Anesthesiology/Anesthetic Concerns of Upcoming Oral Surgery
Hi, I'm 15 years old and having all four of my wisdom teeth extracted Monday morning. I have a few concerns about the anesthesia to be administered. At my consultation, I requested that my oral surgeon use Propofol, as it is the only general anesthetic I have been administered in the past, therefore I know I tolerate it quite well. I also requested two doses of Valium for my extensive anxiety about surgical procedures. I am supposed to take the first dose of Valium before I go to sleep the night before the procedure and the second dose an hour before the procedure takes place.
I am curious if Propofol and Valium, when used together, may heighten the risk of serious complications during the procedure.
For your age, generally not. Valium, in elder populations, has a longer half-life, so patients stay sedated longer and can have respiratory problems. IN young people, this is not the case. It is not uncommon to give a sedative pre-procedure as in your case. As long as your oral surgeon is trained in the use of Propofol, you should have no worries.
Ronald Levy, MD
Professor of Anesthesiology