2711 N. Duke Street   Durham, NC 27704


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Duke Oral Health

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DSPD Safety Protocol

Questions about General Anesthesia


Who should receive general anesthesia?

Children with severe anxiety and /or the inability to relax are candidates for anesthesia.  Usually, these children are young or have compromised health issues, helping them control their anxiety is not possible using

other methods.


Is general anesthesia safe?

YES! In addition, to ensure the best possible care of your child, Dr. Keels requests that all of their general anesthesia cases be covered by pediatric anesthesiologist.  The anesthesiologist is the doctor who is responsible for delivering the general anesthesia, monitoring and medical care of your child while he/she is unconscious.  Many precautions are taken to provide safety for the child during general anesthesia by anesthesia personal who are highly trained to manage complications.  We will discuss the benefits and risks involved with general anesthesia and why it is recommended for your child’s treatment.


What special considerations are associated with the general anesthesia appointment?

Most of the time, your child’s surgery will be done on an “outpatient” basis.  This means they will have their surgery in the morning and be allowed to go home in the afternoon.


Physical examination – is required prior to a general anesthesia appointment to complete dental care. This physical examination provides information to ensure the safety of the general anesthesia procedure. Dr. Keels will advise you about any evaluation appointments that may be requested.


Prior to surgery –Minimal discussion to your child about the appointment will reduce the anxiety. Explain they are “going to go to sleep and when they wake up their teeth will be fixed.”


EATING AND DRINKING - It is IMPORTANT NOT to have a meal or snack past 12:00am before anesthesia. You will be informed about food and fluid intake guidelines at the time of the pre- op appointment.


Changes in your child’s health – If your child is sick or running a fever the day or night before the actually surgery appointment PLEASE CALL OUR OFFICE IMMEDIATELY! It may be necessary to arrange another appointment.


Usually, children are tired following general anesthesia. You may wish to return home with minimal activity planned for the remainder of the day.  The next day can return to their normal everyday routine.