1 / 33

Veterinary dental nursing procedures

Veterinary dental nursing procedures. SAFETY, ANESTHESIA, POSITIONING. Usual GA precautions. Appropriate monitoring equipment IV catheter and fluids as required. Contaminated Surgery.

kale
Download Presentation

Veterinary dental nursing procedures

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Veterinary dental nursing procedures SAFETY, ANESTHESIA, POSITIONING

  2. Usual GA precautions • Appropriate monitoring equipment • IV catheter and fluids as required 5888H - Veterinary Dental Nursing

  3. Contaminated Surgery • Veterinarians should in general avoid performing “dirty” dentals on an individual animal at the same time as major sterile surgery • Bacteria entering the blood stream during dental work can lodge in the blood clots of the major surgery site. 5888H - Veterinary Dental Nursing

  4. Safety Considerations • Patient safety • Operator safety 5888H - Veterinary Dental Nursing

  5. Patient Safety • Head movement > endotracheal tube induced tracheal trauma; if tracheal trauma: • subcutaneous emphysema – if tracheal air escapes • tracheal stricture – can appear days or weeks later. • Head movement > tube twisting and kinking • Head tilted up > fluids, blood, blood clots, calculus easily enter trachea. • Cuffed tube > distal cuff still permits fluid to enter proximal trachea. • Wet face, cold table/grill > greater heat loss and hypothermia • Wet ET tube tie > loosens and falls out easily 5888H - Veterinary Dental Nursing

  6. Use Cuffed ET tube • Just enough to occlude air leakage 5888H - Veterinary Dental Nursing

  7. Good grip on ET tube • Ensure good grip on tube tie; might use • Rubber elastic band (not too tight on face) • Drip tubing (not too tight on face or tube) 5888H - Veterinary Dental Nursing

  8. Good grip on ET tube 5888H - Veterinary Dental Nursing

  9. Disconnect Tube • When turning or moving animal 5888H - Veterinary Dental Nursing

  10. Don’t turn over the back • Turn under belly • with legs kept underneath • reduces chance of fluid entering trachea 5888H - Veterinary Dental Nursing

  11. Slight incline for trachea • Tilt table, or • Use padding (eg bubble wrap) • More under shoulders, less under neck • Just think of airway position! 5888H - Veterinary Dental Nursing

  12. Patient Positioning • Options • Dorsal • Lateral 5888H - Veterinary Dental Nursing

  13. Dorsal Recumbency 5888H - Veterinary Dental Nursing

  14. Lateral Recumbency 5888H - Veterinary Dental Nursing

  15. Place absorbent wad in pharynx • eg swabs, throat pads • Past hump of tongue • REMEMBER TO REMOVE when finished • have a reminder check system – eg a marker on the ET tube when swab placed 5888H - Veterinary Dental Nursing

  16. Pharyngeal Packing · 5888H - Veterinary Dental Nursing

  17. Ocular lubricant • To protect eyes from aerosol • Artificial tears • Lacrilube 5888H - Veterinary Dental Nursing

  18. Care with Mouth Prop • Is used to protect operator and improve visibility • But not too wide! 5888H - Veterinary Dental Nursing

  19. Warmth • Consider • Heating mat • Bubble wrap • Warm water bottles • Some methods need care as may have risks of either scalding and/or electrocution 5888H - Veterinary Dental Nursing

  20. Head on a grill • To keep body and face drier 5888H - Veterinary Dental Nursing

  21. Monitor Temperature • Usually rectal temp measured 5888H - Veterinary Dental Nursing

  22. Recovery • Place in lateral or sternal recumbency with the head and neck extended, preferably head below thorax • Monitor temp, pulse, respiration, consciousness until able to maintain sternal recumbency • Keep orifices clear, clean and dry • Remove pharyngeal swabs • Remove endotracheal tube at appropriate time • Analgesics as indicated • Report recovery problems • Final grooming before discharge 5888H - Veterinary Dental Nursing

  23. What operator safety precautions shown here? Operator Safety 5888H - Veterinary Dental Nursing

  24. Risk of being bitten • Especially under light GA • Use a mouth prop 5888H - Veterinary Dental Nursing

  25. Eye protection . • Risks • Calculus flicked into eyes • Aerosol in eyes (possible conjunctivitis) • Protection • Full head visor • Goggles or glasses 5888H - Veterinary Dental Nursing

  26. Pneumonia • Large numbers of bacteria in aerosolised water droplets • These small droplets float deep into lungs • Possible bacterial pneumonia • Use face mask • Quality type, well fitted • But discard after use 5888H - Veterinary Dental Nursing

  27. General contamination • Build up of debris on the skin or under the fingernails • Moisture contaminates clothing (hospital hygiene) 5888H - Veterinary Dental Nursing

  28. Posture • Often a lengthy procedure in fixed posture • Use adjustable stool 5888H - Veterinary Dental Nursing

  29. Sharps • Discard of scalpel blades, needles, old burs into sharps container • Care with handling sharp instruments 5888H - Veterinary Dental Nursing

  30. Anaesthetic gases • Usual scavenging systems • Good fittings required if patient movement 5888H - Veterinary Dental Nursing

  31. Electrocution • Electric heating mats • Faulty electric dental equipment 5888H - Veterinary Dental Nursing

  32. Other protection • Gloves • Cap • Apron - waterproof 5888H - Veterinary Dental Nursing

  33. The End 5888H - Veterinary Dental Nursing

More Related