British dental journal
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British dental journal · May 2015
Randomized Controlled TrialThe laryngeal tube - a helpful tool for cardiopulmonary resuscitation in the dental office?
Supraglottic airway adjuncts such as the laryngeal tube (LT) have been recommended to be used by cardiopulmonary resuscitation (CPR) first responders.Objective This study aims to evaluate the performance characteristics of dental students and dentists using the LT in comparison to a conventional bag valve mask device (BVM) within manikin CPR training. ⋯ Lower tidal volumes but also lower or even no gastric inflation may be observed when dentists use a laryngeal tube during CPR. Respective training must focus on chest compressions. These must be started before inserting the LT or a different supraglottic airway adjunct and be delivered continuously during insertion. It is recommended to use a supraglottic airway such as an LT only after having been trained in its use.
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British dental journal · May 2015
Comparative StudyPeripheral venous or tibial intraosseous access for medical emergency treatment in the dental office?
The anterior tibia has been recommended as emergency vascular access site if the intravenous route cannot be used. ⋯ Within the limitation of this study, it can be demonstrated that the chances to perform a successful vascular access for inexperienced dentists may be higher when using the tibial intraosseous route for emergency intravascular medication.
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British dental journal · Apr 2015
Randomized Controlled TrialA nomogram to calculate the maximum dose of local anaesthetic in a paediatric dental setting.
While local anaesthetic agents are usually safe and are used ubiquitously, inadvertent overdoses may have potentially fatal consequences. Errors in the dosing of local anaesthetics frequently occur due to inherent difficulties in remembering the toxic dosage limits, difficulties in performing the appropriate calculations correctly, and errors in estimating patient weight. We have developed a simple graphical calculation aid (nomogram) to overcome these problems and facilitate rapid cross-checking of the maximum safe dose for a variety of local anaesthetic agents in common use. ⋯ A randomised blinded study using simulated patient data and Bland-Altman analysis was used to assess the accuracy and precision of the nomogram. The nomogram was found to have a bias of 0.0 ml, with limits of agreement -0.05-0.04 ml. It was found to be easy to use and suitably accurate for clinical use.
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British dental journal · Dec 2014
Dual anti-platelet therapy and dento-alveolar surgery. How do we manage patients on anti-platelet medication?
The optimum management of dual anti-platelet therapy (DAPT) in patients undergoing dentoalveolar surgery is controversial. The lack of guidelines has meant clinicians have been left to manage these cases from specialist advice or past experience. In view of this the British Association of Oral Surgeons (BAOS) membership was surveyed to assess current practice. ⋯ This survey confirmed the continued variable management of patients on DAPT undergoing dentoalveolar surgery. Reported bleeding rates were low with over 75% of patients not having their DAPT treatment interrupted.
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British dental journal · Nov 2014
Historical ArticleBritish dental surgery and the First World War: the treatment of facial and jaw injuries from the battlefield to the home front.
When Britain went to war in 1914, the British Expeditionary Force was deployed without a single dentist. Initially considered combatants, the only dental professionals who could serve at the Front were medically qualified dental surgeons in the Royal Army Medical Corps. In treating the traumatic facial and jaw injuries caused by trench warfare, the dental surgeons of this era earned their place on specialist surgical teams and established the principles of oral and maxillofacial surgery. This article will examine the contribution of specialist dental surgeons to the management of facial and jaw wounds in the First World War along the chain of evacuation from the battlefield to the home front, using illustrative examples from the Hunterian Museum at the Royal College of Surgeons of England.