PubMed · 298545
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A Sargenti. 1979. Avoiding local complications from local anesthesia.. https://pubmed.ncbi.nlm.nih.gov/298545/
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This paper reviews three recent decisions of the Judicial Committee of the Privy Council on appeal from decisions of the Professional Conduct Committee of the General Dental Council, in which questions of general anaesthesia, sedation and resuscitation were raised. The recommendations of the Poswillo Report on general anaesthesia, sedation and resuscitation in dentistry of March 1990 are considered with respect to these three cases, and an assessment made as to whether or not the incidents which gave rise to them would have occurred had the recommendations been implemented. The implications of the Poswillo Report for the maintenance of professional standards of conduct by the General Dental Council in relation to the use of general anaesthesia, sedation and resuscitation are discussed.
This article reviews the main contraindications of vasoconstrictors in cardiac patients, notably unstable angina, recent myocardial infarction, recent coronary artery bypass surgery, refractory arrhythmias, untreated or uncontrolled hypertension, and untreated or uncontrolled congestive heart failure. Extensive survey of the literature has been completed, giving specific guidelines for a rational use of vasoconstrictors in this category of medically compromised patients.
The introduction of specialized syringes in the late 1970s and early 1980s has led to an increase in the use of intraligamentary anaesthesia as a means of pain control in dentistry. This paper reviews the technique and its efficacy and considers the advocated advantages and disadvantages of the method in the light of the published scientific evidence. It is concluded that intraligamentary anaesthesia has a role to play in modern dental local anaesthesia but it does not fulfil all the requirements of a primary technique.