There are many different anesthetic options available to you. Some choices you will have and in other cases Dr. Bohannan may require a particular anesthetic option. Most procedures can be performed with local anesthesia. However, some procedures are not comfortable to perform with local anesthesia alone. Dr. Bohannan will discuss all of your anesthesia options with you. Often times, patients do not seek the care they need or desire because of their anxieties and fears. Dr. Bohannan can provide the necessary techniques to allow patients to overcome their fears and provide them with a comfortable and pleasant experience. Dr. Bohannan will take your anesthetic desires into consideration with his anesthetic requirements and create an anesthetic plan that will satisy you and him.
Although rare, some people do not tolerate general anesthetics well. Some people are extremely tolerant to the medications administered. That means it takes much more than expected to achieve a desired result. Occasionally, the case cannot proceed due to amount of medications required to achieve the proper level of sedation safely. For your safety, the procedure is typically stopped and the case then will be performed in an outpatient setting.
Office anesthetics are safe because the techniques used allow the person to breathe on their own and maintain their own airway. In the tolerant patient the amount of medication needed to keep them comfortable is so much that they begin to not breathe spontaneously and their airway can become compromised. As such, they require a deep level of anesthesia that will compromise their ability to breathe spontaneously. Those patients are better suited to have an outpatient general anesthetic so that they can be comfortable. In an outpatient setting, a deeper level of sedation can be achieved and the airway is secured.
Another topic patients are concerned with is recall. That is a phenomenon where you still remember what is going on during a procedure despite being asleep. Although more common in the hospital anesthetic procedures than the office, it is still possible. The medications delivered during the procedures have amnestic qualities and a dose that is given achieves amnesia in 99% of the patients. Just like patients that are tolerant to medications, some patients don't achieve full amnesia despite an adequate dose of medication administered. Although this is an unfortunate situation, the office procedures performed still use profound local anesthetics in combination with the intravenous sedatives. Thus, even if a patient experiences some recall, the experience is not painful.
For specific information regarding the anesthetic options at our practice, please use the links below: