Anesthesia

Nitrous

• Normal air only has 21% Oxygen.
• The antidote for Nitrous is Oxygen so Nitrous is one of the saftest tools for analgesia and anxiolytic as it is administered with its antidote.
• Contraindications include: Pregnancy & COPD.
• Normally start pt around 35% and triturate.
• Make sure to tell pt symptoms if it is to high (nausea)
• It is advisable to not use on a full stomach to lessen symptoms of nausea

Shots

• Infiltration ideal for all teeth except lower adult molars (Septocaine drug of choice if pt weighs enough as it is 4% rather then 2%).
• IA Blocks are good for lower adult molars or entire quadrants of anesthesia (only 80% successful, so care must be taken to ensure adequate anesthesia)
• Septocaine is safe for blocks and on all patients over 60lbs (8yrs old) per Dr Malamed & Christensen

Related Pages

• Anatomy picture
• Anatomy Link
• Funny Brain Regan clip: "Pressure"

 

Related Pages

• Patient vs. Office Advocate
• Informed Consent