Surgery on patients with OSA can be problematic, and a preoperative assessment is useful as a predictor of complications and as a means of planning best clinical practice. This proposed assessment takes into account the 3 major areas of concern, namely the severity of OSA, the planned procedure, and the need for perioperative sedation and […]
Month: March 2013
A not very NICE case of endocarditis
The recommendations of the American Heart Association and European Society for Cardiology on the use of antibiotic prophylaxis for patients considered to be high risk is very relevant in dental practice. The NICE guidelines as described by the author, at times need not be too nice for a high risk patient. Reviewer Dr Peter George […]
Primary prophylaxis of pulmonary embolus with retrievable IVC filter
Announced in the news today was the case of Doreen Carter who had an inferior vena cava filter inserted as an alternative for prophylaxis against thromboembolism. http://www.bbc.co.uk/news/uk-england-berkshire-21655038 She was due to have bowel surgery and, presumably, was deemed too high risk for anticoagulation. The titanium device was also designed to be easily removed. “Dr Carl […]