General Anaesthesia and Special Care Dentistry Flashcards
What is General Anaesthesia
A drug induced state of reversible, controlled unconsciousness during which patients are not rousable
What is involved in the triad of anaesthesia
- Hypnosis
- Muscle relaxation
- Analgesia
What are the indications for general anaesthesia in the normal patient
- Anxious patient with OSA
- Multiple extractions/third molars
- Failed sedation
- Maxillofacial surgery
What are the indications for general anaesthesia in the special care patient
- Aspiration risk
- Cognitive impairment with challenging behaviour
- Multi-disciplinary care
What are the contraindications for GA
- Advanced cardio-respiratory disease
- Allergy to anaesthetic drugs
- Social circumstances e.g. no escort for sedation
What instructions would you give to a type 2 diabetic patient before undergoing GA
- Don’t have your morning diabetic drugs
What drugs are used in the induction of IV GA
Propofol + Fentanyl + Atracurium
What drugs are used in the inhalation of IV GA
Sevofluorane + Nitrous Oxide + Oxygen
What are some of the risks and side effects of GA
- Nausea and vomiting
- Sore throat/nose
- Shivering
- Trauma to dentition
- Corneal abrasions
- Chest infection
- Delirium/cognitive
- Anaphylaxis
- Awareness
- Nerve damage
- Death
What is the name for some of the devices that are used to maintain the airway of a patient under GA
- Oral endotracheal tube
- Nasal endotracheal tube
