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Anesthesiol Clin. 2019 Jun;37(2):333-348. doi: 10.1016/j.anclin.2019.01.003. Epub 2019 Mar 22.

Advancing the Safe Delivery of Office-Based Dental Anesthesia and Sedation: A Comprehensive and Critical Compendium.

Author information

1
Anesthesia, Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry, Indianapolis, IN, USA; Private Practice, Indiana Office-Based Anesthesia, 3750 Guion Road, Suite 225, Indianapolis, IN 46222, USA. Electronic address: msaxen93@gmail.com.
2
Section on Dental Anesthesiology, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA; Divisions 1 & 3, Herman Ostrow School of Dentistry, University of Southern California, 925 West 34th Street, Los Angeles, CA 90089, USA.
3
Department of Anesthesiology, Critical Care and Pain Medicine, Bader 3, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

Abstract

The provision for and administration of dental office-based sedation and anesthesia requires considerations and preparations that are unique to dentistry and unlike that of any other office-based and nonoperating room procedures. Anesthesia providers who have only performed dental cases in an operating room are often unaware of the idiosyncrasies and risks associated with performing sedation and anesthesia in the dental office. This article explores the demographics, patient characteristics, morbidity, mortality, and clinical concerns with an in-depth discussion of the dental operating environment. The content is integrated with the current medical and dental guidelines for office-based anesthesia.

KEYWORDS:

Anesthesia; Capnography; Dental; NFPA 99; Office-based; Pediatric; Precordial

PMID:
31047133
DOI:
10.1016/j.anclin.2019.01.003
[Indexed for MEDLINE]

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