Basic Airway Management Course for Dentists: Changes to Anesthesia Rules

New Course

New anesthesia rules recently became effective and expand services. The changes include the ability of  Florida licensed dentists without an anesthesia permit  who have completed a minimum of four hours of training in airway management to perform dental treatment on a patient who has been sedated by an anesthesia permit holder in the office of the permit holder. This training must be repeated every four years from the date the course was last taken by the dentist. 

In addition, active sedation permit holders of every level must complete four hours of continuing education in airway management (must be live training) plus four hours in managing medical emergencies every four years from the last date the dentist took the continuing education course.

This course fulfills those requirements.

Refer to the letter mailed to anesthesia permit holders on March 21, 2013, and rules 64B5-14.0032, 64B5-14.0034,  64B5-14.0036, and 64B5-14.004 F.A.C. for the full text. www.flrules.org.

Course Description

Any dentist performing sedation or providing care to a sedated patient should be able to provide airway management and ventilation for a patient encountering respiratory distress. The goal of the basic airway course is to educate the practitioner in basic airway assessment via history and physical assessment of the patient and to review relevant anatomy, physiology and equipment. The practitioner will learn the motor skills necessary to initiate basic airway management with regards to relieving obstruction, insertion of airway adjuncts, mask ventilation, and intubation. Motor skills will be developed under supervision utilizing simulation. Participants will complete a post-course evaluation of their airway skills.

Course Goals

  • Educate the dental practitioner in basic airway assessment and pre-anesthetic history and physical evaluation
  • Review relevant anatomy of the airway
  • Review respiratory physiology and the effects of sedative drugs on respiration
  • Practice motor skills necessary to initiate basic airway management: relieve obstruction, utilize adjuncts (nasal and oropharyngeal airways) and perform mask ventilation
  • Practice motor skills necessary to place and maintain an advanced airway including laryngeal mask airway (LMA) and endotracheal tube (ETT)
  • Learn the value of team preparation in emergency response

Course Objectives

  • Describe basic airway anatomy
  • Review basic pulmonary physiology and understand the effects of sedation on respiration
  • Review basic airway exam
  • Identify patients with an abnormal pre-sedation airway evaluation and how this affects sedation risk
  • Understand the role of monitoring in respiratory surveillance including observation, auscultation, pulse oximetry and end-tidal CO2 monitoring
  • Describe clinical situations in which oxygen, bag-valve-mask ventilation or intubation may be needed, and review various airway-related emergency situations that may occur with sedated patients, including laryngospasm, foreign-body obstruction, emesis and aspiration, and bronchospasm
  • Demonstrate understanding of indications for utilization of airway equipment and describe sizing and placement for the following: oxygen, stethoscope, bag-valve-mask, oropharyngeal and nasopharyngeal airways, laryngeal mask airway (LMA), endotracheal tube (ETT), bougie, stylet, laryngoscope; glidescope, Yankauer suction
  • Review basic techniques of ventilation using simulated experiences
  • Review basic techniques of intubation using simulated experiences with LMA, ETT
  • Demonstrate confirming tube placement and ventilation using chest rise and EtCO2
  • Teamwork in emergency response

Faculty

  • Matthew J. Dennis, DDS Faculty Website)
    University of Florida College of Dentistry, Department of Oral and Maxillofacial Surgery

“Neither my immediate family nor I have any financial interests that would create a conflict of interest or restrict my independent judgment with regard to the content of this course.”

  • Nikolaus Gravenstein, M.D. (Faculty Website)
    University of Florida College of Medicine, Department of Anesthesiology, Periodontics

“Neither my immediate family nor I have any financial interests that would create a conflict of interest or restrict my independent judgment with regard to the content of this course.”

Continuing Education Units

4 CEUs; participation.

AGD# 132

Location

The University of Florida
1395 Center Drive
Gainesville, FL 32610

Harrell Medical Education Building, Room 465

Harrell Medical Building

Hands-on Course Hands-On Workshop

 

Bonus

Basic emergency preparedness for the general dentist. (Note: The recommended emergency supplies in this course are different from those required in sedation offices.) Preview course description at the link above. Hyperlink to FREE course will be emailed to you after completing live course.

4 CEUs; online course.

AGD# 142

Course Limit

20 Participants

Registration

  • Dentist Fee: $849 (Early Bird) / $899 (Regular Fee)
  • 1pm – 5pm on Friday
  • 12:30pm check-in
Dates Location Course # AGD
September 22, 2017 Gainesville, FL 180013.04 132  
January 26, 2018 Gainesville, FL 180237.01 132  
April 20, 2018 Gainesville, FL 180237.02 132  
September 28, 2018 Gainesville, FL 180237.03 132  

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