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Anaesthetic and analgesic considerations in dentistry and oral surgery
/content/chapter/10.22233/9781905319602.chap6
Anaesthetic and analgesic considerations in dentistry and oral surgery
- Authors: Norman Johnston and M. Paula Larenza Menzies
- From: BSAVA Manual of Canine and Feline Dentistry and Oral Surgery
- Item: Chapter 6, pp 119 - 136
- DOI: 10.22233/9781905319602.6
- Copyright: © 2018 British Small Animal Veterinary Association
- Publication Date: September 2018
Abstract
Dental and oral surgical procedures present the clinician with unique challenges in terms of anaesthetic techniques and skills. This chapter provides information on the anaesthetic techniques and skills required in dental and oral surgical treatment, as well as management of perioperative pain.
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Figures
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6.1
An example of an anaesthetic record sheet. (Courtesy of the University of Helsinki) © 2018 British Small Animal Veterinary Association
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6.1
An example of an anaesthetic record sheet. (Courtesy of the University of Helsinki)
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6.4
Anaesthetic trolley ready for use. © 2018 British Small Animal Veterinary Association
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6.4
Anaesthetic trolley ready for use.
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6.6
Endotracheal tube secured with a coloured plastic tie (Trinity Trach-Tube Ties; www.trachtubeties.com) in a 5-year-old female spayed European Domestic Shorthaired cat that showed difficulty closing the mouth due to a fractured and displaced right maxillary fourth premolar tooth. © 2018 British Small Animal Veterinary Association
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6.6
Endotracheal tube secured with a coloured plastic tie (Trinity Trach-Tube Ties; www.trachtubeties.com) in a 5-year-old female spayed European Domestic Shorthaired cat that showed difficulty closing the mouth due to a fractured and displaced right maxillary fourth premolar tooth.
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6.7
Pharyngotomy intubation. (a) Anatomical location of incision. (b) Diagram of tube placement through the pharyngotomy site. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. © 2018 British Small Animal Veterinary Association
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6.7
Pharyngotomy intubation. (a) Anatomical location of incision. (b) Diagram of tube placement through the pharyngotomy site. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
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6.8
Wire-reinforced pharyngotomy tube in place. (Courtesy of Dr J. Yee) © 2018 British Small Animal Veterinary Association
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6.8
Wire-reinforced pharyngotomy tube in place. (Courtesy of Dr J. Yee)
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6.9
(a) Sponge flange mouthpack. (b) Pack placed to occlude the pharynx around the endotracheal tube. © 2018 British Small Animal Veterinary Association
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6.9
(a) Sponge flange mouthpack. (b) Pack placed to occlude the pharynx around the endotracheal tube.
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6.10
Simple intravenous fluid pump. © 2018 British Small Animal Veterinary Association
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6.10
Simple intravenous fluid pump.
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6.11
(a) Bair Hugger™ forced air pump. (b) Warm water circulating under-blanket. (c) Darvall over-blanket for use with a Bair Hugger™ warming unit. © 2018 British Small Animal Veterinary Association
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6.11
(a) Bair Hugger™ forced air pump. (b) Warm water circulating under-blanket. (c) Darvall over-blanket for use with a Bair Hugger™ warming unit.
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6.12
Selection of (A) lip/cheek holders, (B) rubber mouth props and (C) a spring-loaded gag. Use of a spring-loaded gag should be avoided. © 2018 British Small Animal Veterinary Association
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6.12
Selection of (A) lip/cheek holders, (B) rubber mouth props and (C) a spring-loaded gag. Use of a spring-loaded gag should be avoided.
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6.21
(A) Dental aspirating syringe with thumb ring. (B) Glass vial containing mepivacaine. (C) Needle. © 2018 British Small Animal Veterinary Association
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6.21
(A) Dental aspirating syringe with thumb ring. (B) Glass vial containing mepivacaine. (C) Needle.
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6.23
Right infraorbital nerve block in a dog. (a and c) Skull demonstration. (b and d) Clinical case. The needle has been inserted into the infraorbital canal to provide analgesia to the maxillary fourth premolar tooth and surrounding tissues. To be effective it only needs to be placed just past the infraorbital foramen, decreasing the risk of iatrogenic trauma to the neurovascular bundle. (© Dr Alexander M. Reiter) © 2018 British Small Animal Veterinary Association
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6.23
Right infraorbital nerve block in a dog. (a and c) Skull demonstration. (b and d) Clinical case. The needle has been inserted into the infraorbital canal to provide analgesia to the maxillary fourth premolar tooth and surrounding tissues. To be effective it only needs to be placed just past the infraorbital foramen, decreasing the risk of iatrogenic trauma to the neurovascular bundle. (© Dr Alexander M. Reiter)
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6.24
Right maxillary nerve block in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis) © 2018 British Small Animal Veterinary Association
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6.24
Right maxillary nerve block in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis)
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6.25
Right major palatine nerve block (rostral approach) in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis) © 2018 British Small Animal Veterinary Association
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6.25
Right major palatine nerve block (rostral approach) in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis)
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6.26
Intraoral right inferior alveolar nerve block in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis) © 2018 British Small Animal Veterinary Association
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6.26
Intraoral right inferior alveolar nerve block in a dog. (a) Skull demonstration. (b) Clinical case. (© Dr John Lewis)
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6.27
Right middle mental nerve block in a dog. (a) Skull demonstration. In this case the needle was inserted into the middle mental foramen, but this should be performed with caution as damage to the vessels and nerve is possible. (b) Clinical case. The tip of the needle was placed near the middle mental foramen to anaesthetize the rostral mandibular soft tissues. (© Dr John Lewis) © 2018 British Small Animal Veterinary Association
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6.27
Right middle mental nerve block in a dog. (a) Skull demonstration. In this case the needle was inserted into the middle mental foramen, but this should be performed with caution as damage to the vessels and nerve is possible. (b) Clinical case. The tip of the needle was placed near the middle mental foramen to anaesthetize the rostral mandibular soft tissues. (© Dr John Lewis)