Difference between revisions of "Dental extraction"

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	In development
User likes	0

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Latest revision as of 13:45, 24 October 2022

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

@@ Line 1: / Line 1: @@
-.
+{{Infobox surgical procedure
+| anesthesia_type = General
+| airway = ETT (Oral or Nasal RAE most commonly)
+| lines_access = PIV x1
+| monitors = Standard
+| considerations_preoperative =
+| 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 =
+}}
+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<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
+{| class="wikitable"
+|+
+!System
+!Considerations
+|-
+|Airway
+|
+|-
+|Neurologic
+|
+|-
+|Cardiovascular
+|
+|-
+|Pulmonary
+|
+|-
+|Gastrointestinal
+|
+|-
+|Hematologic
+|
+|-
+|Renal
+|
+|-
+|Endocrine
+|
+|-
+|Other
+|
+|}
+=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
+=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
+=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
+=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
+== Intraoperative management ==
+=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
+=== 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. --> ===
+* 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. --> ===
+* 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. --> ===
+== Postoperative management ==
+=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===
+=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
+=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===
+== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
+{| class="wikitable wikitable-horizontal-scroll"
+|+
+!
+!Variant 1
+!Variant 2
+|-
+|Unique considerations
+|
+|
+|-
+|Position
+|
+|
+|-
+|Surgical time
+|
+|
+|-
+|EBL
+|
+|
+|-
+|Postoperative disposition
+|
+|
+|-
+|Pain management
+|
+|
+|-
+|Potential complications
+|
+|
+|}
+== References ==
+[[Category:Surgical procedures]]