Local Anesthesia Manual
    Local Anesthesia
                                  Loma Linda University 
                                     School of Dentistry
                                            2011/2012
                                     Barry Krall DDS 
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   Local Anesthesia Manual
      Local AnesthesiaTable of Contents
                 4               Course Objectives                                       
                 5               History of Anesthesia and Sedation                                          
                 6               Armamentarium                                                
                 9               Fundamentals of injection technique                                           
                 12              Pharmacology of local anesthetics                                            
                 22              Pharmacology of vasoconstrictors                                         
                 25              Patient evaluation                                                              
                 32              Dosages                                                                                       
                 36              Complications of local anesthetic injections                                       
                 42              Supraperiosteal injection
                 44              IA, lingual and buccal nerve blocks
                 51              Infratemporal fossa                                
                 53              Posterior superior alveolar nerve block 
                 57              Pterygopalatine fossa    
                 58              Greater palatine and nasopalatine nerve blocks
                 61              Mental/Incisive nerve blocks
                 64              ASA “field block” injection
                 66              Supplemental injections
                 68              Miscellaneous injections
                 77              Bacterial endocarditis prophylaxis regimen
                 78              Table of blocks
                 79              Dosage guidelines            
                 81              References
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                                             LOCAL ANESTHESIA MANUAL
                                                    COURSE OBJECTIVES
            To learn how to administer local anesthetics effectively, safely and painlessly.
            To do this you need to know how and be able to do 5 things:
                    1.  What you’re giving?                  Therefore we will discuss the pharmacology of local
                  anesthetics.
                    2.  Who you’re giving it to?            We will discuss how to evaluate patients physically and
                  emotionally.  This will involve some physiology.  Emergency
                  prevention is emphasized.
                    3.  Where to place  it?                  The anatomy of respective nerves and adjacent structures must 
                                                            be learned.
                    4.  How to place it there?   Painlessly, in the right amount at the proper rate (slowly).
                  The technique is both an art and a science.
                    5.  How to handle emergencies?          Some may occur in your office or elsewhere.  As health 
                  professionals we should know what to do, especially if we
                  precipitated the event!
             
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