Flick W G, Green J, Perkins D
University of Illinois College of Dentistry, Department of Oral Maxillofacial Surgery, Chicago, USA.
Anesth Prog. 1998 Spring;45(2):51-6.
Dentists in the state of Illinois who possess a permit to administer sedation or general anesthesia were surveyed. A 71% response rate was achieved. Of the respondents, 86% held permits for deep sedation/general anesthesia and 14% held permits for parenteral conscious sedation. By practice specialty, 84% were oral and maxillofacial surgeons, 11% were general dentists, 5% were periodontists, and fewer than 1% were dental anesthesiologists. Advanced Cardiac Life Support training was possessed by 85% of the respondents. The most common anesthesia team configuration (82%) was a single operator-anesthetist and two additional assistants. Only 4% reported use of a nurse anesthetist, and 2% used an additional MD or DDS anesthesiologist. The vast majority (97%) of the practitioners do not intubate in the office on a routine basis. Supplemental oxygen was used by 81% of the respondents whenever intravenous agents were used. A total of 151,335 anesthetics were administered during the year. One mortality occurred in a patient with an undisclosed pre-existing cardiac condition. Four other events were reported that required medical intervention or hospital evaluation; however, no permanent injuries were reported. Other practice characteristics were described.
对伊利诺伊州持有镇静或全身麻醉许可的牙医进行了调查。回复率达到71%。在受访者中,86%持有深度镇静/全身麻醉许可,14%持有肠胃外清醒镇静许可。按执业专科划分,84%是口腔颌面外科医生,11%是普通牙医,5%是牙周病医生,不到1%是牙科麻醉医生。85%的受访者拥有高级心脏生命支持培训。最常见的麻醉团队配置(82%)是一名操作麻醉师和另外两名助手。只有4%报告使用护士麻醉师,2%使用额外的医学博士或牙科博士麻醉医生。绝大多数(97%)从业者不在办公室常规进行插管操作。81%的受访者在使用静脉药物时使用辅助氧气。当年共实施了151,335例麻醉。一名患有未披露的原有心脏疾病的患者死亡。还报告了另外四起需要医疗干预或医院评估的事件;然而,未报告有永久性损伤。还描述了其他执业特征。