Difference between revisions of "Dental extraction"
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = | | anesthesia_type = General | ||
| airway = | | airway = ETT (Oral or Nasal RAE most commonly) | ||
| lines_access = | | lines_access = PIV x1 | ||
| monitors = | | monitors = Standard | ||
| considerations_preoperative = | | considerations_preoperative = | ||
| considerations_intraoperative = | | considerations_intraoperative = Tachycardia from lido/epi given by surgeon is common, avoid treating with narcotics | ||
Throat pack should be removed prior to emergence | |||
| considerations_postoperative = | | considerations_postoperative = | ||
}} | }} | ||
In adults, this is a very uncommon procedure in a hospital setting unless the patient has significant comorbidities. | |||
== Overview == | == Overview == | ||
| Line 66: | Line 67: | ||
=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> === | === Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> === | ||
* An oral RAE tube is used most commonly, though nasal RAE tubes may be used as well | |||
=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> === | === Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> === | ||
* Supine, arms tucked usually | |||
=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> === | === Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> === | ||
* Consider a use of an antisialogogue such as glycopyrrolate | |||
* Surgeon may give local with epi--heart rate increases are common after SQ Epi | |||
=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> === | === Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> === | ||
Latest revision as of 12:45, 24 October 2022
Dental extraction
| Anesthesia type |
General |
|---|---|
| Airway |
ETT (Oral or Nasal RAE most commonly) |
| Lines and access |
PIV x1 |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative |
Tachycardia from lido/epi given by surgeon is common, avoid treating with narcotics Throat pack should be removed prior to emergence |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
In adults, this is a very uncommon procedure in a hospital setting unless the patient has significant comorbidities.
Overview
Indications
Surgical procedure
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
- An oral RAE tube is used most commonly, though nasal RAE tubes may be used as well
Positioning
- Supine, arms tucked usually
Maintenance and surgical considerations
- Consider a use of an antisialogogue such as glycopyrrolate
- Surgeon may give local with epi--heart rate increases are common after SQ Epi
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Mitchel DeVita, Olivia Sutton and Tony Wang