Nuvia for OMS

[osteotomy01]

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Any OMS here work or have worked for Nuvia? It seems like an answer to associate surgeons getting taken advantage of with bottom of the barrel stuff all the time (i.e. ASA 3/4 for single tooth local extractions). It also seems to solve the issues of ClearChoice that push you to sedate ASA 3/4 for long cases since they have a CRNA.

 

[SuxDrugs&Rocuronium]

Off topic but who is sedating an ASA IV in a dental office?

 

[Contach]

Nuvia doesn't push you to sedate ASA 3 patients? How is the model different from ClearChoice?

 

[osteotomy01]

Nuvia doesn't push you to sedate ASA 3 patients? How is the model different from ClearChoice?

My understanding is that Nuvia provides separate anesthesia (CRNA) whereas ClearChoice does not.

 

[Contach]

My understanding is that Nuvia provides separate anesthesia (CRNA) whereas ClearChoice does not.

Isn't that CRNA still practicing under your license? Or are they independent providers? I wouldn't trust someone practicing under my license. I'd rather do the anesthesia myself...
I don't understand...

 

[osteotomy01]

Honestly, I'm not sure how every Nuvia does it. I know of n=1 for Nuvia where a DA is doing the anesthesia (so their license) but I assume that is likely location/site dependent. I would assume CRNA is more likely available. But this is all assumption, was hoping for others to chime in. But I guess all the Nuvia/ClearChoice OMSs are too busy. 🙂

 

[Janos]

Nuvia doesn't push you to sedate ASA 3 patients? How is the model different from ClearChoice?

Perhaps in 2024 they weren't pushing to sedate ASA 3/4, but in 2025 they definitely are.

 

[osteotomy01]

Perhaps in 2024 they weren't pushing to sedate ASA 3/4, but in 2025 they definitely are.

Interesting, sole provider model or is a separate DA / MD anesthesiologist / CRNA being employed?

 

[Janos]

Interesting, sole provider model or is a separate DA / MD anesthesiologist / CRNA being employed?

Separate -- DDS and CRNA.

CRNA operates under surgeon license.

A very risky endeavor if you're not careful.

 

[702]

Separate -- DDS and CRNA.

CRNA operates under surgeon license.

A very risky endeavor if you're not careful.

Riskier than surgeon being the anesthesiologist simultaneously?

 

[unsatisfiedomfs]

Riskier than surgeon being the anesthesiologist simultaneously?

You control your own anesthesia versus someone practicing on their own with your license. Lots of interpersonal relationship dynamics at play too. If I have a CRNA then I would rather leave the care AND risk to them

 

[702]

You control your own anesthesia versus someone practicing on their own with your license. Lots of interpersonal relationship dynamics at play too. If I have a CRNA then I would rather leave the care AND risk to them

That's a valid point. Are you an omfs?

 

[unsatisfiedomfs]

That's a valid point. Are you an omfs?

Just a strongly opinionated OMFS resident, with plenty of respect for my anesthesia colleagues haha

 

[Janos]

Riskier than surgeon being the anesthesiologist simultaneously?

Yes...

Especially if the CRNA is "cowboying" it to appease the corporate bosses and is operating under your license.

 

[SuxDrugs&Rocuronium]

You control your own anesthesia versus someone practicing on their own with your license. Lots of interpersonal relationship dynamics at play too. If I have a CRNA then I would rather leave the care AND risk to them

You could also just use a DA or MD, less liability for you and you don’t have to worry about them practicing under your license and “supervision”

 

[unsatisfiedomfs]

You could also just use a DA or MD, less liability for you and you don’t have to worry about them practicing under your license and “supervision”

Agreed. If I’m going for a separate anesthesia provider it would be a DA or MD.