This presentation will introduce the art of administering a propofol-remifentanil admixture by microbolus and continuous infusion to achieve a dose-dependent choice of moderate sedation, deep sedation or general anesthesia. Doses, caveats, limitations, complications and monitoring during this exciting technique will be reviewed. The premise is obvious: when used properly, this technique markedly improves anesthetic control for both short and long cases, thereby increasing safety.
The use of intravenous sedation techniques is quite popular in many dental offices because of the need, efficacy and safety of various techniques. This presentation will provide a timely review of current and popular techniques, with special attention given to the prevention, recognition and prevention of adverse side effects.
This one hour program reviews intravenous and inhalational agents for office based anesthesia used in conjunction with the laryngeal mask airway. Criteria for airway classification are discussed. The placement of the LMA is demonstrated. Caveats and complications are reviewed.
Propofol has rapidly become a drug of choice for sedation and anesthesia in the dental office. This program will review the pharmacology of this agent as well as its use with an infusion pump.
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.
It is a well known and accepted fact that many patients avoid necessary dental care because of anxiety associated with the delivery of that care.
Pre-emptive anxiolysis can increase patient cooperation, improve anesthetic induction, maintenance and recovery and attenuate the sometimes harmful adverse autonomic responses. Specific clinical techniques will be addressed in this presentation.
Profound Anesthesia of the mandible can prove elusive. Various techniques, including the inferior alveolar nerve block (NB), the Gow Gates mandibular NB, the incisive NB, and the Akinosi-Vazirani closed mouth NB are described. The success of articaine HCl by mandibular infiltration is reviewed.
Fear of dentistry is commonplace. Untreated fear produces medical emergencies. Managing dental fear through oral sedation is discussed including recommended drugs and a regimen for administration.
Capnography is the measurement of carbon dioxide in expired air. In the dental office. As it is the most accurate and efficient method to monitor ventilation, it has now become the standard of care for all levels of office-based anesthesia or sedation. This course will ready the dental practitioner to correctly interpret the valuable information that capnography provides.
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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