Anesthesia Services
At GMC Anesthesia, we bring safe, hospital-level anesthesia care directly to your practice. Led by Gram M. Cotton, DNAP, MBA, CRNA, NSPM-C, APNP, we specialize in mobile, office-based anesthesia services for dental and outpatient clinics across Wisconsin and Minnesota.
Our mobile approach allows patients to receive care in familiar surroundings while giving providers the support and equipment needed to perform procedures safely and efficiently — without the limitations of a hospital setting.
We partner with dental offices, oral surgery practices, and ambulatory surgical centers to deliver personalized anesthesia care that enhances patient comfort, reduces anxiety, and ensures safety at every step.
Our Anesthesia Services
Below is an overview of the anesthesia services we provide. Each links to a detailed page explaining how the service works, when it’s used, and what patients can expect.
Local Anesthesia:
Local anesthesia numbs a small, specific area — such as a tooth or section of skin — so treatment can be completed comfortably while the patient remains awake.
“Gram brought a sense of calm to a very stressful situation. Our special needs son needs anesthesia before dental treatment, and Gram made the process easy for both him and us.” – ⭐⭐⭐⭐⭐ Bert Cattoni
Monitored Anesthesia Care (MAC) and IV Sedation:
MAC and IV sedation combine pain management with relaxation, allowing patients to stay comfortable while breathing on their own. Ideal for outpatient procedures performed in-office.
“I have had the good fortune to work with Gram for the past 4–5 years. He has a great chairside manner and has consistently provided high-quality care for our patients.” – ⭐⭐⭐⭐⭐ Dr. Vijay Parmar
Learn more about Monitored Anesthesia Care and IV Sedation.➔
Regional Anesthesia:
Regional anesthesia numbs a specific part of the body, such as an arm or leg, while patients remain awake and comfortable. It provides excellent pain control for longer procedures and is easily performed in a mobile, office-based setting.
“Gram was very professional the entire time and is a top-notch anesthesiologist! Great bedside manner, efficient, and attentive to every detail.” – ⭐⭐⭐⭐⭐ Dr. Kurt Walejko
General Anesthesia:
General anesthesia provides complete unconsciousness and pain control for complex or lengthy procedures. Delivered through IV or inhalation, it’s safely managed in your office with full monitoring and recovery oversight.
“Gram is a superlative practitioner. His bedside manner is phenomenal and truly sets patients who are apprehensive at ease.” – ⭐⭐⭐⭐⭐ Dr. James Hamman
Ultrasound Guided IV Access:
Ultrasound-guided IV placement ensures quick, accurate access for patients with difficult veins, preventing delays and reducing discomfort during in-office procedures.
“The care Gram provides is truly 5-star. His skills are matched by compassion and professionalism, putting patients and providers at ease.” – ⭐⭐⭐⭐⭐ Scott Hoyer
Pediatric Anesthesia:
Children require specialized care when it comes to anesthesia. Our pediatric anesthesia services are designed to keep young patients safe, comfortable, and calm during dental or outpatient procedures. With experienced CRNAs, hospital-grade monitoring, and family-focused communication, we deliver trusted in-office anesthesia care for children across Wisconsin, Minnesota and beyond.
“The absolute BEST!!! Such a calm demeanor, amazing with kids and adults!” – ⭐⭐⭐⭐⭐ Tessabella Arellano
High-Anxiety & Trauma-Informed Anesthesia Care:
Patients with severe dental anxiety, prior procedural trauma, or difficulty tolerating treatment often require structured sedation planning beyond standard approaches. GMC Anesthesia provides office-based IV sedation and general anesthesia tailored for high-anxiety patients, allowing dental and oral surgery practices to safely manage complex cases while maintaining predictable workflow and monitoring standards.
“Absolutely love this anesthesia provider! So kind, compassionate and caring. Awesome with children, and very knowledgeable. Can’t say enough good things.” – ⭐⭐⭐⭐⭐ Kim Arellano
Learn more about High-Anxiety & Trauma Informed Dental Anesthesia. ➔
Special Needs & Neurodiverse Anesthesia Care:
Patients with developmental disabilities, sensory sensitivities, or complex medical needs require individualized anesthesia planning. GMC Anesthesia partners with dental and oral surgery practices to deliver structured, office-based sedation and general anesthesia that supports safe case completion while maintaining hospital-level monitoring in a familiar clinical setting.
“We have been working with Gram for over a year now and it’s been an absolute pleasure. He is a fantastic CRNA-extremely professional and personable with our patients. We have been doing sedation dentistry for years at our office and he’s by far the best!” – ⭐⭐⭐⭐⭐ Forte Dental
Learn more about Special Needs & Neurodiverse Anesthesia Care ➔
Mobile, Office-Based Expertise
Every GMC Anesthesia service is delivered onsite at your practice with all necessary equipment, monitoring, and medications. This mobile model allows your team to focus on treatment while we handle every aspect of anesthesia administration and recovery — giving patients hospital-grade safety with the convenience of in-office care.
Monitoring & Safety
All patients are continuously monitored for vital signs, airway stability, and comfort throughout each procedure. Our protocols meet or exceed hospital standards, ensuring safe anesthesia delivery and smooth recovery in an outpatient setting.
Benefits of Mobile Anesthesia
- Reduces patient anxiety by eliminating hospital transfers
- Keeps procedures in the office environment patients know and trust
- Allows practices to expand available services
- Minimizes scheduling delays and improves efficiency
- Ensures consistent care under an experienced CRNA
Discussing Your Anesthesia Plan
Before every procedure, Gram Cotton and his team personally review each case, considers the patient’s medical history, and designs a customized anesthesia plan.
If you have questions about anesthesia options for your practice or your patients, we invite you to contact us. Your safety, comfort, and confidence remain our top priorities.
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