A comprehensive reference to anesthesia for dental, oral, and maxillofacial surgery
Anesthesia for Dental and Oral Maxillofacial Surgery offers a comprehensive yet practical approach to anesthesiology for dentist anesthesiologists, oral and maxillofacial surgeons, and anesthesia providers in a dental environment. Taking a concise bulleted approach for fast access to information, the book covers all topics relevant to providing perioperative anesthetic management for the head and neck region. Coverage ranges from equipment, anatomy, physiology, and pharmacology to anesthetizing patients with specific conditions and for specific procedures.
Designed for ease of use, the book makes it easy to find information relevant to cases ranging from common to rare. Anesthesia for Dental and Oral Maxillofacial Surgery readers will also find: - Images throughout to facilitate key points - A bulleted approach for easy reference - A practical, accessible style, making it easy to find information at point of care - Detailed coverage of preoperative aspects, pharmacology, key equipment, and more
Anesthesia for Dental and Oral Maxillofacial Surgery provides anesthesia providers with all the information they need to confidently manage any case.
Table of Contents
Editorial Board xi
Acknowledgments and Contributors xiii
Preface xiv
Oral/Written Boards xv
Dentist Contributions to Anesthesiology xvii
Glossary of Abbreviations xviii
Section 1 Statistics I Physics I Equipment 1
1.1 Statistics 3
1.2 Anesthetic Monitoring Standards 5
1.3 Pulse Oximetry 6
1.4 Electrocardiography 7
1.5 Blood Pressure Monitors 9
1.6 Temperature Monitoring 11
1.7 Ventilation Monitoring 12
1.8 Capnograms 13
1.9 Fluid and Gas Physics 15
1.10 Medical Gas 16
1.11 Mapleson Circuit 17
1.12 Circle System 18
1.13 Anesthesia Machine Safety Features 19
1.14 Vaporizer 21
1.15 Ventilator 23
1.16 Infusion Pump 24
Section 2 Anatomy I Physiology 25
2.1 Body Fluids 27
2.2 Intravenous Fluids 28
2.3 Head and Neck Blood Supply 29
2.4 Sensory Nerves 30
2.5 Cranial Nerves 31
2.6 Neuromuscular Junction 35
2.7 Parasympathetic Nervous System 36
2.8 Sympathetic Nervous System 37
2.9 Brain 39
2.10 Spinal Cord 41
2.11 Cardiac 42
2.12 Pulmonary 46
2.13 Renal 49
2.14 Hepatic and Biliary 51
2.15 Gastrointestinal 52
2.16 Pancreas 53
2.17 Thyroid 54
2.18 Parathyroid 55
2.19 Adrenal Gland 56
2.20 Vascular 57
2.21 Hematology 58
Section 3 Preoperative Assessment 61
3.1 Psychology 63
3.2 Sedation Levels 64
3.3 ASA Physical Status Classification 65
3.4 Preoperative Cardiac Testing 67
3.5 Preoperative Pulmonary Testing 70
3.6 Preoperative Labs 73
3.7 Airway Evaluation 77
Section 4 Outpatient Medications 81
4.1 Antibiotic Prophylaxis 83
4.2 Smoking 85
4.3 Substance Use Disorder Treatment 86
4.4 Antiplatelets 88
4.5 Anticoagulants 90
4.6 Antihypertensives 92
4.7 Diuretics 94
4.8 Antidysrhythmics 96
4.9 Pulmonary 97
4.10 Non-Insulin Hypoglycemics 99
4.11 Insulin 101
4.12 Antidepressants 103
4.13 Psychiatric 105
4.14 Neurologic 106
4.15 Gastrointestinal 107
4.16 Glucocorticosteroids 108
4.17 Other Medications 109
Section 5 The Perioperative Pharmacology 115
5.1 Inhalational Pharmacokinetics and Pharmacodynamics 117
5.2 Inhalational Agents 120
5.3 Intravenous Pharmacokinetics and Pharmacodynamics 122
5.4 Intravenous Induction Agents 124
5.5 Benzodiazepines 126
5.6 Opioids 128
5.7 Non-opioid IV Analgesics 131
5.8 Neuromuscular Monitoring 133
5.9 Neuromuscular Blocking Agents 135
5.10 Neuromuscular Reversal Agents 137
5.11 Hypertensive Agents 139
5.12 Antihypertensive Agents 142
5.13 Antidysrhythmics 145
Section 6 Adult Disease and Syndromes 153
6.1 Neurologic Disease 155
6.2 Cardiac Disease 160
6.3 Valvular Disease 163
6.4 Bradydysrhythmias 166
6.5 Tachydysrhythmias 168
6.6 Cardiac Conduction Defects 171
6.7 Cardiac Equipment and Transplants 175
6.8 Vascular Disease 179
6.9 Pulmonary Disease 181
6.10 Neuromuscular Disease 183
6.11 Renal Disease 185
6.12 Liver and Biliary Disease 187
6.13 Gastrointestinal Disease 189
6.14 Endocrine Disease 191
6.15 Hematologic Disease 196
6.16 Orthopedic Disease 199
6.17 Immune Disease 201
6.18 Connective Tissue Disease 204
Section 7 Pediatric Disease and Syndromes 211
7.1 Pediatric Anatomy and Physiology 213
7.2 Neonatal/Newborn Disorders 215
7.3 Congenital Heart Defects 224
7.4 Childhood Disorders 228
7.5 Syndromes 236
Section 8 Perioperative Emergencies and Urgencies 245
8.1 Cardiac 248
8.2 Respiratory 248
8.3 Neuro 248
8.4 Metabolic 248
8.5 Other 248
Section 9 Dental Specifics 279
9.1 Common Drug Dosing 281
9.2 Local Anesthetics 283
9.3 Topical Local Anesthetics 286
9.4 Vasoconstrictors 287
9.5 Local Anesthesia for the Trigeminal Nerve (CN V) 288
9.6 Natural Guarded Airway (NGA) 290
9.7 Noninvasive Oxygen Delivery Systems 292
9.8 Airway Adjuncts 294
9.9 Supraglottic Airways 296
9.10 Endotracheal Tubes 298
9.11 Laryngoscopy 300
9.12 Fiberoptic Intubation (FOI) 302
9.13 Submental Intubation 304
9.14 Deliberate Hypotensive Anesthesia 305
9.15 Legal Considerations 306
Section 10 Oral Maxillofacial Surgery 309
10.1 Odontogenic Infections 311
10.2 Orthognathic Surgery 313
10.3 Obstructive Sleep Apnea 315
10.4 Oral Reconstruction 318
10.5 Temporomandibular Joint Disorders 320
10.6 Trauma 322
10.7 Cricothyrotomy 326
10.8 Tracheostomy 327
10.9 Facial Plastic Surgery 328
Index 331
