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Anesthesia question for ingrown toenail removal

Discussion in 'Ask your questions here' started by Aimee, May 18, 2017 at 10:43 PM.

  1. Aimee

    Aimee New Member


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    Hello! I have an almost 12-year-old daughter who has Autism and needs to have an ingrown toenail permanently removed due to a strong family hx of ingrown toenails. She is currently on Bactrim for a staph infection of that big toe. We saw a podiatrist yesterday who wants to put her under general anesthesia to remove the nail in a hospital setting. I am very uncomfortable with general anesthesia for a simple out pt procedure. I find it risky, expensive and invasive. My daughter's pcp said all she needs is a "happy drug" to relax her during the procedure. With your expertise in this area can you offer your thoughts or suggestions or any less invasive alternatives to general anesthesia? Thanks so much for your time and help, I really appreciate it!
     
  2. I've had ingrown toe nails surgically removed several times using local anesthesia. Please don't be offended when I say the only worse pain is getting perineal area injections when NOT distracted by having a baby! Getting a toe tournequet followed by very painful injections, on the sides of the toe into the nerves, will probably create a refusal to ever have it redone if necessary (there are no guarantees it'll be permanent). I've had many surgeries over meany years and I'm pretty pain tolerant. But, I dread having mine done! I definitely think, with your daughters autism (and I'm assuming a pretty functional state), she should have at least a twilight sedative. If she's not so functional, she might need more. I'm not sure how much nitrous oxide (laughing gas) would help. But, there are meds to relax her and cause amnesia of what she hears or might feel.
     
  3. Aimee

    Aimee New Member

    Thank you so, so much for responding to my question! I really appreciate it! You've been a tremendous help! Have a wonderful weekend!
     
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