Anesthesia

CE Showcase ASM 2017: Oral Sedation for Dentistry: Clinical “How-to” Concepts and Current Controversies

It was a pleasure to meet and speak with Dr. Mel Hawkins for this interview. Generously, he prepared these slides to tell our audience what his session on sedation will be about during ASM 2017. I hope you enjoy the conversation. Chiraz Guessaier, CDA Oasis Manager Highlights During the session pharmacokinetics/pharmacodynamics of oral sedation will be reviewed, including the difference between duration and halflife and importance of the first pass effect. Emphasis will be on the benzodiazepines. “How might a dentist incorporate and/or improve an office sedation protocol?” “Monitoring, complications, reversal, safety and a suggested pediatric regimen are all included ...

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Focusing the Medical History When Administering Nitrous Oxide

In this short video, Dr. Joonyoung Ji speaks to Dr. John O’Keefe about the absolute and relative contraindications for the use of nitrous oxide guide by the dental clinician. Highlights Nitrous oxide is often used to allay patient fears and anxiety that may occur during dental treatment. However, it should be used only after a thorough medical history by the dentist. Absolute contraindication Pregnancy Bowel obstruction Bleomycin Recent surgery in closed spaces such as eyes or middle ear Relative contraindications Pulmonary hypertension Intracranial pressure Folate deficiency Predisposition to nausea and vomiting In some instances, modifications can be made for patients ...

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Local Anesthetics for the Patient Suffering from Methemoglobinemia

Dr. Joonyoung Ji speaks with Dr. John O’Keefe about the risks of administering local anesthetics to patients suffering from methemoglobinemia. Highlights Scenario A patient has a scope performed in a hospital setting and benzocaine was used to numb the area before inserting the scope. Subsequently, the patient developed methemoglobinemia. The patient’s physician has now advised that all “-caine-type” anesthetics must be avoided in this patient for all dental work. Management Context is important to determine why a scope was performed and how the situation that developed was managed. Often, in medical settings the amounts of local anesthetics that are used ...

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The Dental Office Medical Emergency Kit

Dr. Joonyoung Ji, Dental Anesthesia specialist in Ottawa, provides useful and important information about the must haves in the dental office medical emergency kit.  Highlights Emergency kits are a necessity in every dental office but, there are basic elements practitioners must consider. Kits must be easily accessible Kits must be stocked appropriately and organized An action plan should be in place and the team should know how to administer the medications Expiration dates and reordering information should be kept handy The RCDSO mandates that all dental offices have 6 emergency drugs available in each office: Oxygen Epinephrine Salbutamol (Ventolin) Nitroglycerine ...

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CDA Oasis Resource: Anesthetic Considerations for the Hypertensive Patient

This resource is provided courtesy of Wiley Publishing. Read and download the presentation (PDF) Watch the video presentation Source: Anesthesia Complications in the Dental Office, First Edition. Wiley Publishing, 2015.

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CDA Oasis Resource: Anesthetic Considerations for Patients with Respiratory Disease

This resource is provided courtesy of Wiley Publishing. Read and download the resource in PDF         Watch the Video Presentation  

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Update on medical emergencies in dental practice and on local anesthesia: key messages from Dr. David Isen

                    On April 10, 2014, Dr. David Isen delivered an all-day continuing education course on medical emergencies in dental practice, and on advanced local anesthesia for dentists for the Ottawa Dental Society. At the end of the course, Dr. Isen briefly summarized for me the key takeaway messages that he communicated during his course. That summary is captured in the video embedded in this post (the video is just over 2 minutes long). The course was very well attended and the feedback from attendees was very positive. Dr. Isen is a ...

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Conversation Opener: What are the key issues in intraosseous anesthesia?

In this video presentation, Dr. David Isen speaks about the key issues in intraosseous anesthesia and how it applies to the practitioner’s ability to use anesthesia safely and effectively. Highlights If doing an intraosseous injection, practitioners should inject LA slowly in order to limit the increase in heart rate.     Intraosseous anesthesia steps: Take a bitewing radiograph to ensure sufficient bony space between the roots. Apply topical anesthetic. Do a preparatory infiltration so the perforation is painless. Do the perforation over attached gingiva. The perforation should remain perpendicular to the buccal cortex. The perforation should be done in a ...

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