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Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
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Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Dynamic Navigation for Dental Implant Placement
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Office-based anesthesia: how to start an office-based practice.

Matt M Kurrek1, Rebecca S Twersky

  • 1Department of Anesthesia, University of Toronto, 150 College Street, Toronto, Ontario, Canada.

Anesthesiology Clinics
|May 22, 2010
PubMed
Summary
This summary is machine-generated.

Office-based anesthesia (OBA) is growing, with 17-24% of US elective procedures now in office settings. Anesthesia providers must ensure OBA quality matches hospital standards for patient safety.

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Published on: October 18, 2021

Area of Science:

  • Anesthesiology
  • Healthcare Management

Background:

  • Office-based anesthesia (OBA) has seen significant growth over the past decade.
  • OBA is increasingly favored by both patients and healthcare providers.
  • 17% to 24% of elective ambulatory procedures in the U.S. are now performed in office settings.

Purpose of the Study:

  • To highlight the special considerations for OBA compared to hospital settings.
  • To emphasize the importance of facility, administration, and accreditation in OBA.
  • To underscore the need for anesthesia providers to ensure comparable quality of care in OBA.

Main Methods:

  • Comparative analysis of OBA versus hospital settings.
  • Review of factors including facility, environment, administration, and accreditation.
  • Discussion of regulatory trends and patient safety in OBA.

Main Results:

  • OBA requires specific considerations distinct from hospital environments.
  • Facility, administration, and accreditation are key differentiating factors.
  • Increasing regulations aim to prioritize patient safety in OBA.

Conclusions:

  • Anesthesia providers must actively ensure OBA care quality is equivalent to hospital care.
  • Patient safety is paramount and increasingly addressed through regulation.
  • The growth of OBA necessitates careful attention to its unique operational aspects.