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Advanced conscious sedation training--the pilot course, training and impact on a hospital service. 高级意识镇静训练——试点课程、培训及对医院服务的影响。

SAAD digest Pub Date : 2014-01-01

Najla Nizarali, Julie Edwards, Bryan Kerr

{"title":"Advanced conscious sedation training--the pilot course, training and impact on a hospital service.","authors":"Najla Nizarali, Julie Edwards, Bryan Kerr","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Advanced conscious sedation techniques for dental procedures include continuous propofol infusion and combinations of midazolam and fentanyl. A course based on the Independent Expert Group on Training & Standards for Sedation in Dentistry (IEGTSSD) training syllabus was set up in 2012 to provide training in these techniques. Training involved: self-directed study modules; attendance at didactic teaching day; presentation by candidates of knowledge; medical emergency simulated training; written examination; supervised cases; and submission of case logbook. A dedicated clinic was set up by dentists to provide training for supervised cases.</p><p><strong>Results: </strong>nine dentists are now trained in advanced sedation techniques and over 250 patients have been successfully treated using continuous propofol infusion.</p><p><strong>Conclusion: </strong>the advanced sedation training course based on the EGTSSD curriculum was a successful way to train dentists experienced in standard sedation techniques to be confident and knowledgeable to deliver advanced sedation in a dental setting. Patients mostly preferred propofol to midazolam, however, as amnesia is not guaranteed; propofol may be more appropriate for mild to moderately anxious patients.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"41-3"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303518","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 governance for conscious sedation in dental practice. 在牙科实践中有意识镇静的治理有什么新进展?

SAAD digest Pub Date : 2013-01-01

Paul Howlett, William Carter, Colette Meek

引用次数: 0

Intravenous ketamine and propofol in paediatric dental sedation: safe and effective? 静脉注射氯胺酮和异丙酚用于儿科牙科镇静:安全有效?

SAAD digest Pub Date : 2013-01-01

Michael Wood

引用次数: 0

Sedation of children--perspectives across hospital specialties. 儿童镇静——医院各专科的观点。

SAAD digest Pub Date : 2013-01-01

Mike Sury

引用次数: 0

The role of dental therapists in pharmacological and non-pharmacological treatment of anxious and phobic patients. 牙科治疗师在焦虑和恐惧症患者的药物和非药物治疗中的作用。

SAAD digest Pub Date : 2013-01-01

Christine MacLeavey

{"title":"The role of dental therapists in pharmacological and non-pharmacological treatment of anxious and phobic patients.","authors":"Christine MacLeavey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental Therapists are in a prime position to be involved with the management of anxious and phobic patients. They earn less than dentists and are therefore a more cost-effective way of providing specialised care for anxious patients. Dental Therapists can spend more time educating and acclimatising these patients, do most if not all of the patient's treatment, only referring back to the dentist for RCT, crown/bridgework/dentures and permanent extractions. Ultimately this means that the patient receives high quality continuity of care. Treating anxious and phobic patients is time-consuming but ultimately very rewarding. If handled correctly and sensitively the anxious and phobic patient will not always be anxious or phobic, in the same way that children won't always be children. Dental Therapists can now extend their duties to include Relative Analgesia. This should enhance their employability and role within the dental team especially in the management of anxious and phobic patients. Employing a therapist with a toolbox of techniques at their disposal can be seen as part of a long-term practice plan to ensure that anxious and phobic patients become rehabilitated, happy, compliant and loyal to the practice! In fact .... the sort of patients every dentist really wants to see.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"64-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238410","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 retrospective audit to evaluate the effect of the change in midazolam concentration from 10 mg/5 ml to 5 mg/5 ml ampoules on midazolam doses given to sedation patients following the rapid response report (RRR). 回顾性审核评估快速反应报告(RRR)后镇静患者咪达唑仑浓度从10mg / 5ml变为5mg / 5ml安瓿对咪达唑仑剂量的影响。

SAAD digest Pub Date : 2013-01-01

Shazia Kaka, Pan Taneja

{"title":"A retrospective audit to evaluate the effect of the change in midazolam concentration from 10 mg/5 ml to 5 mg/5 ml ampoules on midazolam doses given to sedation patients following the rapid response report (RRR).","authors":"Shazia Kaka, Pan Taneja","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>The technique of intravenous sedation with a benzodiazepine is a well documented and successful method for reducing fear and anxiety in many patients who regard dental treatment as challenging and potentially painful. One of the most important factors to achieving a well sedated patient is ensuring the dose of the drug given is titrated to the individual patient. Five years ago, a Rapid Response Report issued by the National Patient Safety Agency changed the concentration of midazolam within a 5 ml ampoule from 10 mg/5 ml to 5 mg/5 ml. A retrospective audit of 300 patients undergoing oral surgery treatment under intravenous midazolam sedation at Birmingham Dental Hospital was carried out over a 6-month period to assess whether this difference in midazolam concentration had any influence on the average dose of midazolam given to these patients.</p><p><strong>Study group: </strong>The midazolam doses given by five clinicians were audited both before and after the concentration change.</p><p><strong>Results: </strong>the mean midazolam dose that was administered by three clinicians decreased following the change in concentration. In addition, the number of patients given greater than 5 mg midazolam following the change decreased with all five clinicians.</p><p><strong>Conclusions: </strong>The change in midazolam concentration from 10 mg/5 ml to 5 mg/5 ml ampoules has resulted in the overall average dose of midazolam given by five clinicians at Birmingham Dental Hospital to decrease.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"40-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238407","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

Sedation scales and measures--a literature review. 镇静量表和测量——文献综述。

SAAD digest Pub Date : 2013-01-01

Tim Newton, Ioana Pop, Ella Duvall

引用次数: 0

Interview with Carole Boyle president of SAAD. Interview by Francis Collier. 采访SAAD主席卡罗尔·博伊尔。弗朗西斯·科利尔采访。

SAAD digest Pub Date : 2013-01-01

Carole Boyle

引用次数: 0

Reflections on six years as SAAD visiting professor. 作为SAAD客座教授六年的感想。

SAAD digest Pub Date : 2013-01-01

David Craig

引用次数: 0

Buffered local anaesthetics: the importance of pH and CO2. 缓冲局部麻醉:pH和CO2的重要性。

SAAD digest Pub Date : 2013-01-01

Stanley F Malamed, Mic Falkel

引用次数: 0

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