Oral and maxillofacial surgery clinics of North America
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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
Pharmacology of intravenous sedative/anesthetic medications used in oral surgery.
This article provides an overview of historical and current sedative agents available to the dentist anesthetist. The surgeon is given rational choices for sedation and the individualization of drug selection for each patient. Total intravenous anesthesia is becoming increasingly popular for dental sedation because of the availability of ultra-short-acting drugs and computerized infusion technology. Levels of sedation are more easily achieved and maintained, and recovery is enhanced, which gives the operator extreme, moment-to-moment control of the anesthetic experience and improves patient outcomes.
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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
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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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!