Each patient has pre-operative blood and urine testing and, if indicated, radiographs. Then an individualized anesthetic protocol is set up for each patient.
We are very proactive with pain control. All patients receive preanesthetic analgesics and sedatives, have catheters placed, and receive fluids. Many receive continuous intravenous infusions of opiods and morphine epidurals. All receive local anesthetic.
Most patients are intubated and maintained on gas anesthesia. All patients are closely monitored throughout surgical preparation, surgery itself, and post-op recovery.
We monitor pulse, respiration, temperature, EKG, blood pressure, CO2 and O2 levels. In addition, all patients are monitored visually — blink reflex, jaw tone, strength of pulse.
Following surgery, all patients receive a series of post-operative injections for pain and anxiety and go home from the hospital with oral pain medication.