aneszteziológus szakorvos

Dr. Piroska Nádudvari

Anesthesiologist specialist

Already during my studies I was interested in acute medicine, so I started working as an anaesthetist and intensive care physician at Siófok Municipal Hospital.

Since then I have worked in several hospitals as an intensive care physician and in private health care as an anaesthetist.

I have been performing sedation in dental and oral surgery for 12 years.

One of my specialities is sedation but what is this exactly?

There is a growing need for pain-free procedures.

One of the areas where this can be done effectively is dentistry and oral surgery. When intratracheal anaesthesia is not required, sedation is the alternative. The idea is to give the patient a superficial anaesthetic in which vital functions - breathing, circulation - are not affected, but the patient has no significant memory of what has happened and no unpleasant experience is left behind. It is important that the patient is communicative at all times, understands the instructions and follows them. A particularly important group of patients with the tendency to throw up due to a pronounced gag reflex may have limited or no opportunity to undergo dental procedures. It can also be used for mentally handicapped patients, children/ e.g. autistic, patients with Down syndrome/ All procedures can be done this way, but it is highly recommended for longer oral surgery procedures.

Sedation begins with a puncture of a peripheral vein, this is the only pain the patient "experiences". The drugs - mainly propofol and midazolam - are then injected into the vein to initiate sedation and maintained by a drug pump. Meanwhile, the patient's vital signs are monitored (pulse, oxygen saturation, blood pressure). After the procedure, the patient is awakened within a few minutes and discharged home with instructions.