Who does Dental anesthesia?

[dopemup]

I was approached by a dentist about doing anesthesia in his office. He asked me what I would charge for wisdom teeth. I work in a hospital, so I have no idea what the going rate is for this type of anesthesia. Any help out there?

Also, what is the basic cost per patient for this type of thing (IV, meds, airway stuff etc).

Thanks so much.

[SycamoreGuy]

When I had my wisdom teeth removed (in an Army hospital) it was only the oral surgeon and a hygienist. The oral surgeon placed the IV and pushed what I am assuming was propofol.

[nomadcrna, DNP, CRNA, NP]

Doubtful it was propofol. Way to short acting and very doubtful he could get credentialed to use propofol in an army clinic.

Most likely a combination of versed/narcotic. Very dangerous if he did do that.

[boushie87]

The oral surgeon's office I work at uses a mix of versed, propofol and fentanyl.. he pushes it himself. He is also an MD not sure if that makes a difference. Has never been an issue.

[nomadcrna, DNP, CRNA, NP]

Makes no difference at all that he is an MD. Point is that I doubt an ARMY facility would credential the oral surgeon to use propofol in a clinic setting. At least not when I was in the army doing anesthesia.

That mix is extremely bad unless you have a qualified person managing the airway. Just because it has not been an issue in THAT clinic does not make it safe or good practice.

I would never consent to having a family member put in that position.

[boushie87]

It's an oral surgery suite, not a clinic which i'm sure makes a difference in the people he has assisting and the care he gives.

[boushie87]

I have actually not heard of any other mixture in this area (central NY) or western NY being used for IV sedation for 3rd molar removals so curious why in these situations you think it's so unsafe when it's actually common practice. This is in an oral surgeon's office, not a regular dentist's office mind you.

[SycamoreGuy]

Doubtful it was propofol. Way to short acting and very doubtful he could get credentialed to use propofol in an army clinic.

Most likely a combination of versed/narcotic. Very dangerous if he did do that.

All I know is that I was out before the syringe was empty and the next thing I remembered was being rolled out to the car (wife was there to drive me home). Not that it makes a difference but it was a she not a he.

[nomadcrna, DNP, CRNA, NP]

Because he is doing the procedure and there is no qualified person managing the patient. It is bad practice to do both with either deep or general anesthesia. That is why there are deaths in dental offices every year from lost airways.

I know it is an oral surgeon's office, many of them have anesthesia providers come and do anesthesia for them. The issue is when the oral surgeon tries to do both. As long as there is a qualified anesthesia provider at the table, i'm ok with it.

I doubt any anesthesia provider would disagree with me.

[NurseKitten, MSN, RN]

I sure don't disagree with the concept of one actually doing the surgery and anesthesia being responsible for the monitoring. Have seen this time and again not only with this concept in dental, but endoscopy, cardiac caths, etc. Have seen too much, too many things happen.

[Kitesurfing bum]

http://temecula.patch.com/articles/man-dies-following-dental-surgery-in-temecula

Makes you wonder what the outcome would have been with an anesthesia provider who wasn't the oral surgeon.

Edit... Sorry, just noticed this was posted in a previous thread.