Additional Information
Book Details
Abstract
This unique chairside handbook is the only product of its kind focused specifically on nitrous oxide and oxygen sedation. Handbook of Nitrous Oxide and Oxygen Sedation, 4th Edition takes a need-to-know approach, featuring a user-friendly outline format that is easy to digest along, with summary tables and boxes, helpful icons, clear illustrations, and step-by-step techniques with photos. Now in full color, this portable text is ideal in educational and clinical settings.
- Comprehensive coverage with the convenience and portability of a handbook equips a dental team member with all the background, technique, recovery, and additional information necessary to administer and monitor N2O/O2 sedation.
- Easy-to-use presentation utilizes a standard outline style that facilitates knowledge acquisition and provides a quick reference for consultation or chairside reference.
- Step-by-step techniques equip you with detailed guidance on how to best perform techniques to gain confidence and easily review procedures.
- FAQs supplied in an entire chapter devoted to commonly asked questions and answers regarding N2O/O2 sedation offers an excellent resource for patient education.
- Reference tables and boxes offer easy-to-read summaries of text discussions that support visual learners and serve as useful review and study tools.
- Expert multidisciplinary author team encompasses a breadth of experience in practice and a passion for education, ensuring that you are learning the best content from the best teachers.
- NEW! Chapter focuses on the types supply systems and equipment necessary to deliver N2O/O2 sedation.
- NEW! Coverage of the latest in N2O/O2 sedation, including the hazard communication standard, ensures that you are up to date on current issues, techniques, and equipment
- NEW! Full-color presentation improves clarity and comprehension of content, specifically the color-coding system for gases.
- NEW! Artwork, including color photos and illustrations, highlights the latest equipment and also enhances the learning experience and appeal for visual learners.
- NEW! End-of-chapter review questions and answers support the educational needs of students preparing for board and clinical exams.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | ES2 | ||
| Handbook of Nitrous Oxide and Oxygen Sedation | i | ||
| Copyright | ii | ||
| Dedication | iii | ||
| Foreword | v | ||
| Preface | vii | ||
| Acknowledgments | viii | ||
| Contents | ix | ||
| Part 1: Introduction to Nitrous Oxide/Oxygen Sedation | 1 | ||
| Chapter 1: Discovery, History, and Evolution of N2O/O2 Sedation | 2 | ||
| 1. Historical Perspectives | 2 | ||
| 2. Evolution of Anesthesia | 6 | ||
| References | 10 | ||
| Learning Activities | 11 | ||
| Review Questions | 11 | ||
| Answers to Review Questions | 11 | ||
| Chapter 2: Guidelines for Best Practice | 12 | ||
| Introduction to Practice Guidelines | 12 | ||
| Current Practice Guidelines | 13 | ||
| Virtues of Nitrous Oxide and Oxygen | 13 | ||
| References | 14 | ||
| Learning Activities | 14 | ||
| Review Questions | 15 | ||
| Answers to Review Questions | 15 | ||
| Chapter 3: Pain and Anxiety Management | 16 | ||
| 1. Mechanism of Pain | 17 | ||
| 2. Understanding Fear and Anxiety | 20 | ||
| 3. Sedation Levels as Defined by the ASA Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists 31 | 22 | ||
| 4. Spectrum of Pain and Anxiety Management Options | 22 | ||
| References | 25 | ||
| Learning Activities | 26 | ||
| Review Questions | 27 | ||
| Answers to Review Questions | 27 | ||
| Chapter 4: Desirable Characteristics of N2O/O2 Sedation | 28 | ||
| 1. Desirable Characteristics of N2O/O2 Sedation | 28 | ||
| 2. Combining N2O/O2 Sedation with Other Methods | 30 | ||
| References | 32 | ||
| Learning Activities | 33 | ||
| Review Questions | 33 | ||
| Answers to Review Questions | 34 | ||
| Chapter 5: Physical Properties and Pharmacokinetics/Pharmacodynamics of N2O | 35 | ||
| 1. Physical and Chemical Properties of N2O | 35 | ||
| 2. Physical and Chemical Properties of O2 | 36 | ||
| 3. Pharmacokinetic Properties of N2O | 38 | ||
| 4. Pharmacodynamics of Nitrous Oxide | 41 | ||
| References | 41 | ||
| Learning Activities | 42 | ||
| Review Questions | 42 | ||
| Answers to Review Questions | 43 | ||
| Chapter 6: Manufacturing and Distribution of N2O and O2 Gases | 44 | ||
| 1. Nitrous Oxide Manufacturing | 44 | ||
| 2. Regulation and Control of Nitrous Oxide | 46 | ||
| References | 53 | ||
| Learning Activities | 53 | ||
| Review Questions | 54 | ||
| Answers to Review Questions | 54 | ||
| Chapter 7: Delivery of N2O/O2 Sedation | 55 | ||
| 1. Manufacturers of N2O/O2 Sedation Equipment | 55 | ||
| 2. Delivery of N2O/O2 | 55 | ||
| 3. Variations of Equipment | 71 | ||
| 4. Equipment Safety Features | 74 | ||
| References | 75 | ||
| Learning Activities | 75 | ||
| Review Questions | 76 | ||
| Answers to Review Questions | 76 | ||
| Part 2: Anatomy, Physiology, and Administration | 77 | ||
| Chapter 8: Anatomy and Physiology of Respiration and Airway Management | 78 | ||
| 1. The Respiratory System Design and Function | 78 | ||
| 2. The Anatomy of the Upper Airway | 78 | ||
| 3. The Anatomy of the Lower Airway | 80 | ||
| 4. The Anatomy of the Respiratory Zone | 82 | ||
| 5. The Physiology of the Respiratory Mechanism | 82 | ||
| 6. Management of Patients Experiencing Moderate Sedation (Levels of N2O Greater than 50%) | 86 | ||
| 7. Airway Management | 86 | ||
| 8. Preprocedural Fasting Guidelines | 87 | ||
| References | 87 | ||
| Learning Activities | 88 | ||
| Review Questions | 88 | ||
| Answers to Review Questions | 89 | ||
| Chapter 9: N2O and Its Interaction with the Body | 90 | ||
| N2O Interaction with Body Systems and Conditions | 90 | ||
| 1. Cardiovascular System | 90 | ||
| 2. Respiratory System | 91 | ||
| 3. Central Nervous System (CNS) | 92 | ||
| 4. Hematopoietic System | 93 | ||
| 5. Endocrine System | 93 | ||
| 6. Hepatic System | 93 | ||
| 7. Gastrointestinal System | 94 | ||
| 8. Genitourinary System | 94 | ||
| 9. Reproductive System | 94 | ||
| 10. Neuromuscular System | 94 | ||
| 11. Cancer | 94 | ||
| 12. Allergies | 95 | ||
| 13. Malignant Hyperthermia (MH) | 95 | ||
| 14. Nutritional Disorders | 95 | ||
| 15. Cognitive Disorders | 95 | ||
| 16. Mind-Altering Conditions | 96 | ||
| 17. Other | 96 | ||
| References | 97 | ||
| Learning Activities | 99 | ||
| Review Questions | 99 | ||
| Answers to Review Questions | 99 | ||
| Chapter 10: Patient Assessment | 100 | ||
| 1. Obtaining Patient History Information | 100 | ||
| 2. Assessment of Patient Risk | 101 | ||
| 3. Preprocedural Patient Evaluation | 102 | ||
| 4. Informed Consent | 105 | ||
| 5. Patient Monitoring | 106 | ||
| 6. Emergency Preparedness | 106 | ||
| References | 107 | ||
| Learning Activities | 108 | ||
| Review Questions | 108 | ||
| Answers to Review Questions | 108 | ||
| Chapter 11: Titration of N2O and O2 Gases | 109 | ||
| 1. Significance | 110 | ||
| 2. Adjusting Levels Appropriately | 112 | ||
| References | 112 | ||
| Learning Activities | 112 | ||
| Review Questions | 113 | ||
| Answers to Review Questions | 113 | ||
| Chapter 12: Signs and Symptoms of N2O/O2 Sedation | 114 | ||
| 1. Appropriate Minimal Sedation | 114 | ||
| 2. Oversedation | 117 | ||
| Reference | 120 | ||
| Learning Activities | 120 | ||
| Review Questions | 120 | ||
| Answers to Review Questions | 121 | ||
| Chapter 13: Technique for N2O/O2 Administration and Assessment of Recovery | 122 | ||
| 1. Fundamental Principles for Appropriate Administration | 123 | ||
| 2. General Unit Preparation | 123 | ||
| 3. Activating N2O/O2 Equipment | 124 | ||
| 4. Patient Participation | 128 | ||
| 5. Administration of N2O | 132 | ||
| 6. Principles of Recovery | 137 | ||
| 7. Psychological and Psychomotor Effects of Recovery | 138 | ||
| 8. Technique for Assessing Adequate Recovery | 138 | ||
| 9. Adequate Recovery | 139 | ||
| 10. Recovery Time | 140 | ||
| 11. Postoperative Procedures | 140 | ||
| 12. Sterilization and Disinfection | 141 | ||
| 13. Recordkeeping Procedures | 142 | ||
| References | 143 | ||
| Learning Activities | 144 | ||
| Review Questions | 145 | ||
| Answers to Review Questions | 146 | ||
| Chapter 14: Multidisciplinary Application of N2O/O2 Sedation | 147 | ||
| 1. Emergency Medicine | 147 | ||
| 2. Obstetrics and Gynecology | 150 | ||
| 3. Dermatology | 151 | ||
| 4. Podiatry | 152 | ||
| 5. Ophthalmology | 152 | ||
| 6. Cryosurgery | 152 | ||
| 7. Psychiatry and Psychology | 153 | ||
| 8. Endoscopy | 153 | ||
| 9. Addiction Withdrawal | 154 | ||
| 10. Radiology | 154 | ||
| 11. Dentistry | 155 | ||
| 12. Pediatrics | 156 | ||
| 13. Acute Myocardial Infarction | 157 | ||
| 14. Terminally Ill Patients | 157 | ||
| 15. Miscellaneous Procedures | 158 | ||
| References | 159 | ||
| Learning Activities | 162 | ||
| Review Questions | 162 | ||
| Answers to Review Questions | 163 | ||
| Chapter 15: N2O/O2 Sedation in Pediatric Dentistry | 164 | ||
| 1. Introduction and Background | 164 | ||
| 2. Child Development | 165 | ||
| 3. AAP and AAPD Guidelines | 166 | ||
| 4. Advantages/Disadvantages of Nitrous Oxide | 168 | ||
| 5. Patient Assessment/Selection, Age Threshold, Indications | 169 | ||
| 6. Contraindications | 171 | ||
| 7. Specific Medical Conditions | 171 | ||
| 8. Prerequisites and Armamentarium | 173 | ||
| 9. Delivery Techniques | 176 | ||
| 10. Practical Administration of N2O/O2 Sedation to Pediatric Patients | 177 | ||
| References | 180 | ||
| Learning Activities | 184 | ||
| Review Questions | 184 | ||
| Answers to Review Questions | 185 | ||
| Part 3: Issues of Special Consideration | 187 | ||
| Chapter 16: Potential Biohazards for Health Personnel Associated with Chronic Exposure to N2O | 188 | ||
| 1. History of Controversial Literature | 188 | ||
| 2. Specific Biologic Issues and Health Concerns | 190 | ||
| 3. Scavenging Trace Nitrous Oxide Gas | 191 | ||
| 4. Detection and Monitoring of N2O in Ambient Air | 192 | ||
| 5. Recommendations and Preventive Measures for Minimizing Waste Nitrous Oxide Gas | 194 | ||
| 6. Best Practices | 198 | ||
| 7. Summary | 199 | ||
| References | 199 | ||
| Learning Activities | 202 | ||
| Review Questions | 202 | ||
| Answers to Review Questions | 202 | ||
| Chapter 17: Nitrous Oxide Abuse Issues | 203 | ||
| 1. Inhalant Abuse | 203 | ||
| 2. N2O Abuse | 206 | ||
| 3. Health Hazards Associated with Chronic Exposure to N2O | 208 | ||
| 4. Sexual Phenomena Associated with N2O | 209 | ||
| 5. Addictive Nature of N2O | 210 | ||
| 6. Legislation and Regulation Issues | 210 | ||
| References | 211 | ||
| Learning Activities | 213 | ||
| Review Questions | 213 | ||
| Chapter 18: Ethical and Legal Considerations Regarding N2O/O2 Administration | 214 | ||
| 1. Legal Requirements Associated with N2O/O2 Administration | 214 | ||
| 2. Informed Consent for N2O/O2 Sedation | 216 | ||
| 3. Appropriate Education for N2O/O2 Administration | 216 | ||
| 4. Ethical Principles | 216 | ||
| 5. Ethical Responsibilities | 217 | ||
| 6. Practice Guidelines | 217 | ||
| References | 218 | ||
| Learning Activities | 218 | ||
| Review Questions | 218 | ||
| Answers to Review Questions | 219 | ||
| Chapter 19: Frequently Asked Questions Regarding N2O/O2 Sedation | 220 | ||
| Chapter 20: Future Trends in N2O/O2 Sedation | 223 | ||
| Appendix A | 224 | ||
| Appendix B | 230 | ||
| Appendix C: Blood Pressure Tables and Growth Charts for Boys and Girls | 237 | ||
| Appendix D: Informed Consent for N2O/O2 Sedation | 243 | ||
| Appendix E: Percent of N2O/O2 Administered * | 244 | ||
| Appendix F: Administration of N2O/O2 Sedation | 246 | ||
| Appendix G: N2O/O2 Sedation Record | 248 | ||
| Appendix H: Administration of N2O/O2 Sedation Clinical Competency Evaluation * | 249 | ||
| Appendix I: Economic Benefits Associated with N2O/O2 Administration | 250 | ||
| 1. Economic Reflection | 250 | ||
| 2. Realistic Economics | 250 | ||
| 3. Dollars and “Sense” | 251 | ||
| Index | 255 |