Oral and maxillofacial surgeons are unique among the surgical specialties with regards to anesthesia training. Like every oral and maxillofacial surgeon, during his residency Dr. Lugakingira received formal anesthesia training with the department of anesthesiology in the hospital. This includes IV sedation, airway management, and intubation techniques. He also received complete training and have current active certifications in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS), and Pediatric Advanced Life Support (PALS). He is also a member of the American Dental Society of Anesthesiology. Our office complies with Indiana state strict guidelines and protocols regarding the administration of anesthesia in the office to ensure patient safety. We only utilize the latest techniques and drugs.
We offer different types of outpatient anesthesia varying from local to general.
Some patients can have their procedures completed using local anesthetic by locally numbing the area. We recommend this technique for simple routine extractions and minor biopsies procedures. It can also be modified with additional nitrous oxide (laughing gas) to relieve your anxiety. It is rarely adequate for surgical extractions or removal of impacted teeth.
Conscious (I.V.) Sedation
Some procedures, due to their nature, requires the use of sedation. Benefits of intravenous sedation include a decrease in anxiety and awareness during surgery, near or total amnesia of the procedure, lack of noise perception and pain. The choice of anesthesia is based upon level of anxiety, complexity of procedure, and patient's medical history. Dr. Lugakingira will discuss with you as to whether in-office intravenous sedation or general anesthesia in a hospital setting is appropriate for you. He has privileges at all the major hospitals in Fort Wayne (Dupont, PRMC, Parkview north, Parkview main, Lutheran, and St. Joe) if need be for your procedure to be performed at the hospital. We however perform the majority of our sedation patients in the office.
Pre-operative instructions for sedation patients:
- If you have an illness such as cold, sore throat, upset stomach/bowels, or fever, please notify our office, preferably prior to your appointment, if not possible then on the day of, prior to your I.V sedation
- Do not have anything to eat after midnight, fluids up to 6 hours prior to surgery
- Unless instructed otherwise by us, please keep taking all your regular medications with a sip of water as prescribed
- Bring an escort with you, who is required to stay in the building during your procedure, and will drive you home
- Wear low-heeled shoes, loose, warm, comfortable clothing to allow easy placement (on you) of our monitors such as BP cuff, EKG leads, and pulse oximeter
- Be informed that we will monitor you for approximately 30 minutes, or more after your procedure
- Make arrangements for your recovery at home
- Do not operate a vehicle or machinery for 24 hours after being sedated
- No smoking for at least 24 hours before surgery. Ideally, cut down or stop smoking as soon as you can prior to the day of surgery
Do you have a serious fear of needles? No problem, just let our nurse know, we will use laughing gas at no additional charge while starting your IV prior to putting you to sleep. During the procedure it is important to note that patients are still given local anesthetic to "numb" the area.
Our goal is to make your surgical experience as pleasant and stress free as possible while maintaining the highest level of safety.
There are several instances where a complete general anesthesia is required. Examples include:
- Lengthy procedures
- Pediatric procedures
- Medically compromised patients
- Severely mentally and physically challenged patients
- Patients with severe dental phobia, etc.
Although we do offer and are capable of performing in-office general anesthesia, we prefer to perform this at one of the major hospitals above for additional logistical support, post-operative care, and patient safety.