Anesthesia Complications in the Dental Office

Content: Contributors ix     Foreword xiii     Preface xv     Acknowledgment xvii     Section 1: Introduction     1 Anesthetic complications-how bad things happen 3 Robert C. Bosack     Section 2: Patient risk assessment     2 History and physical evaluation 9 Kyle Kramer, Trevor Treasure, Charles Kates, Carrie Klene and Jeffrey Bennett     3 Laboratory evaluation 15 Kyle Kramer and Jeffrey Bennett     4 NPO guidelines 19 Kyle Kramer and Jeffrey Bennett     Section 3: Anesthetic considerations for special patients     5 Anesthetic considerations for patients with cardiovascular disease 25 Erik Anderson and Robert Bosack     6 Anesthetic considerations for patients with respiratory disease 49 Robert C. Bosack and Zak Messieha     7 Anesthetic considerations for patients with endocrinopathies 61 Daniel Sarasin Kevin McCann and Robert Bosack     8 Anesthetic considerations for patients with psychiatric illness 71 Daniel L. Orr, Robert C. Bosack and John Meiszner     9 Anesthetic considerations for patients with neurologic disease 79 Joseph A. Giovannitti     10 Anesthetic considerations for patients with hepatic disease 85 Jeffrey Miller and Stuart Lieblich     11 Anesthetic considerations for patients with renal disease 89 Marci H. Levine and Andrea Schreiber     12 Anesthetic considerations for pediatric patients 93 Michael Rollert and Morton Rosenberg     13 Anesthetic considerations for geriatric patients 97 Andrea Schreiber and Peter M. Tan     14 Anesthetic considerations for patients with bleeding disorders 103 O. Ross Beirne     15 Anesthetic considerations for patients with cancer 113 Andrea M. Fonner and Robert C. Bosack     16 Anesthetic considerations for pregnant and early postpartum patients 117 Robert C. Bosack     Section 4: Review of anesthetic agents     17 Clinical principles of anesthetic pharmacology 123 Richard C. Robert     18 Local anesthetic pharmacology 129 Roy L. Stevens and Robert C. Bosack     19 Enteral sedation agents 133 Richard C. Robert     20 Parenteral anesthetic agents 135 Richard C. Robert     21 Inhalational anesthetic agents 143 Charles Kates, Douglas Anderson, Richard Shamo and Robert Bosack     22 Antimuscarinics and antihistamines 151 Richard C. Robert     23 Drug interactions 155 Kyle Kramer and Richard C. Robert     Section 5: Monitoring     24 Limitations of patient monitoring during office-based anesthesia 163 Robert C. Bosack and Ken Lee     Section 6: Preparation for adversity     25 Crisis resource management 173 Joseph Kras     26 Simulation in dental anesthesia 177 Joseph Kras     27 Airway adjuncts 181 H.William Gottschalk     28 Intravenous fluids 185 Cara Riley, Kyle Kramer and Jeffrey Bennett     29 Emergency drugs 189 Daniel A. Haas     Section 7: Anesthetic adversity     30 Failed sedation 201 Roy L. Stevens and Kenneth L. Reed     31 Complications with the use of local anesthetics 207 M. Anthony Pogrel, Roy L. Stevens, Robert C. Bosack and Timothy Orr     32 Anesthetic adversity - cardiovascular problems 219 Robert C. Bosack and Edward C. Adlesic     33 Anesthetic adversity-respiratory problems 231 Charles F. Cangemi, Edward C. Adlesic and Robert C. Bosack     34 Allergy and anaphylaxis 251 H.William Gottschalk and Robert C. Bosack     35 Anesthetic adversity-neurologic problems 257 Michael Trofa and Robert C. Bosack     36 Acute adverse cognitive behavioral and neuromuscular changes 261 Edward Adlesic, Douglas Anderson, Robert Bosack, Daniel L. Orr and Steven Ganzberg     37 Anesthetic problems involving vasculature 271 Stuart Lieblich     Section 8: Post-anesthetic adversity     38 Nausea and vomiting 277 Edward Adlesic     39 Post-anesthetic recall of intraoperative awareness 283 Robert C. Bosack     40 Delayed awakening from anesthesia 287 Stuart E. Lieblich     41 Safe discharge after office-based anesthesia 291 Stuart Lieblich and Peter M. Tan     Section 9: When bad things happen     42 Morbidity and mortality 295 Lewis Estabrooks     43 Death in the chair: a dentist's nightmare 299 Glen Crick     44 Legal issues of anesthesia complications: risks or malpractice 307 Arthur W. Curley     Section 10: When should you say no     45 When should you say no? 315 Andrew Herlich and Robert C. Bosack     Section 11: Appendices     Appendix A A pilot's perspective on crisis resource management 323 David Yock     Appendix B Medical emergency manual for the general practitioner 325 Robert C. Bosack     Appendix C Malignant hyperthermia Q & A 337 Edward C. Adlesic and Steven I. Ganzberg     Index 339