Table of Contents
Contributors ix
Foreword xiii
Preface xv
Acknowledgment xvii
Section 1: Introduction
1 Anesthetic complications—how bad things happen 3Robert C. Bosack
Section 2: Patient risk assessment
2 History and physical evaluation 9Kyle Kramer, Trevor Treasure, Charles Kates, Carrie Klene and Jeffrey Bennett
3 Laboratory evaluation 15Kyle Kramer and Jeffrey Bennett
4 NPO guidelines 19Kyle Kramer and Jeffrey Bennett
Section 3: Anesthetic considerations for special patients
5 Anesthetic considerations for patients with cardiovascular disease 25Erik Anderson and Robert Bosack
6 Anesthetic considerations for patients with respiratory disease 49Robert C. Bosack and Zak Messieha
7 Anesthetic considerations for patients with endocrinopathies 61Daniel Sarasin Kevin McCann and Robert Bosack
8 Anesthetic considerations for patients with psychiatric illness 71Daniel L. Orr, Robert C. Bosack and John Meiszner
9 Anesthetic considerations for patients with neurologic disease 79Joseph A. Giovannitti
10 Anesthetic considerations for patients with hepatic disease 85Jeffrey Miller and Stuart Lieblich
11 Anesthetic considerations for patients with renal disease 89Marci H. Levine and Andrea Schreiber
12 Anesthetic considerations for pediatric patients 93Michael Rollert and Morton Rosenberg
13 Anesthetic considerations for geriatric patients 97Andrea Schreiber and Peter M. Tan
14 Anesthetic considerations for patients with bleeding disorders 103O. Ross Beirne
15 Anesthetic considerations for patients with cancer 113Andrea M. Fonner and Robert C. Bosack
16 Anesthetic considerations for pregnant and early postpartum patients 117Robert C. Bosack
Section 4: Review of anesthetic agents
17 Clinical principles of anesthetic pharmacology 123Richard C. Robert
18 Local anesthetic pharmacology 129Roy L. Stevens and Robert C. Bosack
19 Enteral sedation agents 133Richard C. Robert
20 Parenteral anesthetic agents 135Richard C. Robert
21 Inhalational anesthetic agents 143Charles Kates, Douglas Anderson, Richard Shamo and Robert Bosack
22 Antimuscarinics and antihistamines 151Richard C. Robert
23 Drug interactions 155Kyle Kramer and Richard C. Robert
Section 5: Monitoring
24 Limitations of patient monitoring during office-based anesthesia 163Robert C. Bosack and Ken Lee
Section 6: Preparation for adversity
25 Crisis resource management 173Joseph Kras
26 Simulation in dental anesthesia 177Joseph Kras
27 Airway adjuncts 181H.William Gottschalk
28 Intravenous fluids 185Cara Riley, Kyle Kramer and Jeffrey Bennett
29 Emergency drugs 189Daniel A. Haas
Section 7: Anesthetic adversity
30 Failed sedation 201Roy L. Stevens and Kenneth L. Reed
31 Complications with the use of local anesthetics 207M. Anthony Pogrel, Roy L. Stevens, Robert C. Bosack and Timothy Orr
32 Anesthetic adversity – cardiovascular problems 219Robert C. Bosack and Edward C. Adlesic
33 Anesthetic adversity—respiratory problems 231Charles F. Cangemi, Edward C. Adlesic and Robert C. Bosack
34 Allergy and anaphylaxis 251H.William Gottschalk and Robert C. Bosack
35 Anesthetic adversity–neurologic problems 257Michael Trofa and Robert C. Bosack
36 Acute adverse cognitive behavioral and neuromuscular changes 261Edward Adlesic, Douglas Anderson, Robert Bosack, Daniel L. Orr and Steven Ganzberg
37 Anesthetic problems involving vasculature 271Stuart Lieblich
Section 8: Post-anesthetic adversity
38 Nausea and vomiting 277Edward Adlesic
39 Post-anesthetic recall of intraoperative awareness 283Robert C. Bosack
40 Delayed awakening from anesthesia 287Stuart E. Lieblich
41 Safe discharge after office-based anesthesia 291Stuart Lieblich and Peter M. Tan
Section 9: When bad things happen
42 Morbidity and mortality 295Lewis Estabrooks
43 Death in the chair: a dentist’s nightmare 299Glen Crick
44 Legal issues of anesthesia complications: risks or malpractice 307Arthur W. Curley
Section 10: When should you say no
45 When should you say no? 315Andrew Herlich and Robert C. Bosack
Section 11: Appendices
Appendix A A pilot’s perspective on crisis resource management 323David Yock
Appendix B Medical emergency manual for the general practitioner 325Robert C. Bosack
Appendix C Malignant hyperthermia Q & A 337Edward C. Adlesic and Steven I. Ganzberg
Index 339