Skip to main content
SpringerLink
Log in

Parenteral Sedation

  • Chapter
  • First Online:
Office-Based Maxillofacial Surgical Procedures

  • 848 Accesses

Abstract

Oral and maxillofacial surgeons receive extensive training in anesthetic techniques during residency with an emphasis on office-based anesthesia. This chapter delivers a step-by-step approach to anesthesia in the office focused on patient workup, office and operatory safety checks, anesthetic techniques, and managing an airway.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. ASA Physical Status Classification System - American Society of Anesthesiologists (ASA). In: American Society of Anesthesiologists. https://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Accessed 22 July 2018.

  2. Sankar A, Johnson S, Beattie W, Tait G, Wijeysundera D. Reliability of the American Society of Anesthesiologists physical status scale in clinical practice. Br J Anaesth. 2014;113:424–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. deLeon I, Hausman LM. Office-based anesthesia. In: Clinical cases in anesthesia. 4th ed. Philadelphia, PA: Sauders Elsevier; 2014. p. 390–4.

    Google Scholar 

  4. Gerlach RM, Sweitzer BJ. Preoperative evaluation and medication. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 189–212.

    Google Scholar 

  5. Chung F, Subramanyam R, Liao P, Sasaki E, Shapiro C, Sun Y. High STOP-bang score indicates a high probability of obstructive sleep apnoea. Survey Anesthesiol. 2012;56:312.

    Article  Google Scholar 

  6. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108:812–21.

    Article  PubMed  Google Scholar 

  7. Joshi GP, Ankichetty SP, Gan TJ, Chung F. Society for ambulatory anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery. Anesth Anal. 2012;115:1060–8.

    Article  Google Scholar 

  8. Sims PG, Kates CH, Moyer DJ, Rollert MK, Todd DW. Anesthesia in outpatient facilities. J Oral Maxillofac Surg. 2012;70:e31–49.

    Article  PubMed  Google Scholar 

  9. Kristensen MS. Airway management and morbid obesity. Eur J Anaesthesiol. 2010;27:923–7.

    Article  PubMed  Google Scholar 

  10. Finucane B, Tsui B, Santora A. Principles of airway management. 4th ed. New York: Springer; 2010.

    Google Scholar 

  11. (2017) Patient Assessment. AAOMS Parameters of Care: Clinical Practice Guidelines for Oral and Maxillofacial Surgery.

    Google Scholar 

  12. Freeman WK, Gibbons RJ. Perioperative cardiovascular assessment of patients undergoing noncardiac surgery. Mayo Clin Proc. 2009;84:79–90.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Koepke EJ, Manning EL, Miller TE, Ganesh A, Williams DGA, Manning MW. The rising tide of opioid use and abuse: the role of the anesthesiologist. Perioper Med. 2018; https://doi.org/10.1186/s13741-018-0097-4.

  14. Public Affairs What is the U.S. Opioid Epidemic? In: HHS.gov. https://www.hhs.gov/opioids/about-the-epidemic/index.html. Accessed 17 July 2018.

  15. May JA, White HC, Leonard-White A, Warltier DC, Pagel PS. The patient recovering from alcohol or drug addiction: special issues for the anesthesiologist. Survey Anesthesiol. 2002;46:39–40.

    Article  Google Scholar 

  16. Mitra S, Sinatra RS. Perioperative management of acute pain in the opioid-dependent patient. Anesthesiology. 2004;101:212–27.

    Article  PubMed  Google Scholar 

  17. Yi P, Pryzbylkowski P. 2015. Opioid induced hyperalgesia | Pain Medicine | Oxford Academic. In: OUP Academic. https://academic.oup.com/painmedicine/article/16/suppl_1/S32/2472483. Accessed 17 July 2018.

  18. Vuyk J, Sitsen E, Reekers M. Opioid analgesics. In: Miller’s anesthesia. 8th ed. Philadelphia, PA: Sauders Elsevier; 2015. p. 821–63.

    Google Scholar 

  19. Wijeysundera DN, Sweitzer B-J. Preoperative evaluation. In: Miller’s anesthesia. 8th ed. Philadelphia, PA: Saunders Elsevier; 2015. p. 1085–155.

    Google Scholar 

  20. Rodrigo C. The effects of cigarette smoking and anesthesia. Anesth Prog. 2000;47:143–50.

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Treasure T, Bennett J. Office-based anesthesia. Oral Maxillofac Surg Clin North Am. 2007;19:45–57.

    Article  PubMed  Google Scholar 

  22. Reece-Stremtan S, Campos M, Kokajko L, et al. ABM clinical protocol #15: analgesia and anesthesia for the breastfeeding mother, revised 2017. Breastfeed Med. 2017;12:500–6.

    Article  PubMed  Google Scholar 

  23. Benjamin C, Renyu L, Elizabeth V, Onyi O. Breastfeeding after anesthesia: a review for anesthesia providers regarding the transfer of medications into breast milk. Transl Perioper Pain Med. 2015; https://doi.org/10.31480/2330-4871/023.

  24. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013; https://doi.org/10.1097/ALN.0b013e31827773b2. http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1918684. Accessed 17 July 2018.

  25. Klinger K, Infosino A. Airway management. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 239–72.

    Google Scholar 

  26. (2017) Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology 126:376–393.

    Google Scholar 

  27. Mets B. To stop or not? Anesth Anal. 2015;120:1413–9.

    Article  Google Scholar 

  28. Malamed SF. Anatomy for venipuncture. In: Sedation. 6th ed. St. Louis, MO: Elsevier; 2018. p. 298–307.

    Google Scholar 

  29. Malamed SF. Venipuncture technique. In: Sedation. 6th ed. St. Louis, MO: Elsevier; 2018. p. 308–18.

    Google Scholar 

  30. Malamed SF. Emergency drugs and equipment. In: Sedation. 6th ed. St. Louis, MO: Elsevier; 2018. p. 442–55.

    Google Scholar 

  31. Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia - American Society of Anesthesiologists (ASA). In: American Society of Anesthesiologists. http://www.asahq.org/quality-and-practice-management/standards-guidelines-and-related-resources/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedation-analgesia. Accessed 27 July 2018.

  32. Malamed SF. Intramuscular sedation. In: Sedation. 6th ed. St. Louis, MO: Elsevier; 2018. p. 134–63.

    Google Scholar 

  33. Egan TD, Newberry C. Opioids. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 123–38.

    Google Scholar 

  34. Vuyk J, Sitsen E, Reekers M. Intravenous anesthetics. In: Miller’s anesthesia. 8th ed. Philadelphia, PA: Sauders Elsevier; 2015. p. 821–63.

    Google Scholar 

  35. Mertens MJ, Olofsen E, Engbers FHM, Burm AGL, Bovill JG, Vuyk J. Propofol reduces perioperative remifentanil requirements in a synergistic manner. Anesthesiology. 2003;99:347–59.

    Article  CAS  PubMed  Google Scholar 

  36. Asserhøj L, Mosbech H, Krøigaard M, Garvey L. No evidence for contraindications to the use of propofol in adults allergic to egg, soy or peanut † †This Article is accompanied by Editorial Aev401. Br J Anaesth. 2016;116:77–82.

    Article  CAS  PubMed  Google Scholar 

  37. Weerink MAS, Struys MMRF, Hannivoort LN, Barends CRM, Absalom AR, Colin P. Clinical pharmacokinetics and pharmacodynamics of dexmedetomidine. Clin Pharmacokinet. 2017;56:893–913.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Keating GM. Dexmedetomidine: a review of its use for sedation in the intensive care setting. Drugs. 2015;75:1119–30.

    Article  CAS  PubMed  Google Scholar 

  39. Butterfield KJ, Bennett JD, Dembo JB. Outpatient anesthesia. In: Peterson’s principles of oral and maxillofacial surgery. 3rd ed. Shelton, CT: People’s Medical Publishing House - USA; 2012. p. 63–93.

    Google Scholar 

  40. Frost EAM. Fluid management. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 395–401.

    Google Scholar 

  41. Office-Based Anesthesia Provided by the Oral and … https://www.aaoms.org/docs/govt_affairs/advocacy_white_papers/advocacy_office_based_anesthesia_whitepaper.pdf. Accessed 22 Aug 2018.

  42. Roberts K. The nasopharyngeal airway: dispelling myths and establishing the facts. Emerg Med J. 2005;22:394–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Nicholau D, Haehn M. Postanesthesia recovery. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 675–91.

    Google Scholar 

  44. Samol NB, Wittkugel EP. Pediatric laryngospasm. In: Complications in anesthesia. 3rd ed. Philadelphia, PA: Elsevier; 2018. p. 758–62.

    Google Scholar 

  45. Woods B, Sladen R. Perioperative considerations for the patient with asthma and bronchospasm. Br J Anaesth. 2009;103:i57–65.

    Article  PubMed  Google Scholar 

  46. Nel L, Eren E. Peri-operative anaphylaxis. Br J Clin Pharmacol. 2011;71:647–58.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Rosenberg H, Pollock N, Schiemann A, Bulger T, Stowell K. Malignant hyperthermia: a review. Orphanet J Rare Dis. 2015; https://doi.org/10.1186/s13023-015-0310-1.

  48. Dickerson DM, Apfelbaum JL. Outpatient anesthesia. In: Basics of anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 634–57.

    Google Scholar 

  49. Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Anal. 1999;88:508–17.

    Article  CAS  Google Scholar 

  50. Apfelbaum JL, Silverstein JH, Chung FF, et al. Practice guidelines for postanesthetic care. Anesthesiology. 2013;118:291–307.

    Article  PubMed  Google Scholar 

  51. Awad IT, Chung F. Factors affecting recovery and discharge following ambulatory surgery. Can J Anesth. 2006;53:858–72.

    Article  PubMed  Google Scholar 

  52. Cao X, White PF, Ma H. An update on the management of postoperative nausea and vomiting. J Anesth. 2017;31:617–26.

    Article  PubMed  Google Scholar 

  53. 2012 CP1 JAN (2012) How to prevent and manage postoperative nausea and vomiting. In: Pharmaceutical Journal. https://www.pharmaceutical-journal.com/learning/learning-article/how-to-prevent-and-manage-postoperative-nausea-and-vomiting/11096163.article?firstPass=false. Accessed 30 July 2018.

  54. White PF, Kehlet H, Neal JM, Schricker T, Carr DB, Carli F. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Anal. 2007;104:1380–96.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Gregory Biron

Authors
  1. Gregory Biron
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gregory Biron .

Editor information

Editors and Affiliations

  1. Greater Waterbury OMS, Beau Visage Med Spa, Cheshire, CT, USA

    Elie M. Ferneini

  2. Division of Oral and Maxillofacial Surgery, University of Connecticut School of Dental Medicine, Farmington, CT, USA

    Michael T. Goupil

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Biron, G. (2019). Parenteral Sedation. In: Ferneini, E., Goupil, M. (eds) Office-Based Maxillofacial Surgical Procedures. Springer, Cham. https://doi.org/10.1007/978-3-030-22371-7_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-22371-7_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22370-0

  • Online ISBN: 978-3-030-22371-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation