SAAD digest最新文献_第3页

Oral Midazolam Sedation For Uncooperative Children In Outpatient Paedodontics: Time For Reappraisal. 口服咪达唑仑镇静治疗门诊儿科不合作儿童:重新评估的时机。

SAAD digest Pub Date : 2016-01-01

Aditi Kapur, Kajal Jain, A Goyal, Greg Mahoney

引用次数: 0

The Nocebo Effect. 反安慰剂效应。

SAAD digest Pub Date : 2016-01-01

Lucy Horsfall

引用次数: 0

Prospective study on dental extractions carried out for paediatric patients under general anaesthetic in a district general hospital. 某地区综合医院全麻患儿拔牙的前瞻性研究。

SAAD digest Pub Date : 2016-01-01

Tom Friend, Paul Allen

{"title":"Prospective study on dental extractions carried out for paediatric patients under general anaesthetic in a district general hospital.","authors":"Tom Friend, Paul Allen","doi":"","DOIUrl":"","url":null,"abstract":"Background: The first line approach to managing healthy anxious children requiring dental extractions should include behavioural management and treatment under local anaesthetic. This can be coupled with conscious sedation.Aim: To evaluate alternative methods attempted prior to treatment under general anaesthesia (GA), to establish the incidence of repeat GA procedures.Method: Paediatric cases requiring dental extractions under GA were audited from October 2014 - December 2014 in the Oral and Maxillofacial Department, Great Western Hospital, Swindon.Results: 78 paediatric cases requiring dental extractions were carried out during the study period. 91% of referrals came from local general dental practitioners (GDPs). The indication for the GA was included in 59% of the referral letters. The number of teeth extracted per case ranged from 1 - 14. In 18% of cases treatment under local anaesthetic had been attempted previously. Conscious sedation had not been attempted in any of the cases. There were 5 cases (6.4%) of repeat general anaesthetic procedures.Conclusion: Local guidance regarding appropriate paediatric referrals should be distributed to primary care referrers. Treatment under conscious sedation should be considered for paediatric cases and an improved referral pathway to the community dental service should be developed. Preventative advice should be reinforced to the referrer and to the patient.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Yi Kwan Loo New SAAD Trustee. Yi Kwan Loo新任SAAD受托人。

SAAD digest Pub Date : 2016-01-01

引用次数: 0

Is Propofol Safe For Food Allergy Patients? A Review of the Evidence. 异丙酚对食物过敏患者安全吗?证据回顾。

SAAD digest Pub Date : 2016-01-01

Arkadiusz Dziedzic

引用次数: 0

Defining Over-Sedation: Literature Review and National Survey of Dental Hospitals Within the United Kingdom. 定义过度镇静:英国牙科医院的文献综述和全国调查。

SAAD digest Pub Date : 2016-01-01

Zehra Yonel, Abisola Asuni, Pankaj Taneja

{"title":"Defining Over-Sedation: Literature Review and National Survey of Dental Hospitals Within the United Kingdom.","authors":"Zehra Yonel, Abisola Asuni, Pankaj Taneja","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To review the literature, to investigate whether there was aconsensus on what encompasses over-sedation, and to determine the guidance employed for the administration of flumazenil.Methods: A literature search was performed following which a self-designed questionnaire was emailed to 14 sedation leads within UK Dental Hospitals.Results: 10 documents in the literature review met the inclusion criteria. In their definitions of over-sedation, loss of consciousness and respiratory depression were the main terms used; but a variety of terms were also seen, indicating a lack of agreement. Fourteen dental institutes were contacted of which nine (64%) responded. Thirty-seven per cent of sedation leads who responded stated they were unaware of a definition for over-sedation. Seventy-seven percent stated that when flumazenil was used this was recorded in a drugs book, with a broad range of justifications given.Conclusion: This study shows that there is a lack of uniformity both from clinicians and the literature, in what encompasses over-sedation. This makes formulating an accepted definition of over-sedation difficult. In order to ensure accurate reporting, monitoring and auditing of such events, a clear definition for over-sedation is required and can be used to provide clarity when flumazenil is to be administered.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Miss Margaret Hughes 1925-2015. 玛格丽特·休斯小姐1925-2015。

SAAD digest Pub Date : 2016-01-01

Ian Brett, Christopher Holden

引用次数: 0

The State of UK Dental Anaesthesia: Results From The NAP5 Activity Survey. A national survey by the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland. 英国牙科麻醉状况:来自NAP5活动调查的结果。英国皇家麻醉师学院和大不列颠及爱尔兰麻醉师协会第五次全国审计项目的一项全国性调查。

SAAD digest Pub Date : 2016-01-01

Michael R J Sury, James H MacG Palmer, Tim M Cook, Jaideep J Pandit

{"title":"The State of UK Dental Anaesthesia: Results From The NAP5 Activity Survey. A national survey by the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland.","authors":"Michael R J Sury, James H MacG Palmer, Tim M Cook, Jaideep J Pandit","doi":"","DOIUrl":"","url":null,"abstract":"The National Health Service anaesthesia annual activity (2013) was recently reported by the Fifth National Audit Program of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland. Within a large dataset were 620 dental cases. Here, we describe this data subset. The estimated annual dental caseload was 111,600:60% were children (< 16 y), 38.5% adults (16 - 65y) and 1.5% the elderly (> 65y). Almost all were elective day procedures (97%) and ASA 1 or 2 patients (95%).The most senior anaesthetist present was a Consultant in 82% and a non-career grade doctor in 14%.Virtually all (98%) cases were conducted during GA. Propofol was used to induce anaesthesia in almost all adults compared with 60% of children. Propofol maintenance was used in 5% of both children and adults. Almost all adults received an opioid (including remifentanil) compared with only 40% of children. Thirty one per cent of children had a GA for a dental procedure without either opioid or LA supplementation. Approximately 50% of adults and 16% of children received a tracheal tube: 20% of children needed only anaesthesia by face mask. These data show that anaesthetists almost always use general anaesthesia for dental procedures and this exposes difficulties in training of anaesthetists in sedation techniques. Dentists, however, are well known to use sedation when operating alone and our report provides encouragement for a comprehensive survey of dental sedation and anaesthesia practice in both NHS and non-NHS hospitals and clinics in the UK.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"34-6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What's new in ... The Process of Consent. 有什么新鲜事吗?同意的过程。

SAAD digest Pub Date : 2016-01-01

Sue Life

引用次数: 0

Iatrosedation: a holistic tool in the armamentarium of anxiety control. 镇静:一种控制焦虑的整体工具。

SAAD digest Pub Date : 2015-01-01

Pankaj Taneja

引用次数: 0