Anesthesiology

Nitrous oxide and oxygen sedation is a reliable and efficient method of relieving pain, fear, and apprehension in patients undergoing surgical procedures. Emphasizing the use of nitrous oxide in dentistry, this practical handbook is designed to meet the needs of all healthcare professionals who may be using this method of sedation. The only nitrous oxide/oxygen sedation handbook written specifically as a chairside reference, this 2nd edition provides comprehensive coverage of all the principles for use of nitrous oxide/oxygen sedation as a means of pain and anxiety management.

Local Anesthesia for Dental Professionals  is designed to meet the requirements of comprehensive courses in local anesthesia for both dental hygiene and dental programs.  It includes extensive ancillary student and instructor resources including clearly stated objectives for each chapter, easy-to-reference tables, relevant case studies, question and answer banks, and laboratory skill assessments.  In addition to separate chapters on topical anesthetics, dose considerations, inadequate anesthesia, specialty factors, and anatomic factors, this text includes troubleshooting factors and considerations specific to each technique.

Offering comprehensive coverage of a wide range of topics, this practical "how to" manual explores and teaches methods that enhance good local anesthesia practices, while alerting readers to specific hazards and errors in technique that may result in complications. Basic concepts for the safe and effective practice of local anesthesia in dentistry today are emphasized, along with the most current advances in science, technology, and pain control techniques.

• Basic concepts for the safe and effective practice of local anesthesia in dentistry are emphasized.
• Recent advances in science, technology, and pain control techniques are presented.
• Clear instructions for administering local anesthetics are accompanied by high-quality photographs and drawings to enhance the reader's understanding.
• Numerous boxes and tables are presented throughout to provide a quick reference and comparison of techniques, drugs, and dosages.
• In-depth discussions are provided on the anesthetic agents used in dentistry, along with their clinical actions.
• Dosage charts, injection techniques, information on duration of action, and contraindications for local anesthetics are included at the end of the book for quick reference.
• Step-by-step procedures and instructions for administering local anesthetics are provided.
• The proper care and handling of equipment are thoroughly covered, along with the problems that may be encountered.
• Information is provided on the requirements for pain control and local anesthesia within various dental specialties that require particular attention.
• Coverage includes electronic dental anesthesia and ultrasonics, as alternatives to the injection of drugs.

• A chapter on Legal Considerations mentions foreseeable complications related to the administration of local anesthetics and discusses the standard of care with regard to appropriate prevention and treatment.
• An all-new, full-color design includes vibrant illustrations and drawings.
• Comprehensive information is provided on Articaine, a highly debated local anesthetic recently approved by the FDA, that is gaining widespread use in the United States.
• Discussions of the armamentarium needed to succeed in local anesthesia delivery have been updated to reflect the latest available drugs and devices.
• Updated instructions for administering the various techniques of intraoral anesthesia are presented in consistent, step-by-step procedures.
• The New 2003 CDC Hand Hygiene Guidelines are provided to keep readers up to date on the latest standards of practice.

This definitive, authoritative clinical manual stands alone in the field of patient sedation. Combining essential theory with technical instruction, it presents "everything in a nutshell" for the practicing professional and student of dentistry. Key factors such as the physical, emotional, and mental condition of the patient - as well as required ADA guidelines - are incorporated into sedation techniques designed to improve the patient's overall dental experience. The result is an indispensable book, expert in its professional protocols and techniques, and comprehensive in its wide-ranging considerations. Detailed chapters, divided into eight parts, are devoted to topics on: the problem of fear and anxiety in dentistry; pain and anxiety control; pharmacosedation; history and techniques of general anesthesia; inhalation and intravenous sedation, preparation and management of emergencies in the dental office; and sedation for special needs patients - pediatric, geriatric, and medical and physically compromised patients.

• Written by an acknowledged expert in the field, the book draws on a wealth of clinical experience and ability.
• Combines all aspects of sedation with essential theoretical and technical instruction.
• Techniques are divided into sections on pharmacology, armamentarium, and technique and complications - described in explicit detail that allows it to be used as a chairside reference.
• Pharmacosedation is covered in full, with discussions of oral, rectal, and IM premedication, as well as nine chapters on inhalation sedation and ten chapters on IV sedation.
• Covers all of the components required by the ADA guidelines: review of cardiovascular and respiratory physiology; selection of agents; techniques of administration; and management of complications and emergencies.
• Step-by-step descriptions of inhalation sedation (nitrous oxide and oxygen) and intravenous sedation provide a superb clinical "picture" of the procedures.
• Chapters on pediatric, geriatric and physically and medically compromised patients offer valuable, up-to-date information on the management of these special needs patients.
• In-depth discussions of the pharmacology of commonly used sedative agents allow the reader to fully understand properties and characteristics of drugs used.

• Content has been completely updated to include the most current drug dosage information.
• More information on recreational abuse of nitrous oxide reflects the current societal trends.
• The latest American Heart Association recommendations help prevent bacterial endocarditis.
• Increased emphasis on nitrous oxide/oxygen, as many dental hygienists are becoming certified to administer this form of sedation.
• New contributors lend credibility and experience to each topic discussed.
• Content outlines at the beginning of each chapter allow for quick reference of specific topics.
• Improved illustrations and photographs offer a fresh look, with high-quality art to aid in the visualization of techniques and procedures.

Spanish version of 3rd edition also available, ISBN: 84-8174-136-1

MOSBY'S DENTAL DRUG REFERENCE is an inexpensive and convenient book designed to be used chairside in the dental office as a quick, concise drug reference resource. Its purpose is to assist the dentist, dental hygienist, or dental assistant in the rapid identification of drugs that patients may be taking as they present in the dental office. The user-friendly design provides easy access to essential information on drugs patients commonly take to facilitate completion of the medical history review. The book's size is such that it will fit in the pocket of a clinic coat and the soft cover design reduces bulk and weight. Drugs are presented alphabetically by generic name in a succinctly ordered and standardized format with pertinent drug information for the dentist, dental hygienist, or dental assistant. An easy-to-use cross index is the key to using this book for both brand and generic name identification. Useful fact tables are located on the front inside covers and in the appendices, along with information about dose calculations. Features: * A true, user-friendly, time-saving chair side dental drug reference. * Provides information on the top 200 prescription drugs in the United States. * Focuses on drug interactions of clinical interest. * Highlights oral side effects for each drug. * Updates of new drugs, as approved, are posted on Mosby's web site. * Provides information on more than 2,000 drug products used by dental patients. * Discusses dental considerations in the management of patients taking medications as prescribed by their physicians. * Index of drug combinations. * Therapeutic and pharmacologic index. * Table of drugs that cause taste aversion. * Inclusion of the recommended antibiotic prophylaxis for the prevention of bacterial endocarditis as detailed by the American Heart Association. * Coverage of the recommended antibiotic prophylaxis for the prevention of prosthetic joint infection. * For each drug profiled, you'll find: * ?generic name of the drug, presented alphabetically * ?pronunciation of the generic drug name * ?common brand names for the generic drug as sold in the U.S. and Canada, with designations for drugs sold only in Canada (Maple leaf icon) * ?drug class, to facilitate drug identification * ?controlled substances schedule as appropriate for the U.S. and Canada * ? action, providing a brief description of the mechanisms of the action of the drug * ?uses or indications for the drug, including those approved by the FDA. Unapproved uses are identified as appropriate for selected drugs * ?doses and routes of administration, to assist in assessing the dose in relationship to the seriousness of the patient's disease and for predicting potential side effects and drug interactions * ?side effects/adverse reactions grouped according to body systems. Common side effects are listed in italics; life-threatening reactions are in boldface type. Information regarding oral manifestations of side effects is listed separately. * ?contraindications in which the medication should absolutely not be given or when risk/benefit criteria must be established * ?precautions to be considered when prescribing and using the drug, along with identification of pregnancy categories * ?pharmacokinetics, briefly described for each drug * ?drug interactions of concern to dentistry, helping you exercise clinical judgment regarding both beneficial and harmful interactions * ?dental considerations, including general information, suggestions for medical consultations, and recommendations for the patient/family in preventing dental complications New to this edition: * Coverage of many new Federally approved drugs for 1999 and 2000. * All new and existing drug monographs have been reviewed for accuracy and currency on usage and dosage information. * Inclusion of popular alternative medicines (i.e., herbal supplements). * One year after publication, a new section will be inserted at the end of the book, listing all drugs that have been approved since publication. * Frequent updates of new drugs, as approved, are posted on Mosby's web site. * Dental Alert icon added to alert the reader of dental side effects and/or dental drug interactions. * Maple leaf icon inserted to designate common brand names for the generic drug as sold only in Canada

Fear of pain is the number one reason people give for not making regular visits to the dentist. At the same time, a majority of dentists report experiencing anesthesia-related problems during restorative dental procedures. If dentists are able to provide painless treatment, patient compliance and satisfaction are likely to improve. Pulpal anesthesia is a vital part of the delivery of dental care for restorative dentists and endodontists. Administration of local anesthesia is invariably the first procedure they perform and it affects everything they do thereafter. If the patient is not adequately anesthetized, difficulties inevitably arise. This book will help you successfully anesthetize your patients using the newest technology and drugs available. It presents the rationale, advantages, and limitations of the various anesthetic agents and routes of administration. A special emphasis is placed on supplemental anesthetic techniques that are essential to the practice of dentistry.

This book cotains comprehensive coverage of both anaesthesia and sedation. It takes a look at acute pain both operatively and post-operatively. It also provides a rational approach to the prescription of drugs. Includes over 200 illustrations.

Clinical Sedation in Dentistry is a comprehensive textbook on the principles and practice of clinical sedation in dentistry, written by experienced educators and internationally renowned researchers in the field. Chapters cover the following key topics: the etiology of dental anxiety, patient management techniques, anatomy and physiology, pharmacology, patient assessment and selection, pre-medication and oral sedation, special care dentistry, inhalation and intravenous sedation, complications and emergencies, medico-legal aspects, and advances.