Hello. Im having a revision rhinoplasty soon. My doctor suggested that he uses IV deep sedation instead of General Anaestasia. He said that my recovery will go smoother that way. I showed my concern and mentioned that I'll do some research before I decide on which to go for. Is it true that the anestasiologist will have a better chance of rescuing the patient if he/she were under general anaestasia and stopped breathing because the anestasiologist would have control of the patient's airway? Ty!!
July 23, 2014
Answer: Anesthesia for rhinoplasty When performing the rhinoplasty procedure, it is important to control the airway to prevent blood running down the back of the throat during the surgical procedure. The recovery time from a deep IV sedation versus a light general anesthesia is approximately the same. In our office, we use board certified physician anesthesiologists for patient safety and comfort. We also perform the surgery in a state licensed and Medicare certified outpatient surgery Center
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July 23, 2014
Answer: Anesthesia for rhinoplasty When performing the rhinoplasty procedure, it is important to control the airway to prevent blood running down the back of the throat during the surgical procedure. The recovery time from a deep IV sedation versus a light general anesthesia is approximately the same. In our office, we use board certified physician anesthesiologists for patient safety and comfort. We also perform the surgery in a state licensed and Medicare certified outpatient surgery Center
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Answer: Deep Sedation versus General Anaesthesia Revision Rhinoplasty Dear JLlulish, In general, a rhinoplasty surgery that involves a fracturing of the nasal bones is most safely performed with a fully certified anaesthesiologist protecting your airway and lungs from backward flow of blood from the rhinoplasty procedure, either from the broken bones or from work on your breathing passages and septum. Occasionally small enhancement rhinoplasty or primary rhinoplasty procedures of the nasal tip can be performed under a light IV sedation; even local anaesthesia and oral sedation with very little risk of retrograde flow of blood. However, for any kind of extensive enhancement rhinoplasty surgery, it has generally been my approach to have an anaesthesiologist present who will administer any IV or general anaesthesia as well as protect your airway with a special kind of tube that has an inflatable balloon that protects you from retrograde flow of blood. Certainly, if you were to have some sort of medical complication or anaesthetic complication, a fully-certified anaesthesiologist is in the best position to ensure your safety. The best course of action would be to return to your operative rhinoplasty surgeon and discuss your concerns of IV sedation versus general anaesthesia and the importance of having an anaesthesiologist present. I trust this advice is of some use and best of luck. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
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Answer: Deep Sedation versus General Anaesthesia Revision Rhinoplasty Dear JLlulish, In general, a rhinoplasty surgery that involves a fracturing of the nasal bones is most safely performed with a fully certified anaesthesiologist protecting your airway and lungs from backward flow of blood from the rhinoplasty procedure, either from the broken bones or from work on your breathing passages and septum. Occasionally small enhancement rhinoplasty or primary rhinoplasty procedures of the nasal tip can be performed under a light IV sedation; even local anaesthesia and oral sedation with very little risk of retrograde flow of blood. However, for any kind of extensive enhancement rhinoplasty surgery, it has generally been my approach to have an anaesthesiologist present who will administer any IV or general anaesthesia as well as protect your airway with a special kind of tube that has an inflatable balloon that protects you from retrograde flow of blood. Certainly, if you were to have some sort of medical complication or anaesthetic complication, a fully-certified anaesthesiologist is in the best position to ensure your safety. The best course of action would be to return to your operative rhinoplasty surgeon and discuss your concerns of IV sedation versus general anaesthesia and the importance of having an anaesthesiologist present. I trust this advice is of some use and best of luck. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful