General Anesthesia

Question 1

Indications

Answer 1

1. physical or mental or medically compromising conditions
2. Ineffective LA
3. Behavior that doesn’t seem like it will improve
4. Extensive trauma
5. Pts that would avoid psych trauma w/ tx in the chair or have a medical risk in the chair

Question 2

Contraindications

Answer 2

1. Unsuitable GA risk, risk is too great
2. URI
3. Breaking NPO
4. Active systemic disease w/ fever
5. Healthy cooperative pt with min dental needs

Question 3

NPO Instructions

Answer 3

1. Clear liquids up to 2hrs prior
2. Breastmilk up to 4 hrs prior
3. Other milk/formula or light meal up to 6 hrs prior

Question 4

Pre-op work up before scheduling

Answer 4

1. Medical history eval
2. Explanation of procedure
3. Risks and benefits and alternatives
4. Informed consent obtained from legal guardian

Question 5

Advantages of GA

Answer 5

1. All work completed at once
2. Developing psyche protected
3. Good quality care

Question 6

Disadvantages of GA

Answer 6

1. High cost
2. Risk of GA complications
3. Doesn’t teach child coping skills

Question 7

OR Steps

Answer 7

1. Timeout
2. Throat pack
3. Prophy
4. Exam and radiographs
5. Treatment plan
6. Treat
7. F varnish
8. Remove all materials, suction
9. Remove throat pack
10. Pt goes to recovery
11. Review treatment w/ parents and give post-op instructions
12. Prescribe fluids and pain control

Question 8

Description of GA

Answer 8

loss of consciousness, not arousable even by painful stimuli, independent ventilatory function often impaired, need assistance w/ patent airway, pos pressure ventilation may be needed, CV function may be impaired