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Local Anesthesia or Deep Sedation Anesthesia?

If you are less than 11.4 weeks, you may choose to have the abortion with local anesthesia or you may choose to have deep sedation anesthesia. Most patients prefer the deep sedation anesthesia because it provides a high degree of comfort during the procedure. In other words, you will not experience pain during the abortion procedure.You can discuss the pros and cons with your counselor.

Local Anesthesia

If you choose a local anesthesia, the doctor will inject the cervix, the opening of the uterus, with medication in order to numb the area. The medication is similar to the medication used by the dentist to numb your mouth. This will help with the dialation phase of the abortion. You would, however, be completely awake and able to feel the abortion as it is being done-a 3 to 5 minute procedure. Some patients are able to tolerate the discomfort relatively well but some patients may not tolerate the discomfort very well and may feel that it is painful.

Deep Sedation Anesthesia

If you choose the deep sedation, the certified registered nurse anesthesist will give the medication to you in the vein of the arm or the hand.You will become very relaxed and sleepy. A combination of drugs will keep you asleep and comfortable during the procedure.

Here is a list of the medications for deep sedation which are used in various combinations at the discretion of the nurse anesthesists.

Anesthetic agents: Brevital, Atropine, Inapsine, Fentanyl and Versed

Risks and Complications due to Anesthesia

Please always inform us about any medications or drugs you are currently taking or have taken in the past. When certain drugs are combined in the body; there can be dangerous reactions. Inform us about any reactions to anesthesia you may have had in the past. This is very important! A history of drug or alcohol abuse may have damaged your vital organs such as the heart, liver or kidneys. This could have an effect on your ability to tolerate the anesthesia.

It is possible to have an adverse reactions to anesthesia. Complications and risks of general anesthesia include but are not limited to: difficulties with the lung, heart, liver or nerve functions. Serious illness, additional surgery and even death may result from the complications of gereral anesthesia.

Although a discussion of these complications and risks is necessary for your informed consent, it is quite rare to have serious problems with anesthesia.


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