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 [...]
Pneumothorax can be caused by 1 of the following 4 mechanisms: (1) extrathoracic trauma (ie, closed-chest compressions), (2) spontaneous rupture of alveoli, (3) disruption of fascial planes in the neck (ie, traumatic intubation), or (4) abnormally high intrathoracic pressure (ie, valsalva from protracted coughing). Tension pneumothorax occurs when there is continuous loss of air from [...]
CASE REPORT
A 37-year-old black male, 5′ 3″ and 128 pounds, with a history of moderate to severe mental retardation was scheduled for elective dental rehabilitation under general anesthesia in the operating room of a small state mental hospital. Preoperative testing included an electrocardiogram (ECG), complete blood count, electrolytes, chest x-ray (CXR), and a full health [...]
In: Dental treatment
7 Jan 2010Pneumothorax, the loss of air from the lung into the pleural space, is described as being spontaneous or traumatic in origin. The spontaneous pneumothorax (SP) can be further subdivided into primary (ie, no underlying pulmonary disease) and secondary (ie, related to underlying pulmonary pathology). The general pathologic mechanism of the development of SP occurs from [...]
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.