This 2 hour presentation explores the differences between calculated “risk tolerance” and simple “bad judgment”. Avoidance preparation for the anesthesia care provider will be reviewed, as well as management of common anesthetic “errors.”
This presentation will explore the investigation that will follow a patient’s death or injury from a dental procedure. Techniques of risk minimization will be recommended.
Cardiac rhythm disturbances are common during office based anesthesia. This program will review the pathophysiology and significance of these rhythm disturbances, as they present in various patients and situations. Treatment approaches will be discussed.
The delivery of anesthesia in any setting is not without risk. This 2 hour presentation will focus on the prevention, identification and management of select peri-anesthetic problems, including rhythm and pressure disorders. Specific patient populations, including those with diabetes, anorexia, obesity, congestive heart failure, and others, will be addressed.
The delivery of anesthesia in any setting is not without risk. The environment is complex, uncertain and ever-changing. Human performance of this potentially hazardous task can be unpredictable and imperfect, especially in times of urgency, intensity and time-pressure. Risk and Human Error cannot be eliminated.
Risk and Human Error can be reduced and managed, by eliminating a culture of blame and punishment and replacing it with a culture of vigilance and cooperation to expose and remediate systems weaknesses, which, in combination, often lead to error and injury. This presentation will explore various aspects anesthetic risk identification, management and reduction.
Adverse respiratory events, notably lost airways, account for the vast majority of office based anesthetic adversity. This 2 hour presentation will address those patients with co-morbidities that predispose to respiratory and ventilatory adversity, with special emphasis on the pediatric airway. Currently available airway adjuncts will also be covered in detail.
Local anesthesia is a mainstay in the pain management arsenal in dental offices. Like all other medications, local anesthesia can also result in serious complications, whether they be due to drug toxicity, nerve and vascular injury, unintended nerve involvement or any attendant medical emergency, which may include syncope, psychogenic reactions or myocardial challenge, among others. This clinically relevant presentation will examine all possible complications associated with the use of local anesthetics, including inability to anesthetize.
In addition to the intended and anticipated effects of anesthetic agents, there are un-intended and occasionally adverse side effects. This presentation will focus on these adverse side effects, including suggestions for both avoidance as well as management. A concluding discussion of anesthetic reversal agents will follow.
This course is an introduction to the emerging field of simulation of emergency management in anesthesia. This developing field provides practitioners with the unique opportunity to refine their emergency management skills in a controlled environment in order to improve proficiency in anesthetic techniques while minimizing patient risk exposure.
Discharge of patients after dental procedures with general anesthesia or deep sedation is often routine but can prove to be challenging and time consuming. Knowledge of post anesthetic complications is crucial to the safe delivery of anesthesia. The more common recovery complications are reviewed and their treatment discussed.
This course reviews not only basic airway management techniques but advanced interventions to be used in managing a difficult airway. The surgical airway will also be reviewed along with its complications.
The use of nitrous oxide as both a sedative and analgesic is widespread in dentistry. This presentation will focus on the pharmacology of nitrous oxide, with special emphasis on safety, correct usage and contraindications.
This 2 hour presentation will provide a comprehensive review of the prevention, identification and management of common medical emergencies that can and do present in the dental office, regardless of the level of anesthesia or sedation administered. Specific recommendations regarding office preparedness, emergency drug kits and contacting emergency medical services are made. A written protocol manual will be included for download.
Allergic reactions, both non-life-threatening and anaphylaxis are described. Management of both forms of allergy is discussed including the critical importance of epinephrine administration in anaphylaxis.
Management of all medical emergencies is based upon the P-A-B-C-D algorithm. Each step is fully described and utilized in managing low blood sugar and seizures
Management of acute myocardial infarction is described as well as an in-depth discussion of sudden cardiac arrest and its management. The importance of defibrillation used an AED is discussed.
Preparation of the dental office and staff to quickly recognize and effectively manage medical emergencies, including the basic emergency drug kit is described. Recognition and management of syncope is described.
Simulation has been shown to be beneficial in reducing medical error and improving healthcare quality and patient safety. This program will facilitate learning, practicing and perfecting various emergency scenarios without harm to "simulated" pateints. Frequent physical rehearsal in the environment that task and team performance are required is the most efficient and effective method to acquire these skills.
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