Anesthesia Anesthesia protocol 

At Nevada Sinus Relief, it is a priority to provide our patients with a pleasant experience during his or her  procedure.

We have developed an anesthesia protocol to deliver excellent local anesthesia for all sinus and nasal cases.  In fact, Dr. Sikand was invited to publish and describe our anesthesia techniques in the widely circulated publication “Techniques in Otolaryngology-Head and Neck Surgery”.  Since then, we have further refined our techniques to provide optimal comfort and safety during all procedures.

” I had sinus surgery in the office twice because of nasal polyps that keep coming back.  Only injections  were  done the first time. I definitely felt those and had some minor pain during the surgery.   The second time, I felt nothing since Dr. Sikand used the numbing gel.  It was much better this go around.” – Marilyn B.


Before arriving to the office

To help prevent nausea, our patients are instructed to take a small dose of Benadryl (50mg) two and a half hours before they arrive to the office. In some cases, Dr. Sikand may prescribe an anti-nausea medication instead.  Two hours prior to the procedure, a short acting Valium-like medicine called lorazepam is taken.  These two medications can cause drowsiness, therefore someone should drive you to and from the office.  It is also recommended that a light meal be eaten before taking them.

what happens during the numbing process?

Using the anesthesia system described below, we’ve been able to perform over a thousand sinus procedures in the office successfully and comfortably for our patients. In addition, the usual side effects of general anesthesia including nausea, vomiting, and discomfort from IV’s do not occur.  This protocol typically takes 15-20 minutes.

nasal endoscope or “telescope”  is used to visualize the areas within the nasal cavities where the procedure is to be performed.

  • The first phase of anesthesia involves using a topical anesthesia mist that is sprayed in the nose.
  • Next, a specially-developed anesthesia gel is instilled and spread over the nasal tissue.  This gel is similar to the topical numbing gel that is used at a dentist’s office.
  • After that, small pledgets (a small wad of absorbent cotton) are placed near the sinus openings.  These pledgets have a different type of numbing medicine coating them.
  • Once those are placed, a small amount of local anesthesia is injected.  This results in numbness of the sinus cavities as well as other structures including the turbinates and nasal septum.  Because the area is already numb from the anesthetic gel and medication on the pledgets, patients do not feel the injections.

how long does the numbing medications last?

The numbing medications can cause temporary numbness in the mouth including the roof of the mouth and teeth.  It can also cause a sensation that something is stuck in your throat when swallowing.  These sensations typically last about 1-3 hours.  We recommend eating popsicles or let ice chips melt in the mouth to help soothe the throat until normal swallowing returns.  Food and beverages should be avoided until this goes away.