Preoperative, Intraoperative, and Postoperative Anesthesia Assessment and Monitoring in Oral Surgery

Sims, Paul G.

doi:10.1016/j.coms.2013.03.007

Cited by 7 publications

(5 citation statements)

References 1 publication

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“…Contrary to our finding, Mokgwathi et al found a very low (34.7%) recording of patients' weight. 20 Baseline blood pressure, heart rate, respiratory rate, oxygen saturation and temperature are necessary to document in preoperative assessment. 20 Interestingly, in this study, there is a 98.0% completion rate of vital signs.…”

Section: Figure 1: Overall Paaf Completion Ratementioning

confidence: 99%

“…20 Baseline blood pressure, heart rate, respiratory rate, oxygen saturation and temperature are necessary to document in preoperative assessment. 20 Interestingly, in this study, there is a 98.0% completion rate of vital signs. Alteration or deviation from the baseline vital signs especially blood pressure measurement could be due to anxiety or perhaps the patient might skip taking the recommended prescription and must be taken into account before surgery.…”

Section: Figure 1: Overall Paaf Completion Ratementioning

confidence: 99%

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Clinical audit on quality of preanesthesia evaluation

Shahzad¹,

Younas²,

Khan³

2021

APIC

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Background: Preoperative evaluation (PAE) gives in-depth view of patient’s clinical condition and helps match mode of anesthesia accordingly. This study was planned to assess the quality of documentation in pre-anesthesia assessment form (PAAF) completed during preoperative assessment. Methodology: This descriptive study was conducted at Pakistan Kidney and Liver Institute and Research Center (PKLI & RC) Lahore. Pre-Anesthesia assessment forms of patients operated from 1st January to 31st December 2019 were reviewed. A 22-components modified Global Quality Index (GQI) was used to assess the quality of PAAF. Descriptive statistical analysis was performed using SPSS version 25. Results: Completion was excellent (100 %) in only one indicator; eighteen indicators had an acceptable completion rate (90-99 %) while three indicators were completed in < 90 % PAAF. Consent was the only component complete in 100% PAAF. Documentation of age (25%), past medical history (89.4%) and fasting status (88.4%) were the least documented aspects of PAAF. The average completion rate was 93.5 ± 5.2 % and all 22 indicators of GQI were completed in 14.3% PAAF. Conclusion: Our audit shows that majority of PAAF are complete and all its components have been well documented. Only few elements were not recorded in some PAAS. Further education and audit will be required to achieve complete documentation. Key words: Preanesthesia assessment; Preoperative evaluation; Documentation; Global Quality Index Citation: Shahzad S, Younas T, Khan EUD. Clinical audit on quality of preanesthesia evaluation. Anaesth. pain intensive care 2021;25(1):15-18; DOI: 10.35975/apic.v25i1.1429 Received: 31 October 2020, Reviewed: 22 December 2020, Accepted: 23 December 2020

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Section: Figure 1: Overall Paaf Completion Ratementioning

confidence: 99%

Section: Figure 1: Overall Paaf Completion Ratementioning

confidence: 99%

Clinical audit on quality of preanesthesia evaluation

Shahzad¹,

Younas²,

Khan³

2021

APIC

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“…Failure to address this concern can lead to consequences that include rapid deoxygenation, inadequate organ perfusion with resultant hemodynamic instability, laryngospasm, prolonged respiratory compromise with subsequent respiratory failure, arrhythmias, cerebral hypoxia, and death. 6,7 In the event of rapid, life-threatening desaturation or apnea, guidelines provided by the American Society of Anesthesiologists' (ASA) difficult airway algorithm may be followed for appropriate airway intervention, including the use of a laryngeal mask airway (LMA) to reestablish adequate oxygenation. 6 However, when the oral cavity is the surgical field, an alternative method which safely secures the airway through minimally invasive measures and simultaneously permits unimpeded surgical access is warranted.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Alternative Airway Intervention to Preserve the Surgical Field in Oral and Maxillofacial Surgery

Dowsett

Khan

et al. 2022

Surg Innov

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Background/need. Office-based sedation has become increasingly commonplace in dental offices in recent years, allowing for practitioners to provide broader scope of care for their patients. Maintaining high standards of safety is of utmost importance when sedation is utilized in the office-based setting, especially for patients deemed at a higher-risk for intraoperative airway obstruction. This demographic includes but is not limited to individuals with a medical history significant for obstructive sleep apnea, chronic obstructive pulmonary disease, and morbid obesity. Presently, a wide variety of airway devices exist for use in the event of airway obstruction. However, in the context of oral and maxillofacial surgery, placement of these devices can encroach upon the surgical field, extending the perioperative period and putting the patient at greater long-term risk for maintaining adequate oxygenation. Methodology. The authors describe a preliminary technique trialed in our offices which utilizes a size 5.0 endotracheal tube (5OET) as an adjunct supraglottic airway to help mitigate the issue of oxygen saturation maintenance, as well as unimpeded access to the oral cavity. Implementation of the device requires identifying appropriate candidates during preoperative screening and placing the device through the nare and securing it above the glottis. Device Description. The ‘tube kit’ is comprised of a standard size straight 5.0 cuffed oral ETT, a 5-mL syringe for inflation of the cuff post insertion, lubricant, flex extension tubing, end tidal sampling line for capnography, tape for securement of the 5OET, and an anesthesia breathing circuit. Optional equipment pieces include an elbow connecter and a foam piece for comfort. Results/Current Status. Preliminary results have demonstrated oxygen saturations maintained above 98% when the 5OET is placed preoperatively. Continued use of the trial device will inform the development of a tube by our clinicians, and its efficacy will be studied in our offices. The next steps will be to start developing a pilot cuff that will be submitted for patent approval after its use in IRB-approved clinical studies.

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“…Es de utilidad el uso de cuestionarios en la anamnesis inicial del paciente para poder identificarlo en la primera cita y que, de esta manera, nos permita realizar el tratamiento dental de acuerdo a los requerimientos emocionales de cada persona 13 .…”

Section: ¿Cómo Se Puede Diagnosticar?unclassified

Manejo de la fobia y ansiedad dental mediante la utilización de la sedación consciente inhalatoria en la clínica dental = Management of patients with dental anxiety and phobia using inhalation sedation in the dental surgery

Orea¹

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Ha sido un año duro, de esfuerzos, de muchos "cuando acabe la tesis", de gente animando y apostando porque sabían que este momento iba a llegar. Quisiera dar las gracias en primer lugar a Ángel Alcaide, por pasarme el testigo, por confiar en mí lo que habías creado y estabas consolidando, por lo que habías estado luchando durante tanto tiempo, por enseñarme todo lo que tú sabías y darme el valor para ponerme al frente de ello. Gracias por ser mi gran compañero y amigo en este mundo tan incoherente del "gas de la risa". Gracias Dr. Miguel Ángel Alobera por despertar en mí la pasión por la cirugía desde mis inicios en la Odontología, por transmitir todo tu conocimiento y sabiduría, como el grandísimo cirujano que eres, a mí y a todo el que te rodea, por crear tu propia escuela con fieles seguidores, por confiar en mí siempre y dejar que fuese tu mano derecha y por toda tu ayuda sin horarios ni límites. Gracias Dr. Jorge Pesquera por enseñarme tantas y tantas cosas de la profesión y de la vida. Por todas las charlas, por todos los consejos, por dejar que me equivoque para que siga aprendiendo, por creer que valía. Por estar siempre. Gracias Dr. Mariano del Canto por brindarme la mayor de las oportunidades profesionales de mi vida, que fue poder ejercer la profesión de una manera diferente y más enriquecedora, formando parte de este grandísimo equipo de profesores, eternamente agradecida. Gracias, Papá y Mamá, por darnos absolutamente todo para que nosotros pudiéramos tener un futuro, por estar siempre a mi lado en los buenos y levantarme en los malos, por frenar vuestra profesión para poder educarnos de la manera que lo hicisteis. Gracias Dani, por apoyarte en mí cuando lo necesitaste, por hacerme sentir la mejor hermana mayor que podías tener. Orgullosa de lo que conseguiste y en lo que te estas convirtiendo. Gracias Luis Ortiz y Bruno Ruiz por vuestra ayuda incondicional cuando os necesito, por dejarme aprender de todo lo que hacéis. Gracias Beatriz Vega y María Sevilla por no dejarme tirar la toalla nunca y ser mis grandes apoyos. Gracias Caye y Hernán por posar para darle un toque mágico a ésto. Gracias a todos mis compañeros de León, gracias a todos vosotros por compartir todo vuestro conocimiento y hacer que esos días fuera de casa me sienta como en ella, gracias por ser mi familia leonesa. Sí y gracias a Joaquina, Sofia y Sara que me aguantan todo. Gracias Dr. Seco y Dra. Concepción Alonso por ser tan cercanos, por recibir mis dudas y resolverlas rápidamente. Y gracias a todas las personas que me han acompañado durante este periodo de tiempo y me han echado de menos en algunos momentos. Con esta tesis espero aportar algo más de información acerca de la sedación consciente inhalatoria, usada de manera rutinaria en muchos países del mundo por los odontólogos y que sufre restricciones en el nuestro, con un reglamento diferente según la Comunidad Autónoma en la que viva el paciente y provocando, por tanto, una desigualdad en la calidad asistencial.

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Preoperative, Intraoperative, and Postoperative Anesthesia Assessment and Monitoring in Oral Surgery

Cited by 7 publications

References 1 publication

Clinical audit on quality of preanesthesia evaluation

Clinical audit on quality of preanesthesia evaluation

An Alternative Airway Intervention to Preserve the Surgical Field in Oral and Maxillofacial Surgery

Manejo de la fobia y ansiedad dental mediante la utilización de la sedación consciente inhalatoria en la clínica dental = Management of patients with dental anxiety and phobia using inhalation sedation in the dental surgery

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