SAAD digest最新文献_第5页

Expanding the scope of practice--should dental nurses be permitted to administer local analgesia? 扩大执业范围——应否允许牙科护士实施局部镇痛?

SAAD digest Pub Date : 2014-01-01

Rowan Noble

{"title":"Expanding the scope of practice--should dental nurses be permitted to administer local analgesia?","authors":"Rowan Noble","doi":"","DOIUrl":"","url":null,"abstract":"Dumbing down the profession or meeting the need of more patients by the optimum management of resources? Unequivocally, patient safety and non-maleficence are central to this issue. Restrictions must be imposed to ensure this. Without doubt, continuing competence would have to be demonstrated by the registrant and they would only administer local analgesia after a written prescription by a dentist. Restrictions to infiltration analgesia would also seem prudent. if all involved, including patient representatives, consider this of merit, several issues would have to be resolved such as who wouldnd be responsible for training, the content of the programme a funding for training. This is fundamental for the conception and implementation of such a qualification. Recently, the issue of direct access has been opened. The profession has changed in recent years with more focus being placed on dentists to meet the need of patients burdened by dental disease, particularly the disenfranchised, by utilising the whole dental team. Notwithstanding this and it may seem counter intuitive, but if this role was extended to dental nurses, it may be most adopted in services where time is not so important such as the salaried and other secondary services.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303513","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

A study at Manchester Dental Hospital, of the compliance of IV sedation patients and their escorts. 曼彻斯特牙科医院的一项研究，对静脉镇静患者及其陪同人员的依从性。

SAAD digest Pub Date : 2014-01-01

Kate Lightfoot

{"title":"A study at Manchester Dental Hospital, of the compliance of IV sedation patients and their escorts.","authors":"Kate Lightfoot","doi":"","DOIUrl":"","url":null,"abstract":"Oral surgery, under intravenous sedation, is carried out on a daily basis at Manchester Dental Hospital. This essay discusses the background of conscious sedation in the dental setting and looks at the compliance of patients (and escorts) when having intravenous sedation. The patient journey, from pre-operative assessment through to treatment is considered. Hospital instructions indicate an obligation for patients to attend with a responsible adult (eighteen or over) who remains with them throughout their treatment, escorts them home,and arranges their care for the next twenty-four hours. By following these instructions the patient should receive optimal care. Two questionnaires were devised and given to patients/escorts to assess their compliance with Manchester Dental Hospital postoperative protocols. 100% compliance was the set standard, with results presented as pie charts. This work began during the undergraduate summer vacation of 2012 and continued over a five-month period. Initial results suggested that compliance was generally good but certain improvements could be made. Suggestions for future development are presented. These aim to give clarity to all patients/escorts and their specific roles in the anticipated treatment.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303512","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

SAAD digest: 30 volumes of information from SAAD. SAAD文摘:来自SAAD的30卷信息。

SAAD digest Pub Date : 2014-01-01

Nigel D Robb

引用次数: 0

The GDC's new standards, and managing patients' pain, discomfort or anxiety. GDC的新标准，以及管理患者的疼痛、不适或焦虑。

SAAD digest Pub Date : 2014-01-01

Paul Averley

引用次数: 0

SAAD Annual Symposium 2013. Saturday 21 September, Royal Society of Medicine, London, UK. 2013年sadad年会。9月21日星期六，英国伦敦皇家医学学会。

SAAD digest Pub Date : 2014-01-01

Fareed Ahmad

引用次数: 0

DSTG Symposium Report. 14th May 2013, Cardiff Millennium Stadium. DSTG研讨会报告，2013年5月14日，卡迪夫千年体育场。

SAAD digest Pub Date : 2014-01-01

Elin Robinson, Grace Kelly

引用次数: 0

The role of hypnotherapy in dentistry. 催眠疗法在牙科中的作用。

SAAD digest Pub Date : 2014-01-01

Enrico Facco, Gastone Zanette, Edoardo Casiglia

引用次数: 0

Secretary's correspondence. 秘书的信件。

SAAD digest Pub Date : 2014-01-01

Francis Collier

引用次数: 0

Bispectral index (BIS) monitoring of intravenous sedation for dental treatment. 牙科治疗中静脉镇静的双谱指数监测。

SAAD digest Pub Date : 2014-01-01

Panna Shah, Graham Manley, David Craig

{"title":"Bispectral index (BIS) monitoring of intravenous sedation for dental treatment.","authors":"Panna Shah, Graham Manley, David Craig","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate the efficacy of the Bispectral Index monitor (BIS) in monitoring patients receiving intravenous midazolam for dental treatment.Background: The BIS monitor has been proposed as an objective form of monitoring the level of consciousness in patients undergoing sedation and anaesthesia. It analyses electroencephalogram wave forms and quantifies this information to produce a numerical value of 0-100. To assess its efficacy,this study investigates if BIS correlates with the Observer's Assessment of Alertness/Sedation scale (OAA/S).Method: 50 episodes of intravenous sedation using midazolam were provided for anxious adults. Sedation proceeded in the standard manner but with the addition of BIS monitoring and assessment of the depth of sedation using the OAA/S scoring system.The operator was blinded to the BIS monitor. Information from the BIS monitor and corresponding OAA/S scores were recorded at 5-minute intervals and at clinically significant points, and correlation was tested using Spearman's Rank test.The effect of electromyographic interference (EMG) on the BIS reading was also investigated.Results: A strong positive correlation was found between BIS and OAA/S.The mean range of BIS values recorded during sedation was 81+8.The BIS value was found to be most accurate at the end point of sedation.Conclusion: BIS monitoring may be a useful adjunct in monitoring patients receiving sedation for dental treatment using midazolam.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40305934","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

Decision aids in paediatric dental sedation: helping children choose what is right for them. 决策辅助在儿科牙科镇静:帮助儿童选择什么是适合他们。

SAAD digest Pub Date : 2014-01-01

Joe Hulin

引用次数: 0