Anesthesia

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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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Essentials of Airway Management, Oxygenation, and Ventilation: Part 2

This summary is based on the article published in Anesthesia Progress: Essentials of Airway Management, Oxygenation, and Ventilation: Part 2: Advanced Airway Devices: Supraglottic Airways (Fall 2014) B Rosenberg, DMD, J. C Phero, DMD, and D. E Becker, DDS Context Part 1 in this series (Click here for the summary of part 1) on emergency airway management focused on basic and fundamental considerations for supplying supplemental oxygen to the spontaneously breathing patient and utilizing a bag-valve-mask system including nasopharyngeal and oropharyngeal airways to deliver oxygen under positive pressure to the apneic patient. This article will review the evolution and use ...

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What are the implications of substance misuse for intravenous conscious sedation practice?

This summary is based on the article published in the British Dental Association: The implications of substance misuse for intravenous conscious sedation practice (February 2015) J. Noone, E. Critchley, P. Cullingham, P. Coulthard, A. Saksena Context Substance misuse is a major health concern, as the consequences for individuals are significant and may include multisystem organ damage. It is important for the dentist to know which patients are misusing substances as some pharmacological agents routinely used in dental practice may be contraindicated. The dentist should be aware of the range of clinical presentations that may arise from substance misuse and when ...

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Essentials of Airway Management, Oxygenation, and Ventilation

This summary is based on the article published in Anesthesia Progress: Essentials of Airway Management, Oxygenation, and Ventilation: Part 1: Basic Equipment and Devices (Summer 2014) Daniel E. Becker, Morton B. Rosenberg, and James C. Phero Context Offices and outpatient dental facilities must be properly equipped with devices for airway management, oxygenation, and ventilation. Optimizing patient safety using crisis resource management (CRM) involves the entire dental office team being familiar with airway rescue equipment. The immediate availability of this equipment is especially important during the administration of sedation and anesthesia as well as the treatment of medical urgencies/emergencies. Basic airway ...

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