在麻醉科医生中提高对外科牙损伤的认识
Parul Mullick1, Ajay Kumar2, Smita Prakash1
1Department of Anaesthesia and Intensive Care, Vardhman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India.
Journal of anaesthesiology, clinical pharmacology
|March 3, 2025
概括
麻醉科医生对牙科风险因素有很高的认识,但缺乏管理牙和记录麻醉后牙状况的知识. 改善麻醉前牙科评估和管理方案对于预防外科手术期间的牙损伤至关重要.
科学领域:
- 麻醉学 麻醉学
- 牙的创伤 牙的创伤
- 患者安全 患者安全
背景情况:
- 外科手术期间的牙损伤是麻醉期间可以预防的并发症.
- 评估麻醉科医生对风险因素,预防和管理的认识至关重要.
研究的目的:
- 评估麻醉科医生对术后牙损伤预防和管理的认识.
- 识别与麻醉期间牙损伤相关的知识和实践的差距.
主要方法:
- 在德里-NCR对385名麻醉师进行了前性横截面调查.
- 一个35个问题的问卷评估了麻醉前的做法,风险因素,预防,管理和文档.
主要成果:
- 牙科风险评估的高率 (93%) 和用于预防的布填充 (74%).
- 限制口腔开口 (71%),输管 (98%) 和喉镜使用 (96%) 与受伤有关.
- 在治疗牙和记录麻醉后牙状况方面发现缺陷 (11%).
结论:
- 将牙科图表整合到麻醉前评估中可以改善文档.
- 需要提高意识和培训,用于麻醉前的牙科咨询,牙损伤的管理和麻醉后的状态文件.
相关概念视频
General Anesthesia: Overview
186
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...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
186
Inhalational Anesthetics: Overview
160
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
160
Stages of General Anesthesia
342
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...
342
Local Anesthetics: Clinical Application as Epidural Anesthesia
406
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...
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...
406
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39


