Anesthesia & Pain services

What to expect during your appointment with the Dentist and Dr. Trautman.

 

Your Appointment


Pre-Anesthesia Instructions:

Eating and Drinking:
It is extremely important that your child have an empty stomach at the time we administer anesthesia. Vomiting of food during anesthesia may be dangerous. For this reason, on the day of the procedure, your child must not have any food, milk, or other solids for at least 8 hours prior to the procedure. If your child eats, the procedure will need to be rescheduled. Clear liquids are allowed up to three hours before the scheduled appointment. For example, if the appointment is at 9:00 a.m., your child may have clear liquids until 6:00 a.m., but not after that time. You must supervise your child constantly on the day of the appointment to make sure that he or she does not eat. Do not leave your child unattended or send him or her to school or day care.

Illness: Minor illnesses such as sniffles and colds may cause problems during some types of surgery and anesthesia. If your child develops a cough, nausea or fever, please call the dental office and discuss this with them. If necessary, they will contact us to discuss the child’s condition with you and determine if we can safely proceed. Medications: Please inform our office staff of any medications your child is currently taking. Most medications should be taken as usual on the day of your child’s appointment with sips of water, but all medications need to be discussed with our office.

Clothing: We recommend loose fitting, easily removed clothes for the dental procedure. The shirt layer closest to the skin should be short sleeved. Please bring a change of clothing and a warm blanket. If appropriate, have your child
wear a diaper and bring an extra one. If they have a favorite toy or stuffed animal they are encouraged to bring that along.


The Day of Surgery Dr.

Trautman and/or one our registered nurses will meet with you to review your childís medical and anesthesia history and answer further questions you may have. After all questions are answered you will be asked to sign an informed consent for the administration of anesthesia to your child. Your child will be given a sedative medication to reduce their stress and anxiety level. This will generally take effect in about 10 minutes during which time you should observe your child carefully so that he or she does not injure him or herself while under the influence of the sedative.

Can I be present while my child is put under anesthesia? Yes, a parent or guardian may be present during the initial administration of anesthetic while your child goes to sleep. Having the parent present helps calm and reassure the child.

Do I need to stay while my child is having the procedure? At least one parent or legal guardian is required to remain at the facility during surgery and recovery. A parentís presence can provide a great source of comfort in the recovery area.

What happens during the procedure? After the sedation medication has taken effect, your child will be taken back to the operative area. Dr. Trautman will attach the monitoring equipment, and have your child breathe in a mixture of oxygen and anesthetic gas to drift off to sleep. He will then place an intravenous line after your child is asleep. A breathing tube will be inserted to ensure that your childís airway is protected, and to ensure that your child receives adequate oxygen and ventilation during the procedure. Anesthesia is continued throughout your childís surgery. Dr. Trautman is constantly monitoring breathing, heart action, blood pressure and for unexpected events. Dr. Trautman is continuously with your child from the time they go to sleep until the time they are awake. At the end of the procedure, the anesthetic gases will be discontinued and the airway tube removed as your child wakes up. She/he will then be taken to a recovery area with one of our highly trained registered nurses.

What can I expect after the operation until my child goes home? Emergence from anesthesia can be a stressful period. Minor effects after anesthesia such as agitation, drowsiness, dry throat, shivering, occasional headaches and dizziness are common. Nausea may be present but vomiting is less common. Your child may also cry and seek your comfort. You will receive instructions for caring for your child for her or his recovery at home.

Recovery at Home Supervision: Anesthetic medication may cause drowsiness and impaired coordination. Therefore, a responsible adult must directly supervise your child for 12 hours following the anesthesia. Until recovery is complete, allow your child to rest and observe them closely. Eating: Limit oral intake to liquids for the first few hours. Begin with water and follow with clear juice. If teeth were extracted, if possible do not use a straw. Soft food may be consumed following the liquids. If your child is not hungry, do not force him or her to eat, but encourage as much liquid as tolerated.

Questions? Please Contact Us

Dr. Walter Trautman

Phone: 425-263-9449
FAX: 425-263-9441
P.O. Box 7690
Seattle, WA 98177.

Anesthesia & PainServices

We want to make your childs experience as safe and pleasant as possible. If you have any concerns or questions not answered on this website, please do not hesitate to call our office. We are more than happy to help you out in any way we can.

Contact Us:
Phone: 425-263-9449
FAX: 425-263-9441
P.O. Box 7690
Seattle, WA 98177

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