OMSs perform office-based surgical and restorative cases that may take several hours. Patients who are older or have additional health concerns require more careful selection to ensure they can withstand several hours of office-based anesthesia and/or immediate prosthesis conversion. This session will examine pearls and pitfalls in the selection of such patients, modification of anesthetic techniques and recommendations to prevent complications such as urinary retention and deep vein thrombosis. Attendees also will learn from mistakes made from closed claims summaries of such complications.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Determine selection criteria for longer office-based anesthetics.
Analyze various techniques for management of longer office-based anesthetics.
Explain the complications that can occur during longer anesthesia cases in the office setting.
Evaluate the medico-legal implications of performing longer procedures under anesthesia in the office.
Discuss if engaging a second provider is indicated in this setting.
