Anesthesia:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia, Pa.
Saunders
2013
|
| Series: | Oral and maxillofacial surgery clinics of North America
25,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | VIII S., S. 342 - 536 Ill., graph. Darst. |
| ISBN: | 9780323186124 |
Staff View
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Record in the Search Index
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Contents
Preface: Anesthesia
ix
Paul J. Schwartz
The Development of Anesthesiology in Oral and Maxillofacial Surgery
341
Daniel L.
Orr
II
No legitimate history of anesthesiology can exclude the contributions of American
dentistry. Similarly, no history of anesthesiology in dentistry can exclude the contri¬
butions of oral and maxillofacial surgery
(OMS).
Many contributions of
OMS
to the art
and science of anesthesiology have been singular, cutting edge when introduced,
have stood the test of time, and have subsequently been universally incorporated
into the general discipline. The process continues to this day with regard to the
innovations and refinements
OMS
has proffered to the control of anxiety and pain.
This article offers a brief review of some of these gifts.
Determining the Appropriate Oral Surgery Anesthesia Modality, Setting, and Team
357
Michael J. Stronczek
This article reviews the anesthesia modalities available to the practicing oral and
maxillofacial surgeon, including the anesthesia TEAM makeup. If office-based anes¬
thesia is not the best option for the patient, alternative locations are discussed
including out-patient surgery centers and hospitals. The American Association of
Oral and Maxillofacial Surgeons (AAOMS) has fought long and hard to establish
and maintain our ability to provide office-based anesthesia. This is our Standard
of Care!
Preoperative,
Intraoperative,
and Postoperative Anesthesia Assessment and
Monitoring ¡n Oral Surgery
367
Paul G. Sims
This article discusses the general methods used to assess patients before, during,
and after operative procedures, sedation, or general anesthesia by the oral and
maxillofacial surgery team. The details about specific disease processes will be dis¬
cussed in other articles. These methods and modalities are not standards, but are
commonly used in offices and clinics in the United States where sedation and anes¬
thesia are provided.
Anesthesia Equipment for the Oral and Maxillofacial Surgery Practice
373
William L. Chung
The physical design of an oral and maxillofacial surgeon s office is highly individual¬
ized and unique. Every office must incorporate certain essential equipment and fea¬
tures to safely deliver office anesthesia, regardless of the scope of anesthesia
services provided. Furthermore, the office design and anesthesia armamentarium
must take into account patient safety and comfort. This article discusess the neces¬
sary elements, ranging from preanesthesia assessment forms and
intraoperative
records to office design, anesthesia monitors, and equipment related to the safe
and successful administration of office-based anesthesia by oral and maxillofacial
surgeons and their staff.
Contents
Adult Airway Evaluation in Oral Surgery
385
James C. Phero, Morton B. Rosenberg, and Joseph A. Giovannitti Jr
Patients with a history of difficult intubation or with conditions associated with diffi¬
cult airway should be approached with organized primary and secondary plans for
airway management. When these potential problems are detected, patient safety
may be improved with use of advanced airway management techniques and equip¬
ment. Additionally, patient referral for consultation and/or management at facilities
where advanced airway management practitioners and equipment are available
may be beneficial in some cases.
Management of Allergy and Anaphylaxis During Oral Surgery
401
Morton B. Rosenberg, James C. Phero, and Joseph A. Giovannitti Jr
Minor and major allergic reactions occur during oral and maxillofacial treatment.
Immediate diagnosis and
pharmacologie
intervention are imperative. Signs and
symptoms may be variable. The early administration of epinephnne is critical.
Common Medical Illnesses that Affect Anesthesia and Their Anesthetic Management
407
Ravi Agarwal, Michael H. Porter, and George Obeid
Patients undergoing an office-based anesthetic require a thorough preoperative
evaluation to identify medical illnesses and undertake appropriate investigations
or studies. This article addresses common medical illnesses seen in oral surgery
offices and provides insight into their anesthetic management, concentrating on
open-airway office-based anesthesia.
Pharmacology of Intravenous Sedative/Anesthetic Medications Used in Oral Surgery
439
Joseph A. Giovannitti Jr
This article provides an overview of historical and current sedative agents available
to the dentist anesthetist. The surgeon is given rational choices for sedation and the
individualization of drug selection for each patient. Total intravenous anesthesia is
becoming increasingly popular for dental sedation because of the availability of
ultra-short-acting drugs and computerized infusion technology. Levels of sedation
are more easily achieved and maintained, and recovery is enhanced, which gives
the operator extreme, moment-to-moment control of the anesthetic experience
and improves patient outcomes.
Pharmacology of Local Anesthetics Used in Oral Surgery
453
Joseph A. Giovannitti Jr, Morton B. Rosenberg, and James
С
Phero
This article provides a comprehensive review of the pharmacology of local anes¬
thetics as a class, and provides details of the individual drugs available in dental
cartridges. Maximum recommended doses of local anesthetics and vasoconstric¬
tors are presented for healthy adult and
pediatric
patients, and for patients with
cardiovascular system impairments. Various complications and reasons for failure
of local anesthesia effectiveness are discussed, and current and future trends in
local anesthesia are presented to provide an overview of current research in local
anesthesia.
Pediatric
Sedation and Anesthesia for the Oral Surgeon
467
David W. Todd
Even simple oral and maxillofacial surgical procedures can become challenging
when the child patient has a high degree of fear and anxiety. This article reviews
Contents
differences in anatomy and physiology between the adult and
pediatric
patient, pre-
anesthetic assessment, fasting guidelines, and choices of sedation routes, and dis¬
cusses equipment options for the management of
pediatric
anesthesia. After
reflection on these topics and based on training and experience, oral and maxillofa¬
cial surgeons can decide the ages of patients, medical comorbidities, and tech¬
niques with which they are comfortable in performing surgery
m
their offices in
a safe and effective manner.
Respiratory Anesthetic Emergencies in Oral and Maxillofacial Surgery
479
Daniel J. Gesek Jr
Respiratory anesthetic emergencies are the most common complications encoun¬
tered during the administration of anesthesia in both the adult and
pediatric
popula¬
tions. Regardless of
lhe
depth of anesthesia, a thorough review of the patients
health history, including the past medical history, edication list, prior anesthesia his¬
tory, and complex physical examination, is critical in the promotion of safety in the
oral and maxillofacial surgery office. The effective management of respiratory anes¬
thetic emergencies includes both strong didactic and clinical skills.
Cardiovascular Anesthetic Complications and Treatment in Oral Surgery
487
Edward C. Adlesic
Perioperative
hypertension is a common problem. If hypertension is left untreated in
patients at risk, infarctions and stroke are possible. There are limited choices of
antihypertensive agents for the office. Aggressive antihypertensive therapy is not in¬
dicated because most of the episodes seen in the office are hypertensive urgencies
and not emergencies. Hypotension is usually managed by decreasing the depth of
anesthesia, intravenous fluids, and then vasopressors, typically ephedrme or phen-
ylephrme. Consider treatment of hypotension whenever the mean arterial pressure
decreases less than
60
mm Hg.
Anesthetic Emergencies in Oral Surgery: Malignant Hyperthermia, Endocrinopathy,
and Neurologic Events
507
Andrew Herlich
Despite the impressive safety of office-based anesthesia, serious emergencies still
occur. Early and appropriate treatment is likely to improve outcomes. This article
discusses selected emergencies with backgrounds and rationale for emergent
treatment.
Managing the Untoward Anesthetic Event in an Oral and Maxillofacial Surgery
Practice
515
Steven I. Kaltman, Michael Ragan, and Osbel
Borges
The safe and efficient use of outpatient surgical anesthesia modalities is a significant
part of the training and expertise of the oral and maxillofacial surgeon. Although
adverse outcomes are rare, they can have considerable traumatic psychological
and professional consequences for the surgeon involved. The goal of this article is
to develop guidelines to educate the doctor, the second victim, on how to manage
a bad outcome and how to navigate through a difficult and arduous process.
Index
529
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| isbn | 9780323186124 |
| language | English |
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| physical | VIII S., S. 342 - 536 Ill., graph. Darst. |
| publishDate | 2013 |
| publishDateSearch | 2013 |
| publishDateSort | 2013 |
| publisher | Saunders |
| record_format | marc |
| series | Oral and maxillofacial surgery clinics of North America |
| series2 | Oral and maxillofacial surgery clinics of North America Clinics review articles |
| spelling | Anesthesia ed.: Paul J. Schwartz Philadelphia, Pa. Saunders 2013 VIII S., S. 342 - 536 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 25,3 Clinics review articles Anästhesie (DE-588)4001833-7 gnd rswk-swf Anästhesie (DE-588)4001833-7 s DE-604 Schwartz, Paul J. Sonstige oth Oral and maxillofacial surgery clinics of North America 25,3 (DE-604)BV002758944 25,3 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026225821&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Anesthesia Oral and maxillofacial surgery clinics of North America Anästhesie (DE-588)4001833-7 gnd |
| subject_GND | (DE-588)4001833-7 |
| title | Anesthesia |
| title_auth | Anesthesia |
| title_exact_search | Anesthesia |
| title_full | Anesthesia ed.: Paul J. Schwartz |
| title_fullStr | Anesthesia ed.: Paul J. Schwartz |
| title_full_unstemmed | Anesthesia ed.: Paul J. Schwartz |
| title_short | Anesthesia |
| title_sort | anesthesia |
| topic | Anästhesie (DE-588)4001833-7 gnd |
| topic_facet | Anästhesie |
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