutes later)
Brief Answer:
explained

Detailed Answer: XXXXXXX when you anesthetic only a portion of the body under procedure like ganglion block in dental procedures or any local area nerve block like pudendal nerve block etc.

When ever it is possible it is best and safest anesthesia specially in cases like yours.

Discuss the options of local anesthesia with your anesthesiologist and let them decide what is best for you.

Take care.
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (1 hour later)
would versed be considered a local anesthesia?
doctor
Answered by Dr. Shafi Ullah Khan (5 minutes later)
Brief Answer:
Its A Benzodiazepine, sedative , not local anesthetic

Detailed Answer:
Thank you for getting back!

Lignocaine and bupivacaine are two famously used local anesthetics. Versed is a Benzodiazepine and it is used in sedation for procedures like colonoscopy etc to relive the discomfort. Also it is a good choice as all BZDs are anti seizures too and may help prevent any seizure recurrence during the procedure.

So yes it may be accompanied during local anesthesia. But alone as local anesthetic it wont work. For that lignocaine and bupivacaine etc are very preferable.

I hope it helps.
Take care
Khan
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Is Local Anesthesia?

Brief Answer: High Risk patient, Cautions in Anesthesia Detailed Answer: Thank you for asking I read your question and i understand your concern. The medicines you are on are anti seizure meds and SSRIs. Seizure meds with the history of seizures are all very big contraindication to the surgery or any anesthesia as that may recur or trigger the seizure foci during the procedure and complicate things. Thats why doctors and anesthesiologists hesitate to induce such patients. the reason for the dosages were modified and your early awakening is the interaction which these seizure meds have with anesthetic meds. Of course small veins may be challenge some time as invisible veins need an expert to pass an IV line and that may be a challenge some time. So they might have referred you to an expert anesthesiologist who is better at anesthetizing patients. DOnt lose hope. I would advise a local anesthesia if its some dental procedure . The local the anesthesia the safer it is. i hope it helps. Take good care of yourself and dont forget to close the discussion please. Take care Khan