Survey of Oral and Maxillofacial Surgeons’ Offices: RESULTS

In: Anesthesia

22 Sep 2009

Less than one third of the offices (32.8%, or 42/128) had at least 1 nurse (Figure 1), and 6 of the 42 nurses did not participate in the anesthesia care (Figure 2). Only 28.1% (36/128) of the offices have their office assistants formally certified through an anesthesia assistant course given either by AAOMS or the American Dental Society of Anesthesiology (ADSA; Figure 3). However, of the assistants who did participate in office anesthesia care, 93% (119/128) had up-to-date basic life support training (BLS; Figure 4). Approximately as a registered nurse or a practical nurse and whether that person was employed full-time or part-time in the practice. In Virginia some surgeons who perform deeper levels of anesthesia (ie, with inhalation agents) or who perform complicated cosmetic surgery do employ a dentist anesthesiologist, physician anesthesiologist, or nurse anesthetist.

Figure 1. Offices with registered nurses

Figure 1. Offices with registered nurses.

Figure 2. Registered nurses

Figure 2. Registered nurses participating on the office anes­thesia team.

Figure 3. Dental assistants

Figure 3. Dental assistants who are certified as anesthesia assistants.

Two questions were directed toward the specific types of certifications completed by the office assistants, namely BLS and office anesthesia assistants’ training. Slightly more than one quarter (28%, or 36/128; Figure 3) of the assistants have taken a formal office anesthesia assistant training program from either the AAOMS or ADSA. The AAOMS and ADSA courses are available as either a correspondence course or an attendance course with a written examination. There was no provision made in the questionnaire to identify which course was attended. buy esomeprazole

Figure 4. Anesthesia assistants

Figure 4. Anesthesia assistants and nurses who are basic life support certified.

Figure 5. Surgeons who are currently

Figure 5. Surgeons who are currently Advanced Cardiac Life Support trained.

The great majority of offices (93%; Figure 4) with assistants who participate in the office anesthesia care have current BLS certification. Although BLS is mandatory according to the AAOMS Parameters and Pathways: Clinical Practice Guidelines for Oral and Maxillofacial Surgery 2001,2 a surprising 7% of the offices were not in conformity, and thus in violation of the “indicated therapeutic standards” listed in the Parameters. Your life is worth living. Buy female viagra online

Figure 6. Offices that have the American Association

Figure 6. Offices that have the American Association of Oral and Maxillofacial Surgeons (AAOMS) emergency manual.

Figure 7. Offices that are equipped

Figure 7. Offices that are equipped with a defibrillator.

Three questions were directed toward surgeon readiness. Slightly less than three quarters of the surgeons (74.2%) did have current ACLS training. The Parameters states, three quarters (74.2%, or 95/128) of the surgeons have current advanced cardiac life support (ACLS) certification (Figure 5), whereas a little over one quarter (25.8%, or 33/128) do not. A great majority of the offices (92.2%, or 118/128) do have the AAOMS Office Anesthesia Emergency Manual (Figure 6), and 96.9% (124/128) are equipped with a cardiac defibrillator (Figure 7). Cialis Jelly

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