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Anesthetic complications, which range from simple annoyances to patient mortality, are inevitable, given the many and complex interactions of doctor, patient, personnel, and facility. Anesthesia Complications in the Dental Office helps dentists minimize the frequency and severity of adverse events by providing concise and clinically relevant information that can be put to everyday use. Anesthesia Complications in the Dental Office presents the most up-to-date information on treating anesthesia complications and medical emergencies. Drs. Bosack and Lieblich and a team of expert contributors…mehr
Anesthetic complications, which range from simple annoyances to patient mortality, are inevitable, given the many and complex interactions of doctor, patient, personnel, and facility. Anesthesia Complications in the Dental Office helps dentists minimize the frequency and severity of adverse events by providing concise and clinically relevant information that can be put to everyday use. Anesthesia Complications in the Dental Office presents the most up-to-date information on treating anesthesia complications and medical emergencies. Drs. Bosack and Lieblich and a team of expert contributors discuss patient risk assessment; considerations for special needs and medically compromised patients; routinely administered anesthetic agents; adversities that can arise before, during, and after administration of anesthesia; and emergency drugs and equipment. A must-have reference for every dental office.
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Robert C. Bosack, DDS, is an oral and maxillofacial surgeon and clinical assistant professor at the University of Illinois College of Dentistry. He has served as an examiner for the American Board of Oral and Maxillofacial Surgery, and has served on the board of directors of the National Dental Board of Anesthesiology. He is the executive director of Dental Anesthesia Online. Dr. Bosack speaks at national dental and anesthesia conferences and has written professional articles and the book Medical Emergencies in the Dental Office. He maintains a private practice in Orland Park, Illinois. Stuart Lieblich, DMD, is clinical professor in the Division of Oral and Maxillofacial Surgery at the University of Connecticut School of Dental Medicine. He is a Past President of the American Dental Society of Anesthesiology and a past Director of the American Board of Oral and Maxillofacial Surgery. He serves on the editorial board of 3 major journals, has written more than 20 textbook chapters, and is an invited speaker at national conferences. Dr. Lieblich maintains a private practice in Avon, Connecticut.
Inhaltsangabe
Contributors ix Foreword xiii Preface xv Acknowledgment xvii Section 1: Introduction 1 Anesthetic complications-how bad things happen 3 Robert C. Bosack Section 2: Patient risk assessment 2 History and physical evaluation 9 Kyle Kramer, Trevor Treasure, Charles Kates, Carrie Klene and Jeffrey Bennett 3 Laboratory evaluation 15 Kyle Kramer and Jeffrey Bennett 4 NPO guidelines 19 Kyle Kramer and Jeffrey Bennett Section 3: Anesthetic considerations for special patients 5 Anesthetic considerations for patients with cardiovascular disease 25 Erik Anderson and Robert Bosack 6 Anesthetic considerations for patients with respiratory disease 49 Robert C. Bosack and Zak Messieha 7 Anesthetic considerations for patients with endocrinopathies 61 Daniel Sarasin Kevin McCann and Robert Bosack 8 Anesthetic considerations for patients with psychiatric illness 71 Daniel L. Orr, Robert C. Bosack and John Meiszner 9 Anesthetic considerations for patients with neurologic disease 79 Joseph A. Giovannitti 10 Anesthetic considerations for patients with hepatic disease 85 Jeffrey Miller and Stuart Lieblich 11 Anesthetic considerations for patients with renal disease 89 Marci H. Levine and Andrea Schreiber 12 Anesthetic considerations for pediatric patients 93 Michael Rollert and Morton Rosenberg 13 Anesthetic considerations for geriatric patients 97 Andrea Schreiber and Peter M. Tan 14 Anesthetic considerations for patients with bleeding disorders 103 O. Ross Beirne 15 Anesthetic considerations for patients with cancer 113 Andrea M. Fonner and Robert C. Bosack 16 Anesthetic considerations for pregnant and early postpartum patients 117 Robert C. Bosack Section 4: Review of anesthetic agents 17 Clinical principles of anesthetic pharmacology 123 Richard C. Robert 18 Local anesthetic pharmacology 129 Roy L. Stevens and Robert C. Bosack 19 Enteral sedation agents 133 Richard C. Robert 20 Parenteral anesthetic agents 135 Richard C. Robert 21 Inhalational anesthetic agents 143 Charles Kates, Douglas Anderson, Richard Shamo and Robert Bosack 22 Antimuscarinics and antihistamines 151 Richard C. Robert 23 Drug interactions 155 Kyle Kramer and Richard C. Robert Section 5: Monitoring 24 Limitations of patient monitoring during office-based anesthesia 163 Robert C. Bosack and Ken Lee Section 6: Preparation for adversity 25 Crisis resource management 173 Joseph Kras 26 Simulation in dental anesthesia 177 Joseph Kras 27 Airway adjuncts 181 H.William Gottschalk 28 Intravenous fluids 185 Cara Riley, Kyle Kramer and Jeffrey Bennett 29 Emergency drugs 189 Daniel A. Haas Section 7: Anesthetic adversity 30 Failed sedation 201 Roy L. Stevens and Kenneth L. Reed 31 Complications with the use of local anesthetics 207 M. Anthony Pogrel, Roy L. Stevens, Robert C. Bosack and Timothy Orr 32 Anesthetic adversity - cardiovascular problems 219 Robert C. Bosack and Edward C. Adlesic 33 Anesthetic adversity-respiratory problems 231 Charles F. Cangemi, Edward C. Adlesic and Robert C. Bosack 34 Allergy and anaphylaxis 251 H.William Gottschalk and Robert C. Bosack 35 Anesthetic adversity-neurologic problems 257 Michael Trofa and Robert C. Bosack 36 Acute adverse cognitive behavioral and neuromuscular changes 261 Edward Adlesic, Douglas Anderson, Robert Bosack, Daniel L. Orr and Steven Ganzberg 37 Anesthetic problems involving vasculature 271 Stuart Lieblich Section 8: Post-anesthetic adversity 38 Nausea and vomiting 277 Edward Adlesic 39 Post-anesthetic recall of intraoperative awareness 283 Robert C. Bosack 40 Delayed awakening from anesthesia 287 Stuart E. Lieblich 41 Safe discharge after office-based anesthesia 291 Stuart Lieblich and Peter M. Tan Section 9: When bad things happen 42 Morbidity and mortality 295 Lewis Estabrooks 43 Death in the chair: a dentist's nightmare 299 Glen Crick 44 Legal issues of anesthesia complications: risks or malpractice 307 Arthur W. Curley Section 10: When should you say no 45 When should you say no? 315 Andrew Herlich and Robert C. Bosack Section 11: Appendices Appendix A A pilot's perspective on crisis resource management 323 David Yock Appendix B Medical emergency manual for the general practitioner 325 Robert C. Bosack Appendix C Malignant hyperthermia Q & A 337 Edward C. Adlesic and Steven I. Ganzberg Index 339
Contributors ix Foreword xiii Preface xv Acknowledgment xvii Section 1: Introduction 1 Anesthetic complications-how bad things happen 3 Robert C. Bosack Section 2: Patient risk assessment 2 History and physical evaluation 9 Kyle Kramer, Trevor Treasure, Charles Kates, Carrie Klene and Jeffrey Bennett 3 Laboratory evaluation 15 Kyle Kramer and Jeffrey Bennett 4 NPO guidelines 19 Kyle Kramer and Jeffrey Bennett Section 3: Anesthetic considerations for special patients 5 Anesthetic considerations for patients with cardiovascular disease 25 Erik Anderson and Robert Bosack 6 Anesthetic considerations for patients with respiratory disease 49 Robert C. Bosack and Zak Messieha 7 Anesthetic considerations for patients with endocrinopathies 61 Daniel Sarasin Kevin McCann and Robert Bosack 8 Anesthetic considerations for patients with psychiatric illness 71 Daniel L. Orr, Robert C. Bosack and John Meiszner 9 Anesthetic considerations for patients with neurologic disease 79 Joseph A. Giovannitti 10 Anesthetic considerations for patients with hepatic disease 85 Jeffrey Miller and Stuart Lieblich 11 Anesthetic considerations for patients with renal disease 89 Marci H. Levine and Andrea Schreiber 12 Anesthetic considerations for pediatric patients 93 Michael Rollert and Morton Rosenberg 13 Anesthetic considerations for geriatric patients 97 Andrea Schreiber and Peter M. Tan 14 Anesthetic considerations for patients with bleeding disorders 103 O. Ross Beirne 15 Anesthetic considerations for patients with cancer 113 Andrea M. Fonner and Robert C. Bosack 16 Anesthetic considerations for pregnant and early postpartum patients 117 Robert C. Bosack Section 4: Review of anesthetic agents 17 Clinical principles of anesthetic pharmacology 123 Richard C. Robert 18 Local anesthetic pharmacology 129 Roy L. Stevens and Robert C. Bosack 19 Enteral sedation agents 133 Richard C. Robert 20 Parenteral anesthetic agents 135 Richard C. Robert 21 Inhalational anesthetic agents 143 Charles Kates, Douglas Anderson, Richard Shamo and Robert Bosack 22 Antimuscarinics and antihistamines 151 Richard C. Robert 23 Drug interactions 155 Kyle Kramer and Richard C. Robert Section 5: Monitoring 24 Limitations of patient monitoring during office-based anesthesia 163 Robert C. Bosack and Ken Lee Section 6: Preparation for adversity 25 Crisis resource management 173 Joseph Kras 26 Simulation in dental anesthesia 177 Joseph Kras 27 Airway adjuncts 181 H.William Gottschalk 28 Intravenous fluids 185 Cara Riley, Kyle Kramer and Jeffrey Bennett 29 Emergency drugs 189 Daniel A. Haas Section 7: Anesthetic adversity 30 Failed sedation 201 Roy L. Stevens and Kenneth L. Reed 31 Complications with the use of local anesthetics 207 M. Anthony Pogrel, Roy L. Stevens, Robert C. Bosack and Timothy Orr 32 Anesthetic adversity - cardiovascular problems 219 Robert C. Bosack and Edward C. Adlesic 33 Anesthetic adversity-respiratory problems 231 Charles F. Cangemi, Edward C. Adlesic and Robert C. Bosack 34 Allergy and anaphylaxis 251 H.William Gottschalk and Robert C. Bosack 35 Anesthetic adversity-neurologic problems 257 Michael Trofa and Robert C. Bosack 36 Acute adverse cognitive behavioral and neuromuscular changes 261 Edward Adlesic, Douglas Anderson, Robert Bosack, Daniel L. Orr and Steven Ganzberg 37 Anesthetic problems involving vasculature 271 Stuart Lieblich Section 8: Post-anesthetic adversity 38 Nausea and vomiting 277 Edward Adlesic 39 Post-anesthetic recall of intraoperative awareness 283 Robert C. Bosack 40 Delayed awakening from anesthesia 287 Stuart E. Lieblich 41 Safe discharge after office-based anesthesia 291 Stuart Lieblich and Peter M. Tan Section 9: When bad things happen 42 Morbidity and mortality 295 Lewis Estabrooks 43 Death in the chair: a dentist's nightmare 299 Glen Crick 44 Legal issues of anesthesia complications: risks or malpractice 307 Arthur W. Curley Section 10: When should you say no 45 When should you say no? 315 Andrew Herlich and Robert C. Bosack Section 11: Appendices Appendix A A pilot's perspective on crisis resource management 323 David Yock Appendix B Medical emergency manual for the general practitioner 325 Robert C. Bosack Appendix C Malignant hyperthermia Q & A 337 Edward C. Adlesic and Steven I. Ganzberg Index 339
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