The use of the conscious inhalation sedative nitrous oxide has a long history of success and safety in the dental office provided that supplemental oxygen is administered. Nitrous oxide-oxygen inhalation sedation has a rapid onset and recovery, provides varying degrees of analgesia, and has minimal respiratory, cardiovascular, and other adverse effects. This is likely the [...]
In the recovery room, the patient remains in the same position and is given oxygen through a ventimask and is monitored until the patient is able to respond to commands. During this period, the most common problems are airway obstruction and bleeding. Before discharging from the recovery room, the patient is made comfortable. If the [...]
The patient is brought to the theater on a tilting trolley with the head on a pillow. The patient is properly positioned on the trolley with the head at the end of the trolley and shoulders on the edge of the pillow. Noninvasive blood pressure, ECG, and oxygen saturation monitoring are commenced. Preoxygenation of the [...]
As for any other operation, significant past medical history, drug history, allergies, and past anesthetic history are recorded. Respiratory and cardiovascular systems and any other related systems are examined. Hb, blood picture, and biochemistry, ie, electrolytes and urea, assessments and an ECG, as a baseline, are carried out as routine investigations.
In: Anesthesia
23 Feb 2010Orthognathic surgery is a type of orthopedic surgery that has gained wide popularity in maxillofacial surgery. Here the maxilla, mandible, or both are sectioned into pieces and are reassembled with plates or wires to improve the facial appearance, to improve the occlusion of the teeth, or for both. The maxilla, mandible, or both may be [...]
In: Anesthesia
22 Feb 2010Smoking is an addictive process. The sensation of drawing smoke into the mouth and the effect of nicotine provides smokers with satisfaction. Acute withdrawal may result in increased anxiety, sleep disturbances, and irritability.
In: Anesthesia
21 Feb 2010In moderate or heavy smokers, the forced expiratory volume-/second (FEV-l) is reduced following spinal anesthesia above T10. Also, the forced midexpiratory flow and the forced expiratory flow are markedly reduced. Thus, for prevention of accumulation of secretions in small airways, it is advised that patients be in structed to frequently take deep breaths and cough [...]
Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.