If Dr. Greenhill or Dr. Jennison have recommended dental treatment for your child to be performed using IV sedation/general anesthesia with Dr. Devany, the following information will help you in your preparation for the appointment.

Dr. Devany is Board Certified in both pediatrics and anesthesiology with 25 years of experience in Pediatric Anesthesiology. She will provide anesthesia services for your child while Dr. Greenhill or Dr. Jennison perform the dental procedures. This service is provided at the Union Pediatric Dentistry office in Union, KY.

In order to better care for your child and to maximize safety, Dr. Devany has arranged a protocol as follows:

You have received an information sheet, consent form, pre-op questionnaire and post-op instructions. Do not sign the consent form until you have spoken to Dr. Devany and had all your questions answered.

Dr. Devany or her assistant will call you one to two days before the scheduled time to discuss all the information you have provided, review the plan, risks, and options with you. She will be glad to answer any questions you have.

Some children will be required to have their physician complete a routine history and physical form. If your child has a history of asthma, reactive airway disease, recurrent pneumonia, croup, or if your child is recovering from or has an active cold, please contact Dr. Devany three to four days before the appointment. Also, contact her early if your child has a strong history of snoring or large tonsils. 

Your child will not be able to have any food after midnight the night before the procedure.  He or she can have clear liquids (water, Kool-aid, Gatorage, apple juice, regular jello, regular popsicles) up to three hours before the appointment.  DO NOT GIVE MILK, ORANGE JUICE, GUM, CANDY, ETC.  Parents should eat their own breakfast away from your child.  You will not be able to leave the building premises after the procedure starts once your child is anesthesized.

Plan to arrive at the office 20-30 minutes before the appointment. We strive to keep appointments on time, but just like with any surgery the appointment time should be considered a guideline. It is not uncommon for one patient's appointment to be longer than anticipated and this might cause some delays in start times for subsequent patients. Do not hesitate to ask questions. Our goal is to provide a safe and pleasant experience for both you and your child.

Patient and Parent Checklist for Day of Surgery

  • Follow NPO (nothing by mouth) instructions.
  • Have clear liquids and soft food at home for post-op ginger ale is a great anti-nausea choice or Gatorade, Koolaide, Jello, popsicles.
  • Do not make any promises for post-op foods (like stopping at Mcdonald's).
  • Bring a change of clothes for the child and a second adult to sit beside child on the way home.
  • Bring a comfort article for your child (a favorite blanket or stuffed animal).
  • Bring a book or toy to use in the waiting room.
  • Bring a book, etc. for parent to have during the procedure
  • Bring the right attitude. Your child will sense from you how to respond. 

We strive to keep all appointments on time, but please understand that sometimes delays cannot be avoided.

IV Sedation Pre/Post-op Instructions

What to do and what to expect on the day of your appointment:

  • Your child may not have any food, milk, orange juice, gum or candy after midnight. He or she may have clear liquids up to 4 hours before the appointment.
  • Plan to arrive at the office 15 minutes before the appointment. This will allow time for any paperwork to be completed.
  • For most children, the next step will be receiving the N2O (laughing gas) or “sleepy air”. Some toys are used to help distract from the start of the intravenous line (IV). Sedation is then started in the intravenous line. Parents can stay with their child until the sedation is started. Your child will not remember anything after this point including your leaving for the waiting room.
  • Some small children and children with special needs will receive a quick shot in the arm which will produce rapid drowsiness. Again, parents can stay until the sedation is started and the child will no longer remember them leaving.
  • While your child is sedated, he/she will be monitored with the same equipment as used in a hospital setting (EKG, blood pressure, respiratory status, oxygen level). In addition, oxygen will be given. Dr. Greenhill or Dr. Jennison will administer any local anesthetic that is necessary. Your child will take a “nap” while the dental work is being done.
  • At the end of the dental procedures, your child will wake up. He/she will still be drowsy and drunk-like. Most children wake up smoothly. However, it is normal for some children to be fussy. You will be able to hold your child during this time. Soon, you and your child will be able to go home. You will be discharged when your child can talk and stand up with help.
  • On the way home, an adult should sit beside your child. Your child should be restained in an age-appropriate car seat, booster seat or seat belt. If your child falls asleep in the car make sure the chin is lifted up and not in a chin to chest position. This will keep the airway open.
  • When you arrive home your child can sleep but not in the bedroom where they cannot be seen. He or she should be in a room like the living room where you can watch him/her.
  • At home, start with clear liquids, like Gatorade, Kool-aid, 7-up or apple juice. Avoid dairy and plain water for a few hours. Gingerale has natural anti-nausea properties. Soft food can be added next. Later, your child can progress to a regular meal as tolerated.
  • For the remainder of the day, do not let your child do activities that require coordination like riding a bike, climbing, swimming, sledding etc.
  • If your child vomits, refrain from offering food and drinks for one hour. Start again with clear liquids. If it happens again, call Dr. Devany.
  • Also contact Dr. Devany if your child develops a temperature > 101˚F or if there is swelling of the mouth or airway, or if you have any other concerns.

Please ask any questions that you or your child have. We want this to be a safe and pleasant experience for both you and your child.

 

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