This textbook is all about sedation of patients with different medical histories and different present health problems. The textbook is for physicians, dentists, and nurses involved in helping patients in the dentist”s chair and operating room where there is always a fine balance between adequate sedation for the procedure at hand and too deep sedation with loss of airway protection, aspiration of fluids from the oral cavity, even avoiding a catastrophe should the patient vomit while under too deep sedation.This textbook in its 6th edition, all authored by Stanley F. Malamed, contains in depth discussions of anxiety and pain, and pain aggravated by anxiety. He describes well pharmacology of analgesic and sedative drugs. There are excellent descriptions of pharmacological sedation administered in different ways, and sedation by inhalation of nitrous oxide. He writes well about iatrosedation, euphemistic language, and hypnosis, including “rapid induction analgesia”. The book is well illustrated with multiple coloured figures and tables.For the wider pain-readership the textbook is useful as a good informative source of how-to-do-it when anxious patients need help to tolerate a painful procedure. It is important that there are good discussions of possible complications to analgosedation, how to avoid them, and how to be prepared to handled and treat complications should they occur.When adequate sedation is not possible, both deeper sedation and full general anaesthesia are well described, but these procedures are for anaesthesiologists and nurse anaesthetists, in the USA also dentists who are trained specifically for administering general anaesthesia that always is effective, but always is accompanied by possible adverse reactions and serious complications. These are nowadays extremely rare when well-trained personnel provide deep sedation and general anaesthesia.
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
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