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A Practical Guide to Hospital Dentistry K George Varghese

1:Organization of Dental Department
- MAJOR SERVICE UNITS OF THE DENTAL DEPARTMENT
2:Admission and Medical Record
- ADMISSION PROCESS
  - Elective Admission
  - Nonelective Admissions
- THE MEDICAL RECORD
- MAKING CORRECTIONS IN THE MEDICAL RECORD
- INFORMED CONSENT
- WARD ROUNDS
3:Casualty Service
- WHAT IS ON CALL ?
- INJURIES OF THE MAXILLOFACIAL REGION
- MANAGEMENT OF HEAD INJURY
  - Assessment of Head Injuries
  - Emergency Management of Head Injury
4:The Medically Compromised Patient
- THE MEDICAL HISTORY
- SIGNIFICANCE OF MEDICAL EVALUATION
- MEDICAL CONDITIONS OF SIGNIFICANCE IN DENTAL PRACTICE
- CARDIOVASCULAR DISEASES
- ENDOCRINE DISEASES
- BLEEDING DISORDERS
  - Causes of Bleeding Disorders (Table 4.6)
  - Dental Management of the Patient with a Serious Bleeding Disorder
- RESPIRATORY DISEASES
  - Asthma
    - Dental Management of Patients with Asthma
    - Management of an Acute Asthmatic Attack
  - Chronic Obstructive Pulmonary Disease
    - Dental Management of Patients with COPD
- LIVER DISEASE
  - Chronic Alcoholism and Liver Cirrhosis
    - Dental Management
  - Viral Hepatitis
- PREGNANCY
  - Supine Hypotensive Syndrome
- AIDS AND HIV INFECTION
- PROSTHETIC JOINT REPLACEMENTS
- NEUROLOGICAL DISORDERS
- PATIENTS WITH ORGAN TRANSPLANTATION
5:Management of Odontogenic Infections
- FACTORS INFLUENCING THE SPREAD OF INFECTIONS
  - General
  - Local
- SITES OF LOCALIZATION OF DENTAL INFECTION
  - Primary Sites of Localization of Dental Infections
  - Secondary Sites of Spread of Odontogenic Infections
- COMPLICATIONS OF ODONTOGENIC INFECTION
- GENERAL MANAGEMENT OF ODONTOGENIC INFECTION
  - Obtaining Specimen/pus for Microbiological Examination
6:Common Medical and Nursing Procedures
- INJECTIONS
- OXYGEN THERAPY
- NEBULIZATION
- URINARY CATHETERIZATION
- ORAL HYGIENE
  - Oral Hygiene for an Unconscious Client
    - Equipment
    - Procedure
- NASOGASTRIC TUBE (RYLE'S TUBE) INSERTION
- INTUBATION
- INSERTION OF ORAL AIRWAY
  - Indications
  - Procedure
- CARE OF TRACHEOSTOMY
- WOUND DRESSING
  - Purposes
  - Procedure (Fig. 6.18)
    - Wound Left Open
- BIOPSY
  - Excision Biopsy
  - Incision Biopsy
    - Instruments Required
- SPECIMEN COLLECTION FOR COMMON INVESTIGATIONS
- BIBLIOGRAPHY
7:Conscious Sedation
- SAFETY FIRST
- WHAT IS CONSCIOUS SEDATION?
- TYPES OF SEDATION ADMINISTRATION
  - Enteral Conscious Sedation (ECS)
    - Drugs Used for Oral Sedation
  - Intravenous Conscious Sedation
- PERSONNEL
- AIRWAY MANAGEMENT
8:Infection Control in Dental Practice
- PERSONNEL HEALTH ELEMENTS OF AN INFECTION-CONTROL PROGRAM
- SPECIFIC MICROORGANISM RELATED ISSUES
- EXPOSURE PREVENTION METHODS
- POSTEXPOSURE MANAGEMENT AND PROPHYLAXIS
- SPECIAL CONSIDERATIONS IN DENTISTRY
9:Preoperative Preparations
- CATEGORIES OF SURGERY
- IMPACT OF SURGERY ON THE PATIENT AND FAMILY
- THE PREOPERATIVE PERIOD
- MEDICATIONS THAT AFFECT SURGICAL EXPERIENCE
- PHYSICAL EXAMINATION
- IMMEDIATE PREOPERATIVE CARE
- PREOPERATIVE TEACHING
- PREPARATION OF OPERATION LIST
- PREPARING THE PATIENT ON THE DAY OF SURGERY
- PREANESTHETIC MEDICATION
  - Commonly used Premedications
- ELDERLY UNDERGOING SURGERY
10:Operation Theater Setup and Aseptic Procedures
- CONDITION OF OPERATING SUITE
- MAINTAINING THE STERILITY OF THE OPERATION THEATER
- CHANGING ROOM, SEMI STERILE AND STERILE AREAS
- SCRUBBING AND DONNING STERILE GOWN AND GLOVES
- HANDLING OF STERILE INSTRUMENTS
  - Patient Positioning on Operating Table
  - Induction of Anesthsia and Intubation (Fig. 10.3 and 10.4A to E)
- SURGICAL SITE PREPARATION AND DRAPING THE PATIENT (FIGS 10.5A TO F)
- ASSISTING THE SURGEON
11:Postoperative Management
- OPERATING ROOM TO RECOVERY ROOM
- OPERATIVE NOTES
- POSTOPERATIVE INSTRUCTIONS AND POSTOPERATIVE ORDERS/ DRUGS
12:Management of Shock in Trauma
- BLOOD TRANSFUSION IN SURGICAL PATIENTS
  - Preoperative Hemoglobin level and Surgery
  - Techniques to Reduce Operative Blood Loss
- ESTIMATING BLOOD LOSS
- MONITORING FOR SIGNS OF HYPOVOLEMIA
- FLUID REPLACEMENT AND TRANSFUSION
  - Autologous Blood Transfusion
    - Preoperative Blood Donation
    - Postoperative Transfusion
13:Intravenous Fluids and Postoperative Fluid Management
- POSTOPERATIVE FLUID MANAGEMENT
- ASSESSMENT OF ADEQUACY OF FLUID AND ELECTROLYTE REPLACEMENT
- REPLACEMENT FLUIDS
14:Transfusion of Blood and Blood Products
- DEFINITIONS
- WHOLE BLOOD
  - Advantages of Whole Blood
  - Disadvantages Whole Blood
- BLOOD COMPONENTS / BLOOD PRODUCTS
- CLINICAL TRANSFUSION PROCEDURES
- ADMINISTERING BLOOD PRODUCTS
- ADVERSE EFFECTS OF TRANSFUSION
  - Initial Management and Investigation
  - Immediate Management
- SUGGESTED READING
15:Surgical Site Infection
- CDC DEFINITION
- ANTIBIOTIC PROPHYLAXIS
  - Principles of Antibiotic Prophylaxis
    - Single Dose versus Multiple Dose
- THE RISK OF WOUND INFECTION
  - Classification of Wounds
    - Clean Operations
16:Prevention and Management of Oral Problems of Cancer Therapy
- PRETREATMENT ASSESSMENT
- ORAL PROBLEMS RELATED TO RADIATION THERAPY
  - Mucositis
    - Prevention and Management
- XEROSTOMIA AND RADIATION CARIES
  - Effects of Xerostomia
    - Prevention and Management of Xerostomia
- LOSS OF TASTE (AGEUSIA/HYPOGEUSIA)
- TRISMUS
- OSTEORADIONECROSIS
- ORAL PROBLEMS RELATED TO CHEMOTHERAPY (CT)
- MUCOSITIS
- INFECTIONS
- HEMORRHAGE
- SUMMARY OF PREVENTION AND MANAGEMENT OF ORAL PROBLEMS
17:Dental Jurisprudence
- WOUND CERTIFICATE AND POLICE INFORMATION/INTIMATION
  - Discharge Certificate
  - Treatment Certificate
- CRIMINAL COURTS OF INDIA
  - Subpoena or Summons
- WITNESSES
- RECORDING OF EVIDENCE IN A COURT
- RECORDING INJURY IN WOUND CERTIFICATE
- INJURY
  - Classification of Injuries
  - Legal Injuries
    - Fatal Injury
    - Contusions (Bruises)
- INCISED WOUNDS
- WOUND CERTIFICATE
- DENTAL/ORAL AND MAXILLOFACIAL SURGEONS AS EXPERT WITNESSES
18:Medical Negligence
- MEDICAL NEGLIGENCE
- DOCUMENTATION
19:Consumer Protection Act and its Relevance to Dental Practice
- DEFINITIONS
20:Appendices

INDEX

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Index

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Chapter Notes