Anesthesia question for ingrown toenail removal

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.

 

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