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Office-Based Sedation/General Anesthesia for COPD Patients, Part I

Chino, Kristin ; Ganzberg, Steven ; Mendoza, Kristopher

Anesthesia progress, 2018-12, Vol.65 (4), p.261-268 [Periódico revisado por pares]

United States: Allen Press

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Título:
Office-Based Sedation/General Anesthesia for COPD Patients, Part I
Autor: Chino, Kristin ; Ganzberg, Steven ; Mendoza, Kristopher
Assuntos: Air pollution ; Airway management ; Ambulatory Surgical Procedures - adverse effects ; Ambulatory Surgical Procedures - methods ; Anesthesia ; Anesthesia, Dental - adverse effects ; Anesthesia, Dental - methods ; Anesthesia, General - adverse effects ; Anesthesia, General - methods ; Anesthetics, General - administration & dosage ; Anesthetics, General - adverse effects ; Asthma ; Blood flow ; Body mass ; Bronchitis ; Bronchodilation ; Carbon dioxide ; Care and treatment ; Chronic obstructive pulmonary disease ; Conscious sedation ; Continuing Education in Memory of Norman Trieger, Dmd, Md ; Corticosteroids ; Cough ; Dental Offices ; Dentists ; Disease prevention ; Dyspnea ; Emphysema ; Epidemiology ; Etiology ; Gases ; General anesthesia ; Humans ; Hypercapnia ; Hyperglycemia ; Hyperreactivity ; Hypnotics and Sedatives - administration & dosage ; Hypnotics and Sedatives - adverse effects ; Hypokalemia ; Hypomagnesemia ; Hypoxia ; Inflammation ; Intraoperative Complications - epidemiology ; Lung - physiopathology ; Lung diseases, Obstructive ; Methods ; Oral Surgical Procedures - adverse effects ; Oral Surgical Procedures - methods ; Outdoor air quality ; Patients ; Physicians ; Postoperative Complications - epidemiology ; Practice ; Pulmonary Disease, Chronic Obstructive - diagnosis ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Respiration ; Respiratory failure ; Respiratory function ; Risk Assessment ; Risk Factors ; Smoking ; Surgery ; Systematic review ; Treatment Outcome ; Vasoconstriction ; Wheezing ; Women
É parte de: Anesthesia progress, 2018-12, Vol.65 (4), p.261-268
Descrição: The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office-based settings can be quite complex without a current understanding of the etiology, course, severity, and treatment modalities of the disease. The additional concerns of providing sedation and/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other comorbidities, such as advanced age and potential significant cardiovascular compromise, the dental practitioner providing sedation or general anesthesia must tailor any treatment plan to address multiple organ systems and mitigate risks of precipitating acute respiratory failure from inadequate pain and/or anxiety control. Part I of this article will cover the epidemiology, etiology, and pathophysiology of COPD. Patient evaluation in the preoperative period will also be reviewed. Part II will cover which patients are acceptable for sedation/general anesthesia in the dental office-based setting as well as sedation/general anesthesia techniques that may be considered.
Editor: United States: Allen Press
Idioma: Inglês

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Office-Based Sedation/General Anesthesia for COPD Patients, Part I

Chino, Kristin ; Ganzberg, Steven ; Mendoza, Kristopher

United States: Allen Press

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