Anesthesia considerations in oral surgery and dentistry

Autor: Francis F. Foldes
Rok vydání: 2010
Předmět:
Zdroj: American journal of orthodontics. 33(5)
ISSN: 0002-9416
Popis: In summary, the following should be emphasized: The responsibility of the dentist and oral surgeon does not begin and end with the faultless performance of the indicated operative procedure. He is responsible for the safety and welfare of the patient from the moment of the first consultation up to the time when the patient's treatment ends. It is true that he can and ought to share this responsibility with consultants in the various branches of medicine, but, nevertheless, the main responsibility will always be his, and he will have to coordinate the opinions of the consultants in the best interest of his patient. Even in the most simple and routine cases, accidents can happen, and have happened in the past. Nothing is more distressing than an accident in the course of an elective procedure. To avoid this, the following routine should be adhered to 1. 1. Careful history and examination of all patients requiring general anesthesia. 2. 2. Preoperative correction of the existing pathology as far as it is possible. 3. 3. Choice of agent and method most suitable for the patient and the contemplated procedure. 4. 4. Choice of premedication to obtain the best results with the selected agent. 5. 5. Good oxygenation of the patient during and after the operation. 6. 6. Avoidance of aspiration of blood and infected material. 7. 7. Maintenance of optimal conditions for the patient's metabolism in the postoperative period. 8. 8. Replacement of any major blood loss.
Databáze: OpenAIRE