Tooth extraction under sedation, minor oral surgery, sedation, general anesthesia
Minor procedures like extraction: if child i give ketamine,if adult i give small dose fentanyl with midazolam,then the dentist will give local anesthesia and everything will be fine. That's my own practice i would like to share with you.
Alok,
In my opinion it is irrational to combine propofol with benzodiazepines, I would choose propofol and opioid (ex remifentanil).
I think it is rational to pump low doses of propofol combined with local anesthesia.
One or the other (or Ketamine), but not both. Propofol wears off much quicker.
I would suggest propofol only intermittently ,because dentist will infiltrate the field with local anaesthetic.
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