ANESTHESIA & PAIN CONTROL
Patient Monitoring for Nitrous Oxide Analgesia Delivery
Recertification Training for the Dental Hygienist & Registered Dental Assistant
This course meets the requirements set forth by the NJ Dental Board to provide three hours of didactic training necessary for recertification of a licensed dental hygienist or registered dental assistant practicing under direct supervision of a licensed dentist to monitor a patient whom the supervising dentist has administered nitrous oxide/oxygen inhalational anesthesia. Particular emphasis will be given to recognition of complications and other untoward events so that participants are able to quickly terminate the nitrous oxide analgesia delivery along with other necessary appropriate steps including summoning the supervising dentist. This course will be in lecture format with group discussion.
- Be able to take a medical history and complete a review of systems based upon the patient interview.
- Recognize and assist in management of common medical emergencies in the dental office.
- Understand the pharmacology of nitrous oxide and its effects on organ systems.
- Understand techniques for nitrous oxide analgesia delivery including preoxygenation, titration, monitoring and termination of anesthesia delivery.
- Be aware of complications of nitrous oxide analgesia administration including their recognition and management.
- Review safety features of modern nitrous oxide analgesia armamentarium including scavenging and monitoring systems available today.
Course Outline and Lectures:
- History taking.
- System review: central nervous system, cardiovascular, and pulmonary.
- Implications of medical history on delivery of anesthetic agents.
- Monitoring vital signs.
- Emergency equipment and preparedness.
- Recognition of common medical emergencies and treatment: allergy and anaphylaxis, chest pain and cardiac arrest, hypotension, bronchospasm, larygnospasm, and syncope.
- Physical properties.
- Chemical properties.
- Systemic Effects: central nervous system, cardiovascular system, and respiratory system.
- Continuous flow units.
- Compressed gas cylinders.
- Safety features: color coding, pin index system, minimal oxygen delivery, and oxygen fail safe mechanism.
- Reservoir bag.
- Breathing apparatus.
- Scavenging system.
- Pretreatment assessment.
- Preparation of the equipment.
- Preoxygenation and titration techniques.
- Patient monitoring.
- Anesthetic termination.
- Postoperative patient assessment and discharge.
- Perspiration / Shivering.
- Behavioral problems.
- Nausea and vomiting.
Department of Oral and Maxillofacial Surgery
VINCENT B. ZICCARDI, DDS, MD - Course Director
Professor and Chair
PAMELA ALBERTO, DMD
BARRY ZWEIG, DDS
9 a.m. to 12 p.m. (earn 3 credit hours)
at The Rutgers School of Dental Medicine
$105 for Auxiliaries
E-mail: email@example.com — Phone: 973-972-6561
Office hours are Monday to Friday, 8:30 a.m. - 4:30 p.m.