GA versus Demerol and Versed - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 5 Old 06-07-2012, 07:16 PM - Thread Starter
 
kristyn1024's Avatar
 
Join Date: Aug 2010
Posts: 16
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

DS 4 years old is having extensive dental work done. First dentist said his two back molars needed to be extracted as well as three other back teeth capped and must be done under GA. Second dentist thinks he can save the back molars. He suggests doing the procedure in his office under demerol and versed, terming it conscious sedation. He hopes to finish in two visits, though it could take three. He said that he will also treat him under GA in the hospital if we are more comfortable doing that route.

 

I don't know what to do... obviously my first wish would be to wave a wand and make it go away! But I am coming to terms that we have to get this down. Which is the safest?? 

 

Any advice/knowledge greatly appreciate!

kristyn1024 is offline  
Sponsored Links
Advertisement
 
#2 of 5 Old 06-07-2012, 09:08 PM
 
katelove's Avatar
 
Join Date: Apr 2009
Location: Australia
Posts: 3,883
Mentioned: 2 Post(s)
Tagged: 0 Thread(s)
Quoted: 27 Post(s)
I have been involved in a lot of procedures done under conscious sedation while working in ED. I would not be comfortable having it myself, or allowing my children to have it, in a dentist's surgery. I want to know there is someone present who is monitoring the person's breathing and has advanced airway management skills should they be required.

I chose to have my own wisdom teeth removed under sedation in a day surgery with an anaesthetist. You could see if that was an option. If not, I personally, would choose GA.

There was another very similar thread to this one not long ago, you could see if you can find it and read the responses to that one as well for more info.

Mother of two spectacular girls, born mid-2010 and late 2012  mdcblog5.gif

katelove is offline  
#3 of 5 Old 06-07-2012, 09:11 PM - Thread Starter
 
kristyn1024's Avatar
 
Join Date: Aug 2010
Posts: 16
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I am reading through that now. I originally was on my phone and was having a hard time searching and looking through threads. Now that I am on the pc I can actually look deeper :)

kristyn1024 is offline  
#4 of 5 Old 06-07-2012, 09:59 PM - Thread Starter
 
kristyn1024's Avatar
 
Join Date: Aug 2010
Posts: 16
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Another question: Is it unreasonable to ask them just to do laughing gas and versed? The demerol is what scares me. DH is 4.5 and he is a very chill, well behaved kid. I also had teeth problems as a child and I remember getting laughing gas and having it done and being fine and I was precisely his age. I know for sure I had a tooth pulled and a crown on one, and I was fine.

 

The more I read the more I am having a panic attack over here. NEITHER seems like a good choice to me :(

kristyn1024 is offline  
#5 of 5 Old 06-07-2012, 10:30 PM
 
katelove's Avatar
 
Join Date: Apr 2009
Location: Australia
Posts: 3,883
Mentioned: 2 Post(s)
Tagged: 0 Thread(s)
Quoted: 27 Post(s)
The problem with that is that you're then giving two relaxation/amnesiac drugs and no painkiller. The Demerol (pethidine) is primarily for pain in this instance. I agree it's not a great choice. I would prefer nasal or IV fentanyl myself. I guess with local it might be ok but you still have the issues of airway management because you're using versed (midazolam).

Mother of two spectacular girls, born mid-2010 and late 2012  mdcblog5.gif

katelove is offline  
Reply

Tags
Dental

User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off