This book is based on a review of the closed claims from the Oral and Maxillofacial Surgery Insurance Company (OMSNIC). Themes and trends that have been identified through review of these claims assisted in recognizing multiple causes of anesthesia related complications. This allowed the development of a presentation on the prevention, recognition and management of office based anesthesia complications to be delivered over 10 years to thousands of oral and maxillofacial surgeons in an attempt to reduce the incidence of future complications. This text provides detailed methods to allow the oral and maxillofacial surgeon, anesthetist and anesthesiologist to risk stratify patients as well as prevent, recognize and manage the most common anesthesia related complications. Additionally, it describes how to run an ideal Advanced Cardiac Life Support (ACLS) driven megacode, identify differences in pediatric anesthesia and ideally manage opioid needs of the oral and maxillofacial surgery patient.
Office Based Anesthesia Complications is based on the most common anesthesia related complications that have been documented over more than 20 years of data collection for Oral and Maxillofacial Surgery.
Author(s): Gary F. Bouloux
Publisher: Springer
Year: 2021
Language: English
Pages: 149
City: Cham
Preface
Contents
Contributors
1: Risk Stratification for Office-Based Anesthesia
Introduction
Patient Evaluation
Body Systems and Disease
Cardiac Disease
Coronary Artery Disease and Myocardial Infarction
Cardiac Arrhythmias
Congestive Heart Failure
Valvular Heart Disease and Prosthetic Valves
Respiratory Disease
Asthma
Hepatic Disease
Renal Disease
Geriatric Patients
Suggested Reading
2: Basic Life Support and Advanced Cardiac Life Support
Introduction
Course Certification: Knowledge and Skill Retention
The Core Components of Life Support
Airway Management
Instructional and Learning Modalities
Simulation
Crew/Crisis Resource Management
Who Is the Team?
What Should We Do?
Suggested Reading
3: Laryngospasm
Introduction
Prevention
Airway Examination
Recognition
Management
Medication Precautions
Larson Maneuver
Suggested Reading
4: Aspiration
Introduction
Prevention
Recognition
Management
Suggested Reading
5: Asthma
Introduction
Clinical Manifestations
Pathophysiology
Diagnostic Studies
Intermittent
Mild Persistent
Moderate Persistent
Severe Persistent
Prevention
Monoclonal Antibody Targets, Route of Administration, and Dosing Frequency
Recognition
Management
Suggested Reading
6: Anaphylaxis
Introduction
Diagnosis
Management
Selected Readings
7: Bronchospasm
Introduction
Prevention
Recognition
Management
Selected Readings
8: Obesity
Introduction
Respiratory System
Cardiovascular System
Other Systems
Prevention
Patient Screening and Conservative Patient Selection
Depth of Anesthesia Limit Setting
Robust Monitoring
Staff and Facility Preparation
Recognition
Management
Suggested Reading
9: Obstructive Sleep Apnea
Introduction
Prevention
Pre-operative
Operative
Postoperative
Recognition
Management
Suggested Reading
10: Trismus
Introduction
Etiology
Prevention
Preoperative Assessment
Choice of Drugs
Recognition
Management
Suggested Reading
11: Cardiac Arrhythmias
Introduction
Prevention
Recognition and Management
Management
Management
Management
Management (Also See Fig. 11.2)
Management (Also See Fig. 11.2 if Tachycardia or Fig. 11.3 if Bradycardia)
Management (Also See Fig. 11.2)
Management
Management
Management
Management
Management
Management
Management
Management
Management
Suggested Reading
12: Myocardial Infarction
Introduction
Prevention
Local Anesthesia
General Anesthesia
Recognition
Rhythm Strip Interpretation
ST Segment Depression or Elevation
Management
Suggested Reading
13: Pulmonary Embolism
Introduction
Prevention
Recognition
Management
Suggested Reading
14: Pediatric Emergencies
Introduction
Airway and Respiratory System
Pediatric Airway Anatomy
Occiput
Tongue
Larynx
Epiglottis
Subglottis
Cardiovascular System
Fasting Times
Establishing the Pediatric Airway
Intubation
Endotracheal Tube Size
Laryngeal Mask
Insertion
Pediatric Complications
Laryngospasm
Prevention
Recognition
Management
Bronchospasm
Prevention
Recognition
Management
Aspiration
Prevention
Recognition
Management
Bradycardia
Prevention
Recognition
Management
Allergy/Anaphylaxis
Prevention
Recognition
Management
Selected Readings
15: Emergent Airway Management
Introduction
Prevention
Preoperative Assessment
Preparation of Office
Staff Training and Emergency Drills
Recognition
Management
Triple Airway Maneuver
Bag-Valve-Mask Ventilation and Adjunct Airways
Supraglottic Airways
Endotracheal Intubation
Surgical Airway
Anatomy
Procedure
Suggested Reading
16: Prescription Opioid Abuse
Introduction
Prevention
Improved Prescribing Habits
Reduce Opioid Exposure
Preemptive Analgesia
Long-Acting Local Anesthesia
Recognition
Diagnosis of OUD
Clinical Manifestations of OUD
Acutely Intoxicated Patients
Signs of Withdrawal
Opioid Metabolism
Management
Opioid Agonists for Substitution Therapy
Opioid Antagonists
Management of OUD Patients in the OMS Setting
Suggested Reading
Index
