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Sedation: A Guide to Patient Management

ABOUT THE BOOK
Annotation

The book contains black-and-white illustrations.
From The Publisher
Stanley F. Malamed, DDS; with 1 contributor In-depth, step-by-step description of both inhalation sedation and intravenous sedation.
Description

This definitive, authoritative clinical manual stands alone in the field of patient sedation. Combining essential theory with technical instruction, it presents "everything in a nutshell" for the practicing professional and student of dentistry. Key factors such as the physical, emotional, and mental condition of the patient – as well as required ADA guidelines – are incorporated into sedation techniques designed to improve the patient's overall dental experience. The result is an indispensable book, expert in its professional protocols and techniques, and comprehensive in its wide-ranging considerations. Detailed chapters, divided into eight parts, are devoted to topics on: the problem of fear and anxiety in dentistry; pain and anxiety control; pharmacosedation; history and techniques of general anesthesia; inhalation and intravenous sedation, preparation and management of emergencies in the dental office; and sedation for special needs patients – pediatric, geriatric, and medical and physically compromised patients.

Reviews
From Scott W. Podlesh  
This is the third edition of this popular textbook. The previous edition was published in 1989. Like the previous edition, this book attempts to provide the basic concepts needed for understanding both the pharmacology and clinical techniques used in outpatient dental sedation. The book also discusses in detail possible complication and emergency situations that occur during outpatient anesthesia. This book is designed to be used by students of dentistry, both at the doctoral and postdoctoral levels, as an adjunct to training in sedation that provides clinical management of patients in a properly supervised environment. This book includes many charts, illustrations, and black-and-white photographs. Unfortunately, the charts frequently lack the information needed to make them useful as quick references, and many of the photographs are dated and of poor quality. The references have been updated but remain predominantly unchanged from the previous edition. The index is complete and easy to use. This is a very useful book for those dental students (both doctoral and postdoctoral) interested in pursuing training in outpatient sedation. Although this is a fine textbook, a mistake in the index should be noted. Dr. Malamed writes, ""In November of 1994 the American Dental Association recognized dental anesthesiology as a dental specialty."" In fact, the American Dental Association voted in November 1994 to not recognize dental anesthesiology as a dental specialty.
 
From Doody Review Services  
Reviewer: Scott W. Podlesh, DDS (University of Chicago Medical Center)
Description: This is the third edition of this popular textbook. The previous edition was published in 1989.
Purpose: Like the previous edition, this book attempts to provide the basic concepts needed for understanding both the pharmacology and clinical techniques used in outpatient dental sedation. The book also discusses in detail possible complication and emergency situations that occur during outpatient anesthesia.
Audience: This book is designed to be used by students of dentistry, both at the doctoral and postdoctoral levels, as an adjunct to training in sedation that provides clinical management of patients in a properly supervised environment.
Features: This book includes many charts, illustrations, and black-and-white photographs. Unfortunately, the charts frequently lack the information needed to make them useful as quick references, and many of the photographs are dated and of poor quality. The references have been updated but remain predominantly unchanged from the previous edition. The index is complete and easy to use.
Assessment: This is a very useful book for those dental students (both doctoral and postdoctoral) interested in pursuing training in outpatient sedation. Although this is a fine textbook, a mistake in the index should be noted. Dr. Malamed writes, "In November of 1994 the American Dental Association recognized dental anesthesiology as a dental specialty." In fact, the American Dental Association voted in November 1994 to not recognize dental anesthesiology as a dental specialty.

Ratings

3 Stars from Doody

 


FROM THE BOOK
 

Table of Contents
 

1 Introduction 3
2 Pain and Anxiety in Dentistry 7
3 Introduction to Sedation 15
4 The Spectrum of Pain and Anxiety Control 22
5 Physical and Psychological Evaluation 32
6 Monitoring 63
7 Nondrug Techniques: Iatrosedation and Hypnosis 91
8 Oral Sedation 101
9 Rectal Sedation 131
10 Sublingual, Transdermal, and Intranasal Sedation 138
11 Intramuscular Sedation 146
12 Historical Perspective 183
13 Inhalation Sedation - Rationale 198
14 Pharmacology, Anatomy, and Physiology 208
15 Armamentarium 222
16 Techniques of Administration 249
17 Complications 272
18 Current Concerns: Chronic Exposure, Recreational Abuse, and Sexual Phenomena 278
19 Practical Considerations 294
20 Guidelines for Teaching Inhalation Sedation 300
21 Historical Perspective 307
22 Intravenous Sedation - Rationale 311
23 Armamentarium 318
24 Anatomy for Venipuncture 331
25 Venipuncture Technique 341
26 Pharmacology 357
27 Techniques of Intravenous Sedation 408
28 Complications 432
29 Practical Considerations 453
30 Guidelines for Teaching 456
31 Background 461
32 Armamentarium, Drugs, and Techniques 471
33 Preparation for Emergencies 499
34 Emergency Equipment 503
35 Management of Emergencies 516
36 The Pediatric Patient 553
37 The Geriatric Patient 573
38 The Medically Compromised Patient 578
39 The Physically Compromised Patient 609


ABOUT THE AUTHOR
Malamed, Stanley F., DDS (USC)  The contributor is from UCLA School of Dentistry.
 

New to this Edition

  • Content has been completely updated to include the most current drug dosage information.
  • More information on recreational abuse of nitrous oxide reflects the current societal trends.
  • The latest American Heart Association recommendations help prevent bacterial endocarditis.
  • Increased emphasis on nitrous oxide/oxygen, as many dental hygienists are becoming certified to administer this form of sedation.
  • New contributors lend credibility and experience to each topic discussed.
  • Content outlines at the beginning of each chapter allow for quick reference of specific topics.
  • Improved illustrations and photographs offer a fresh look, with high-quality art to aid in the visualization of techniques and procedures.