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Hospitalization/General Anesthesia - Page 7

post #121 of 195
This sounds screwy to me...

I have never had general anesthesia myself, but have seen patients that had it (I used to work as a hospital nurse). I have seen & heard of many different reactions. Yours sounds extreme.

If this were me; I would speak with your physician about what happened. This is very serious.

As for feeling the pain during the procedure...I have had a personal experience with that one . I had my wisdom teeth removed without any anesthetic! You should not have had to feel pain!

"It shouldn't hurt."

Damn right! Sounds like malpractice to me. I have had several occassions in which I had to get more Novicaine before the dentist could proceed.


BTW, was anyone else with you at the appointment?
post #122 of 195
It was weird...they told me that my husband (or another responsible adult that could drive) had to sit in the waiting room the whole time! (About 2 hours.) So my dh had to bring dd and entertain her and himself the whole time.

I asked why he had to stay instead of just coming to pick me up, and the nurse said "It's just our policy in case anything happens." I was thinking that was useless, because if I died or went into a coma, it's not like dh could do anything.

But you'd think they would have asked him to come in and comfort me or something. He didn't know anything about what happened until I told him after the appointment, but he said while I was in there he had a horrible vision, and he could tell the nurses were really upset and trying to hide it.

If I ever have anything like this done again, I will choose someone who will let my dh be in the room with me. I only went to see this guy because my regular dentist referred me, but I don't have to see only the people he recommends.
post #123 of 195

22 Month old with 4 cavities

I noticed dark spots on my 22 month old dd's teeth so took her for a dental check-up and she has four cavities in all four of her molars. The dentist thinks they were probably formed inutero.

I have read hours worth of the archives and still can't decide what to do. The dentist offered in office sedation with a papose board and Mommy not being allowed in the room or GA. For the in office sedation the procedure would need to be done twice for the GA all could be done at one time. I'm leaning towards the Ga I think since all can be done at once unless anyone has any other suggestions that I haven't been offered yet????

Also the dentist we saw was a regular family dentist not a pediatric dentist. I called the two ped dentist in the area and both would not work on a babe so small and referred me else where. There are some ped dentists in the nearest major city that I could check into. Is it adviisable for a family dentist to do this or should I look for a ped specialist? Also should the person doing the GA be a ped specialist too?

Our insurance is also an issue. We do have dental and medical in the same policy. There is a $1500 cap on the dental and not sure on the medical but way higher.. The dental policy says it does cover GA but not hospital fees - would this be picked up by the medical ins?

There are so many variables I just don't know what to do. My dentist of 10yrs that I love and trust won't work on my baby. Having to go though all this and find a new dentist is such an added pain.
Then there is the breast feeding guilt. My older daughter didn't have a cavity till she was six years old . She was only nursed 6 months. This dd is still nurisng strong with no interest in weaning any time soon. Should I have weaned her sooner or at least night weaned her. She hates to have anyone brush her teeth and it is almost a 2 person job to get it done.

Then what about the future. Does this mean that all the other teeth are going to come in with problems too and we will be going though this again with the next set of molars? She only has 4 and they all have cavities. Should we start giving flouride supplements or something. What can I do to prevent future problems??

Well sorry - I didn't mean to write a book. Thanks to anyone that made it this far. Any help advise or suggestions would be greatly appreciated.

TIA
post #124 of 195
Hi Myra,

I have been almost exactly in your shoes, very recently. You can read my thread "Smilemomma, so glad to have found you...", probably about 10 down. My dd went through the procedure with a papoose board and conscious sedation. It was difficult in a lot of ways, but she came through it really well.

I only have a moment right now but wanted to send hugs and understanding your way ASAP. s You may be in luck, since Smilemomma, the moderator of this board and the dentist we all want for our kids, lives in Florida, though I don't know where.

More later...
post #125 of 195

Thanks

Thanks so much for your reply. I went down and read your earlier post and our situations are so similar. My story re teeth brushing is exactly the same ( not anymore!) even if it takes two of us to do it she gets those teeth brushed now no matter what.

I have a couple of questions: With the conscious sedation what kind of medcine did they use? My dd refuses to take any medicine and spits it out at me. We usually end up hiding meds in food which won't work for dental work cause she has to have an empty stomach. Also they told us that four cavities is too much to do at one time so we have to have to go though this twice if we chose that route. How many visits did it take for all your daughters dental work? If you are reading this smilemomma is this true that it would have to be two visits?

Lastly Smilemomma - are you really in Florida? I'm in the Florida panhandle it would be so cool if you were within a day's drive of me - you could solve all my problems
post #126 of 195
My dd has 3 cavities that need to be filled.The first time the dentist used nitrous on her and he couldn't get much done so we made another appt to try again.Second time same thing my dd just started freaking out especially with the being held down part.The dentist is a pediatric dentist and he is amazing.My dd just hated being strapped in.I gave her rescue remedy and homeopathic chamomile before hand.We just had to make an appt to take her to a different ped dentist to have the work done under anesthsia.I just hope it works out this time.
post #127 of 195
Hi Myra,

My dd had all seven of her cavities taken care of at one time. It took about 2 hours. She also hates to take medicine orally -- we have had the best luck with giving her suppositories the few times she's really needed Tylenol, for example. But they knew what they were doing and got it in with no probem.

I'm trying to remember what medicine they used -- I think I may have said so in my original post? Chloryl Hydrate is what comes to mind, with nitrous in addition. It worked pretty well for my dd, I think -- she found the first part very traumatic, and that is what I would change if I had an option, but that was over literally in a matter of minutes, from what I have pieced together from her own account and what the dentist said. It's called "conscious" sedation, but she doesn't seem to have any memory of what happened between when they gave her the "sleepy juice" and when I picked her up at the end.

It's a tough, tough thing, but it will work out. And one thing that I've been amazed at is how many people either had horrible tooth problems when they were kids or are parents of kids with problems. One of the first people I told, whose teeth I had just been marvelling at, said that he'd had 7 teeth _pulled_ when he was a little kid, because they had totally rotted. Another person's daughter'd had ALL of her teeth pulled when she was 3. And I've had SO many people tell me, when I blame myself (poor toothbrushing), that they didn't do any tooth brushing at all, or were even more lax than I, with absolutely no ill effects. Which is not to say tooth brushing isn't important -- it is!! (I've started being soapboxy about that myself.) Just, it seems like things have to align in a certain way for there to actually be problems. No reason to take a chance, but it helped me get perspective a bit.

Anyway, best of luck, and hope you get in touch with Smilemomma to find out if it's possible for her to be your dd's dentist!
post #128 of 195

No nursing for 12 hours before anaesthetic?!! Please help

Can anyone help with specific evidence on it being ok to nurse my baby less than 12 hours before being put under general anaesthetic?

We found a brown spot on ds's molar and took him to a pediatric dentist yesterday. To our horror, when the dentist poked at the tooth, bits crumbled off! He said the enamel is gone and he needs a crown--which makes sense to me. Because my baby is only 17 months old, he wants to do it under general anaesthetic, and the instruction sheet they gave says no food or drink for 12 hours before surgery.
I'm distraught--ds nurses every couple of hours--how can I possibly refuse him for 12 hours. He will be traumatized long before we ever leave home.

I read in the archives a post on the topic of general anaesthesia, where Smilemomma says
"I nursed my dd right up until about 2 hours before, and she did fine. Do your research, of course, but that's my .02! LaLeche is a great source, and so is Dr. Hale."

My dh is understandably concerned about ds's safety under general anaesthesia and will not do anything that might compromise his safety. So I need to find some scientific evidence that nursing is ok nearer than 12 hours to surgery. I've looked on the LaLeche web site and couldn't find anything (maybe I didn't look in the right place).
Please, can anybody point me to some specific scientific evidence on nursing a baby before general anaesthesia.
Thank you,
Marianne
post #129 of 195
I remember just reading sometime in the last few months that new guidelines for anesthesia are being developed because new research shows that 2 hours for drink and 4 for food is plenty. This was on mainstream news sites, like yahoo. I bet that a simple search through Yahoo's or similar health archives will bring up that info.

Smilemomma has also stated somewhere that bf-ing is the exchange of bodily fluid ~ kinda like kissing dh before the operation I guess So no even food. Just a kiss. That nobody has to know about

My dd had an oral sedative with a 4-hour limit to drinking. She bf-ed 1 1/5 hours before and was just fine.

good luck, sorry I can't help you more
post #130 of 195
My dd went under general anesthesia in June and August for surgery and our guideline was 3 hours for nursing or water...12 hours is outrageous, it's just an adult guideline that someone is not bothering to look into for children and infants.
post #131 of 195
We just went through this last Wednesday. My dd is 2 1/2 yrs and was under general anesthetic for her dental work. The work was done at the Sick Children's Hospital in Toronto (they know their stuff when it comes to kids). I don't have the research articles you would like to see, but I can quote you the written guidlines we were given. They say "No solids after midnight the night before surgery. No milk, orange juice or Tang after midnight the night before surgery. Formula may be given up to 6 hours before surgery for infants less than 2 years of age. Breastmilk may be given up to 4 hours before surgery for infants less than 2 years of age. [and because we are still nursing I was told verbally that 6 hours would be safe for children older than 2 years]. Clear fluids only (apple juice, kool-aid, ginger ale, water) may be given up to 3 hours before surgery time.(1/2 cup or 4 oz for children under 2 years old, 1 cup or 8 oz for children 2 years old and over)."

What we did was schedule the surgery for noon. That way we were able to nurse till 6 am, dd had a couple small juice popsicles for breakfast (she LOVES popsicles), and since we had to be there 2 hours before the scheduled time, we were off to the hospital before she could utter the words "boo-boo- nap" – her word for wanting to nurse.

I hope all goes well for you. I was a wreck beforehand. One thing I came to realize about a week before the surgery was that dd would be terrified of the surgical masks and it could add to the fight if she decided she didn't want the mask on for the gas. They offered Versed when we got there, and she was very drowsy by the time she was to go in. It helped a lot, but also caused her to sleep a lot longer than expected in recovery. She was a very irritable child for the first few hours after she got home.

It is a horrible thing to have to have done to such a small person, but now I am relieved that it is over. Her teeth look great and we are just working on maintaining that.
post #132 of 195
Thanks for the great advice. The dentist scheduled my baby early because they thought it was better for the smallest ones to go early. That made sense until I thought about nursing, so I just called and they've put my baby fourth on the list, which should make it at least 10:30 and possibly later. It will be so much easier if I can actually nurse the baby in the morning as usual.
I've now also talked to the actual anaesthesiologist, who said the baby can have food up to 6 hours before, breastmilk up to 4 hours and clear liquids up to 2 hours before. And I've done research, which I am going to list below, in case another Mom needs it in the future.
I found an article from the American Society of Anaesthesiologists that supports the 6, 4, 2 hour guidelines (available at:
http://www.asahq.org/practice/npo/npoguide.html

My LaLeche league leader also directed me to an article on the LaLeche league web site that says breastmilk may be allowed up to 3 hours before surgery. It's at http://www.lalecheleague.org/FAQ/anesthesia.html

I'm still looking for more info on nursing 3 hours or two hours in advance. 4 hours is the most popular recommendation. There seem to be good resources on Kelly's Attachment Parenting webpage at http://www.kellymom.com/baby-surger.html

I'll add more info if I get more later. Again, thanks for your help!
Marianne
post #133 of 195
and I don't see why a baby can't have bm, but koolaid and ginger ale are okay

BM is a pretty clear liquid. I feel very offended that they consider "me" dairy, and I'm compared with a cow. Puhleeze... Have the people that write these guidelines ever even seen bm? Or do they just figure it looks like cow's milk or, even worse, formula?
post #134 of 195
Hi Myra! Sorry it took so long, I've been out of town at a seminar -- in Pensacola! Dang, we could've hooked up!

It's so hard to decide how to approach this situation. I've tried to do the same thing here as I do in my practice; just lay out the options, advantages and disadvantages of each, and let the patient decide. You really have to make your decision based on the facts, and your heart, Myra. There are threads in the archives (which you've probably already seen) about general anesthesia, sedation, weaning, brushing, prevention, etc.

Don't gather the whole world on your shoulders right now, sweetie. You have enough to think about just treating what's there. You come back when it's all over, and we'll talk more about prevention. You know the old joke, "how do you eat an elephant?" "one bite at a time". This is your first bite, don't try to stuff him all in at once!

Please post back and let us know how you did. And check out sozobe's good news, her dd's teeth do NOT have cavities!

post #135 of 195

preoperative fasting & dental surgery?

my daughter is just 22 months old and needs to have dental surgery. she has cavities in 3 of her top front teeth and in 1 molar. she needs caps on the front teeth and a filling in her molar.

i'm so distraught about this. her teeth came in looking "funny", as if they had little to no enamel. i've been brushing her teeth since she was 6 months old, sometimes 3x/day, but to no avail. i've even given her supplements to try to help with remineralization. i've been to 3 dentists and all of them suggest it is b/c of nursing. however, from the research i've done, i know that's unlikely.

anyway, she still nurses frequently and also nurses at night. i've read that i can still nurse her up to 3 hours prior to the surgery. is this really correct? who do i talk to about this? the anesthesiologist?

also, if any of you could share your experience with having dental surgery on your child, i would greatly appreciate it...especially any hints you could give me about things i may not know otherwise.

thanks so much!
christy
post #136 of 195

GIANT crater, bad teeth...I need some handholding.

Oh boy-my 31 month old has been on a three month recall with his (totally terrific) dentist because of decay in 5 or 6 teeth, including all his upper front teeth. The idea was that we'd see if he'd mature enough to have some work done without GA-he's a pretty happy-go-lucky little guy and our dd (dear dentist) is totally willing to be patient and work with us. We've tried twice now but it hasn't worked out so the idea was we'd just keep an eye on the decay and brush/floss regularly. The brushing has been hard as ds gets all tickly with the toothbrush in his mouth so we're not as thorough as could be...

Last night I got a good luck in Orion's mouth with a good flashlight and was totally SHOCKED to find a molar that has an honest to god HOLE in it. With pink showing through!!! (if this thing was any deeper I'd think it was his brain I was seeing!) He hasn't really complained of any pain but I'm freaked, to say the least. I'm calling the dentist as soon as his office opens- but what else should I do? I've looked (as best I can with many interruptions) through the archives but haven't been able to find something like this. Is there any immediate danger of having decay this extensive? The tissue I see is pink rather than flaming red, or green or black so I think (cross fingers) it's in ok shape but yikes!

Ok- I feel a little better at least for ranting... Lory
post #137 of 195
guess i came to the wrong place.
post #138 of 195
Sorry you didn't get a good answer.
I came back after I saw an additional post. I was also hoping someone who knew something had replied.
post #139 of 195
Thanks Apricot, for acknowledging... it's hard not to get all self-concious when you can see that people have been reading the thread but not commenting at all. Makes you wonder if you have a giant wad of spinach stuck in your teeth or your underwear is sagging down past your hemline.
post #140 of 195
Sometimes I feel like a big 'ol thread killer.
I'm kind of amazed no one has any information for you.
Did you hear anything from the dentist?
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