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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

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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.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Stages of General Anesthesia01:22

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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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.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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

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

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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...
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An In Vivo Mouse Model of Total Intravenous Anesthesia During Cancer Resection Surgery
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Oral and Maxillofacial Surgery Team Anesthesia Model and Anesthesia Assistant Training.

Stephanie J Drew1

  • 1Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, 1365 Clifton Road NE, Building B, Suite 2300, Atlanta, GA 30322, USA.

Oral and Maxillofacial Surgery Clinics of North America
|April 7, 2018
PubMed
Summary

The delivery of office-based anesthesia in oral and maxillofacial surgery (OMFS) has shifted to a team-based approach. This system enhances safety and efficacy through training, coordination, and crisis management protocols.

Keywords:
AAOMS anesthesia assistant training programsAnesthesia assistant trainingCrisis resource managementOral and maxillofacial surgery office-based team anesthesia

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Anesthesia Delivery Systems

Background:

  • The model for office-based anesthesia in oral and maxillofacial surgery (OMFS) has evolved.
  • Historically, anesthesia was often administered by the operating surgeon (operator-anesthetist).

Purpose of the Study:

  • To describe the shift towards team anesthesia in OMFS.
  • To highlight the organizational aspects and safety improvements in anesthesia delivery.

Main Methods:

  • Focus on the training, continuing education, and coordination of diverse anesthesia teams.
  • Implementation of systemic safety features.

Main Results:

  • Team anesthesia delivery improves safety and efficacy.
  • Key system components include communication, monitoring, and emergency preparedness.

Conclusions:

  • A structured team anesthesia system enhances safety in OMFS settings.
  • Continuous support for a culture of safety is crucial.