Dental extraction
From WikiAnesthesia
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