730 Sunrise Ave.
Roseville, CA 95662
Luke & Amanda at ER Training
Dr. Metro checks for an IV site.
Monitoring & Supplemental Oxygen
Keep Calm & Snore On
We provide IV sedation for patients to help them relax during surgery.
IV sedation provides many benefits to patients who are nervous about their wisdom tooth removal. It is safe and effective and we have seen great results with patients who say the whole procedure was much 'better' than they anticipated!
IV Sedation vs. Oral Conscious Sedation
With IV sedation, sedatives are administered intravenously through a port placed with a very small catheter in
your arm. Oral conscious sedation involves a patient swallowing a sedative in pill form. These pills are usually diazepam or lorazepam, which relax you, but don't necessarily put you to sleep. IV sedation is able to put patients in a deeper sleep and we often prescribe diazepam or lorazepam to take before hand to help you sleep the night before and relieve anxiety the morning of surgery. IV sedation takes effect much faster than
oral conscious and is more predictable because the drugs are not going through the digestive system first.
We tailor the combination and dosage of drugs used to suit each individual patient's needs. Midazolam is used as a sedative and fentanyl, hydromorphone or demerol are used to manage pain. (These are the same drugs that are often used for procedures such as colonoscopies and endoscopies.) Once the patient is asleep, Dr. Metro administers local anesthetic as well to make sure no pain is felt. These local anesthetics and pain killers will last for a few hours after you leave, giving you time to settle in a comfy spot at home and get your post-op meds on board.
Patient safety is our top priority and we take every precaution to ensure everything goes smoothly.
Dr. Metro is certified in Advanced Life Support (CPR, AED & ER Meds) as well as Advanced
Airway Support. All surgical assistants are certified in Basic Life Support (CPR & AED), and the
entire team participates in monthly ER training.
During surgery every patient is connected to a monitor
which reads for three different vital signs: blood pressure,
heart rate/pulse and blood oxygen level. We support
patients with supplemental oxygen as an extra safety
measure. Dr. Metro is present throughout the entire
surgery with two surgical assistants to help support the
patient's jaw and airway. Because extractions are the vast
majority of what we do on a daily basis, we have been able
to develop a system that provides for maximum safety
through repetition and excellent communication.
What to Expect
If necessary, you will take a pre-med to help you relax the night before and the morning of surgery.
Dr. Metro will place the IV, usually in your arm (inside of elbow) and administer the drugs. You will
start to feel sleepy very quickly and many patients even start to snore! Depending upon your
individual needs, the surgery typically takes no longer than 15 to 30 minutes. You will start to wake
up once the extractions are finished and we will monitor you until you are awake, aware and
ambulatory. We'll give you a ride to your car in our awesome wheelchair and you'll be on the road