Oral and Maxillofacial Surgery (OMS) Seminars
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Nitrous Anesthesia
Content of the seminar series on nitrous oxide and benzodiazepine anesthesia is accompanied by objectives, outlines, evaluation questions, and references. Seminars are sequential, but may be viewed individually.
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- Explain how anesthesia evolved
- Differentiate among the changes in the CNS with sedation/anesthesia drugs
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- Compare sedation and general anesthesia by physiologic outcomes
- Compare drug administration by access, control of dosage
- Relate drug administration to elimination; alpha half-life (redistribution) and beta half-life (elimination)
- Describe possible clinical outcomes associated with choice of drug administration
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- Discuss relationship between lung function and gas exchange at the alveolus
- Discuss relationship between monitoring with pulse oximetry and arterial Oxygen levels
- Compare monitoring: Pulse Oximetry vs. Capnography
- Describe how sedative drugs might affect blood Oxygen levels
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- American Society of Anesthesiologists Classification: ASA I to V
- Pertinent medical History
- History related to nitrous oxide side effects
- Examination targeted to airway / Malampati Score / Body Mass Index
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- Sequence technical steps for administration of N2O
- Select monitoring protocol for individual patient
- Compare clinical uses of Pulse Oximetry and Capnography
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- Prepare patient for planned anesthesia: Diet, Care giver responsibility
- Decide levels of anesthesia based on the patient’s responses
- Sequence steps if patient becomes agitated, disoriented, nauseated
- Sequence steps if airway blocked
- Implement discharge protocol after anesthesia
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- Nitrous oxide levels in ambient air with/without scavenging
- Patients at risk for acute Nitrous oxide exposure, mechanisms
- Staff at risk for chronic Nitrous oxide exposure, mechanisms
- Monitoring for chronic Nitrous oxide exposure
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Local Anesthesia
Content of the seminar series on local anesthesia is accompanied by objectives, outlines, evaluation questions, and references. Seminars are sequential, but may be viewed individually.
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- Explain how sensory nerves function
- Relate the pharmacologic action of local anesthetic drugs to nerve function
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- Explain how chemical structure of local anesthetic drugs affects clinical usage.
- What advantages/disadvantages do vasopressor drugs added to local anesthetics offer?
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- Understand the anatomic pathways for sensory nerve innervation of the maxilla and the mandible as a prelude to local anesthetic injections.
- Anticipate the anatomic boundaries for specific local anesthetic injections.
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- Be able to choose an appropriate method of drug administration.
- Understand the rationale underlying the design of the dental anesthesia syringe.
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- Technique options for maxillary anesthesia and associated soft tissues.
- Rationale for choosing among options.
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- Technique options for mandibular anesthesia and associated soft tissues.
- Rationale for choosing among options.