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SAAD Digest

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https://www.readbyqxmd.com/read/27145567/miss-margaret-hughes-1925-2015
#1
Ian Brett, Christopher Holden
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145566/yi-kwan-loo-new-saad-trustee
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145565/kellie-boles-new-saad-trustee
#3
(no author information available yet)
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145564/interview-with-francis-collier-president-of-saad-sadie-hughes-honorary-secretary
#4
Sadie Hughes, Francis Collier
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145563/prospective-study-on-dental-extractions-carried-out-for-paediatric-patients-under-general-anaesthetic-in-a-district-general-hospital
#5
Tom Friend, Paul Allen
BACKGROUND: The first line approach to managing healthy anxious children requiring dental extractions should include behavioural management and treatment under local anaesthetic. This can be coupled with conscious sedation. AIM: To evaluate alternative methods attempted prior to treatment under general anaesthesia (GA), to establish the incidence of repeat GA procedures. METHOD: Paediatric cases requiring dental extractions under GA were audited from October 2014 - December 2014 in the Oral and Maxillofacial Department, Great Western Hospital, Swindon...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145562/the-nocebo-effect
#6
Lucy Horsfall
A growing body of evidence is emerging for a phenomenon known as the nocebo effect. This is when a person is conditioned to expect a negative response, or to anticipate negative effects from an experience. These findings highlight the importantance of effective communication with patients and the influence that good anxiety and pain management control can have in improving treatment outcomes. The placebo effect has been widely researched, but new studies have shown that nocebo can have a greater effect than placebo The nocebo effect is prevalent in interactions between patients and healthcare workers...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145561/articaine-to-use-or-not-to-use
#7
REVIEW
Vinson Yeung
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145560/the-use-of-midazolam-as-an-intranasal-sedative-in-dentistry
#8
Anwen Greaves
The administration of midazolam intranasally exploits the unique structure of the nasopharynx thus ensuring rapid delivery to the systemic circulation (The Nose - Brain Pathway). The absorption of midazolam nasally is influenced by the volume and concentration of midazolam, its physicochemical properties and the characteristics of the nasal mucosa. Delivering midazolam intranasally is non-titratable. The level of conscious sedation may be equivalent to that achieved by intravenous routes but is approached in a less controlled manner...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145559/short-report-audit-of-conscious-sedation-provision-in-a-salaried-dental-service
#9
Stephen G Jones
Clinical audit is a tool that may be used to improve the quality of care and outcomes for patients in a health care setting as well as a mechanism for clinicians to reflect on their performance. The audit described in this short report involved the collection and analysis of data related to the administration of 1,756 conscious sedations, categorised as standard techniques, by clinicians employed by an NHS Trust-based dental service during the year 2014. Data collected included gender, age and medical status of subject, the type of care delivered, the dose of drug administered and the quality of the achieved sedation and any sedation-related complications...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145558/the-state-of-uk-dental-anaesthesia-results-from-the-nap5-activity-survey-a-national-survey-by-the-5th-national-audit-project-of-the-royal-college-of-anaesthetists-and-the-association-of-anaesthetists-of-great-britain-and-ireland
#10
COMPARATIVE STUDY
Michael R J Sury, James H MacG Palmer, Tim M Cook, Jaideep J Pandit
The National Health Service anaesthesia annual activity (2013) was recently reported by the Fifth National Audit Program of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland. Within a large dataset were 620 dental cases. Here, we describe this data subset. The estimated annual dental caseload was 111,600:60% were children (< 16 y), 38.5% adults (16 - 65y) and 1.5% the elderly (> 65y). Almost all were elective day procedures (97%) and ASA 1 or 2 patients (95%)...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145557/defining-over-sedation-literature-review-and-national-survey-of-dental-hospitals-within-the-united-kingdom
#11
REVIEW
Zehra Yonel, Abisola Asuni, Pankaj Taneja
AIMS: To review the literature, to investigate whether there was aconsensus on what encompasses over-sedation, and to determine the guidance employed for the administration of flumazenil. METHODS: A literature search was performed following which a self-designed questionnaire was emailed to 14 sedation leads within UK Dental Hospitals. RESULTS: 10 documents in the literature review met the inclusion criteria. In their definitions of over-sedation, loss of consciousness and respiratory depression were the main terms used; but a variety of terms were also seen, indicating a lack of agreement...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145556/is-propofol-safe-for-food-allergy-patients-a-review-of-the-evidence
#12
REVIEW
Arkadiusz Dziedzic
Allergic cross-reactivity between propofol and food is frequently considered as a risk factor for perioperative allergic hypersensitivity reactions and anaphylaxis during dental anaesthesia and sedation. Better understanding of of this cross-reactivity is important to providing safe care. There are, however, conflicting assumptions about anaphylactic reactions to propofol in patients reporting allergy to certain type of the food. Egg and/or soya allergy are often cited as contraindications to propofol administration but the evidence remains unclear...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145555/a-clinical-audit-of-escorts-awareness-and-patients-safety-following-intravenous-sedation-in-adult-oral-surgery
#13
Luca Licheri, Matteo Erriu, Vincenzo Bryant, Vincenzo Piras
AIM: To evaluate current level of safety under the care of an escort following intravenous sedation, post-sedation arrangements and to identify potential risk levels. BACKGROUND: Information and post-sedation arrangements are important to patients'safety following surgery but although there is a general consensus over what is recommended for patients and their escorts, there is little, if any, literature on the escorts' awareness of sedation and accordance to post-sedation arrangement and recommendations...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145554/oral-midazolam-sedation-for-uncooperative-children-in-outpatient-paedodontics-time-for-reappraisal
#14
Aditi Kapur, Kajal Jain, A Goyal, Greg Mahoney
Sedation is frequently desired to facilitate dental procedures in uncooperative paediatric patients. Oromucosal Midazolam sedation is a popular choice among paediatric dentists world wide due to its many advantages such as ease of administration, good efficacy, presence of reversal agents and a wide margin of safety. On the other hand, many investigators have reported that midazolam sedation may not be successful for carrying out all types of dental procedures. This may be attributed to diverse nature of various treatment plans coupled with the extent of behavioural changes in the child and operator's experience...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145553/an-investigation-into-dental-local-anaesthesia-teaching-in-united-kingdom-dental-schools
#15
Graham Oliver, Ailsa DavidD, Christopher Bell, Nigel Robb
AIM: To review the current teaching of the use and administration of local anaesthesia in United Kingdom dental schools, along with their local guidelines and protocols. METHODS: A qualitative and quantitative questionnaire was sent to sixteen UK dental schools to probe the methods of local anaesthetic teaching within each school. RESULTS: 14 of the 16 schools replied and the responses show a variety of practices being taught in the dental schools...
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145552/what-s-new-in-the-process-of-consent
#16
Sue Life
An understanding of mental capacity is fundamental to the process of obtaining valid consent. This article looks at the processes of both consent and capacity assessment, and highlights the importance of fully informed consent following recent changes in the law.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/27145551/diazepam
#17
Mike Sury
No abstract text is available yet for this article.
January 2016: SAAD Digest
https://www.readbyqxmd.com/read/25895238/secretary-s-correspondence
#18
Francis Collier
No abstract text is available yet for this article.
January 2015: SAAD Digest
https://www.readbyqxmd.com/read/25895237/how-pain-is-controlled-in-endodontic-therapy
#19
REVIEW
Rhodri Thomas
Endodontic therapy is often of concern to patients, frequently due either to the expectation, or experience of pain. Managing this pain before, throughout and after a procedure is not only beneficial to a patient but reflects upon their dentist. To achieve effective pain relief different methods of pain control, including a pharmacological plan and the use of anaesthetics, must be individually tailored for each patient alongside an appropriate diagnosis and treatment plan.
January 2015: SAAD Digest
https://www.readbyqxmd.com/read/25895236/dental-anxiety-how-would-you-manage-it
#20
REVIEW
Maya P Rao Karnad
Dental anxiety is well documented within dental literature, and is a condition with which dentists and dental care professionals alike will be familiar. Its consequences may extend beyond dental implications alone, but can also have the potential to affect a patient's quality of life. It is important that as a dental profession we are aware of the methods which can be used to manage various forms of dental anxiety, and to refer to specialist services as appropriate. This paper focusses on detailing both the evidence-based behavioural and pharmacological strategies that may be employed for both dentally anxious adults and children...
January 2015: SAAD Digest
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