Just looking for comfort

Nurses General Nursing

Published

Not seeking medical advice, honestly :cool: I have to have my wisdom teeth removed in a couple of weeks, which requires IV sedation (at least at this dental practice). This is really not something I have any personal experience with and I'm nervous as hell! Any words of comfort or reassurance are welcome.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Does propofol cause one to say embarrassing things that one doesn't even know were said?
I assume there's a reason why they call propofol the 'Milk of Amnesia.'
Specializes in PACU, OR.

Sara, I presume your dentist has done a full range of X-rays on those teeth? Take a look at the plates; if the teeth are sitting vertically and in line with the rest of your teeth, the procedure is straightforward. If not, see a facio-maxillary surgeon for a second opinion.

I had 3 impacted wisdom teeth removed about 28 years ago....piece of cake :) The sedation was a breeze, and I woke up a bit groggy, but really didn't care :D

Yeah- do watch the fast movements and standing .... :) :up:

Specializes in PACU, OR.

My daughter had hers out at age 25; the facio-maxillary surgeon came out afterwards and told me "Sister, I've just finished taking out that set of horse teeth....":lol2:

According to him, the older you are, the more difficult the extraction. These were very firmly embedded and had to be drilled out.

I assume there's a reason why they call propofol the 'Milk of Amnesia.'

Yeah, I know you don't remember, but does it cause you to say things, that was my question.

Specializes in LTC, Subacute Rehab.
Sara, I presume your dentist has done a full range of X-rays on those teeth? Take a look at the plates; if the teeth are sitting vertically and in line with the rest of your teeth, the procedure is straightforward. If not, see a facio-maxillary surgeon for a second opinion.

Oh, don't worry, this is with a maxillofacial surgeon (I was referred by my regular dentist). They took a panoramic x-ray of my teeth, and the top wisdom teeth are vertical. The bottom ones are somewhat tilted but not 90 degrees off (thank goodness).

Thanks, everybody, for all the replies. :)

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

I had sedation a couple weeks ago for my unexpected jaw fx and wiring. Like you i was pretty terrified, especially since it was my first time having any type of sedation, I have never even had surgery before! No worries though, had it done at the oral surgeons office.

They put me on the monitor, started an IV (only a 22 G in the AC which barley hurt), pushed a little fentanyl and versed, said you are going to get dizzy and sleepy then within a minute I was out, next yhing I know they are telling me to wake up that they are done! It was a peice of cake and I remeber nothing from the procedure and had no concept of time! I felt extremely tired the rest of that day and a little funny for a couple days, but then I was fine. Nothing to worry about, I realized I worried over nothing!

Look at the bright side, within a couple days atleast you will be ale to resumw eating again! :)

good luck, you will be fine!

Happy

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Propofol is an induction agent for general anesthesia, if you recieve that you should not be talking or responsive!

Specializes in I/DD.
I remember 2 things only from that day.

Using sign language for the word 'more' when they took out my IV. I couldn't open my eyes, but I knew I wanted the good stuff to last longer. :smokin:

Vaguely remember my husband getting out of the car to go into the drugstore on our way home for my scripts. I stayed sleeping in the car.

That's it. Great day. :p

Funny...that's exactly what I remember when I got mine out :D I also remember being pretty ****** at my dad for walking me to the car...I was pretty convinced that I was totally fine and needed no help. I had almost no pain/swelling from mine, and getting the sedation made the whole experience much easier.

Yeah, I know you don't remember, but does it cause you to say things, that was my question.

Propofol is an induction agent for general anesthesia, if you recieve that you should not be talking or responsive!

I agree with Happy. Propofol is not a sedative like the drugs which are used to cause a "twilight sleep," it is general anesthesia. I work at a facility where propofol is the primary agent used, and once the propofol goes in the IV, the patient is OUT. No talking whatsoever. Occasionally, if not enough was given, the patient will begin to stir/move a little, and the MD or CRNA will push more propofol. I've never observed any patient talking after getting propofol, only stirring/moving/slight restlessness. Even as the patient begins to wake up, I've never observed a patient saying anything very bizarre or strange. The most common thing I have observed as they come to is just repetitive questions such as "what time is it?" or "what did the doctor find?"

So don't worry. If you get propofol, you won't be acting crazy or saying anything too embarrassing.

Specializes in Trauma Surgery, Nursing Management.

Aww honey, I wish I could be there for you just to hold your hand.

You will do just fine. If your dentist does use Propofol for sedation, be prepared for a stinging sensation in your IV. I work in the OR, and we use Prop for induction. Some anesthesiologists tell patients that they might feel 'warmth' in their IV as the med is being pushed. You will feel it, but it only lasts for a second. I just wanted you to be prepared for this. Did your dentist give you a script for benzos prior to your procedure?

Nobody gets up in the morning totally butt-crazy excited to go to the dentist. It would be helpful if you took your iPod and earbuds with you. If you don't have an iPod, ask the receptionist if they offer this for patients. Most of them do. It is a GREAT way to relax.

When you get home, ENJOY the uninterrupted sleep that you will sorely need. I venture to guess that you won't sleep a wink the night before. Let others take care of you for a change.

Again, I wish I could hold your hand. Try to calm yourself tonight.

Big hugs,

Canes

aww honey, i wish i could be there for you just to hold your hand.

you will do just fine. if your dentist does use propofol for sedation, be prepared for a stinging sensation in your iv. i work in the or, and we use prop for induction. some anesthesiologists tell patients that they might feel 'warmth' in their iv as the med is being pushed. you will feel it, but it only lasts for a second. i just wanted you to be prepared for this. did your dentist give you a script for benzos prior to your procedure?

nobody gets up in the morning totally butt-crazy excited to go to the dentist. it would be helpful if you took your ipod and earbuds with you. if you don't have an ipod, ask the receptionist if they offer this for patients. most of them do. it is a great way to relax.

when you get home, enjoy the uninterrupted sleep that you will sorely need. i venture to guess that you won't sleep a wink the night before. let others take care of you for a change.

again, i wish i could hold your hand. try to calm yourself tonight.

big hugs,

canes

i've had propofol six times in the last three months for multiple cervical/lumbar steroid injections. my experience mirrors what you said, that the propofol stings as it goes through the iv. some md/crna's will push some lidocaine with it, which does help a bit. but i also experienced something that not everyone mentions, and that was a flooding metallic taste which overcomes you right before you got to "sleep." it's strange, very short lived since you slip into unconsciousness so soon after the sensation, but i experienced it every single time.

i work in a facility which uses propofol for every procedure, and i don't recall anyone mentioning this phenomenon. makes we wonder if i'm just weird or crazy...

+ Add a Comment