Oral and maxillofacial surgery clinics of North America
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Oral Maxillofac Surg Clin North Am · Aug 2013
ReviewPediatric sedation and anesthesia for the oral surgeon.
Even simple oral and maxillofacial surgical procedures can become challenging when the child patient has a high degree of fear and anxiety. This article reviews differences in anatomy and physiology between the adult and pediatric patient, preanesthetic assessment, fasting guidelines, and choices of sedation routes, and discusses equipment options for the management of pediatric anesthesia. After reflection on these topics and based on training and experience, oral and maxillofacial surgeons can decide the ages of patients, medical comorbidities, and techniques with which they are comfortable in performing surgery in their offices in a safe and effective manner.
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Patients with a history of difficult intubation or with conditions associated with difficult airway should be approached with organized primary and secondary plans for airway management. When these potential problems are detected, patient safety may be improved with use of advanced airway management techniques and equipment. Additionally, patient referral for consultation and/or management at facilities where advanced airway management practitioners and equipment are available may be beneficial in some cases.
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Oral Maxillofac Surg Clin North Am · Aug 2013
Historical ArticleThe development of anesthesiology in oral and maxillofacial surgery.
No legitimate history of anesthesiology can exclude the contributions of American dentistry. Similarly, no history of anesthesiology in dentistry can exclude the contributions of oral and maxillofacial surgery (OMS). ⋯ The process continues to this day with regard to the innovations and refinements OMS has proffered to the control of anxiety and pain. This article offers a brief review of some of these gifts.
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Oral Maxillofac Surg Clin North Am · Aug 2013
Determining the appropriate oral surgery anesthesia modality, setting, and team.
This article reviews the anesthesia modalities available to the practicing oral and maxillofacial surgeon, including the anesthesia TEAM makeup. If office-based anesthesia is not the best option for the patient, alternative locations are discussed including out-patient surgery centers and hospitals. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has fought long and hard to establish and maintain our ability to provide office-based anesthesia. This is our Standard of Care!
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Oral Maxillofac Surg Clin North Am · Aug 2013
Anesthesia equipment for the oral and maxillofacial surgery practice.
The physical design of an oral and maxillofacial surgeon's office is highly individualized and unique. Every office must incorporate certain essential equipment and features to safely deliver office anesthesia, regardless of the scope of anesthesia services provided. Furthermore, the office design and anesthesia armamentarium must take into account patient safety and comfort. This article discusess the necessary elements, ranging from preanesthesia assessment forms and intraoperative records to office design, anesthesia monitors, and equipment related to the safe and successful administration of office-based anesthesia by oral and maxillofacial surgeons and their staff.