Читать книгу Management of Complications in Oral and Maxillofacial Surgery - Группа авторов - Страница 15

In addition to screening patients appropriately for in‐office procedures, it is also important to bear in mind the surgical complexity and length of time needed for the planned procedure. Certain procedures, such as third molar removal, are nearly always performed in an outpatient setting. Other surgical procedures, such as minimally invasive temporomandibular joint (TMJ) procedures (e.g., TMJ arthroscopy) and extensive bone grafting or complex dental implant procedures, can be performed either in the OR or in an outpatient setting. This is largely dependent upon the preference of the surgeon and patient, the availability of appropriate instruments and equipment, and financial issues. The most important consideration in preventing complications is to ensure that the surgical procedure planned is not more complex or lengthy than can be accommodated in a particular outpatient setting. Patient risk factors and procedure risk factors should be balanced such that longer and more complex procedures are avoided in patients who already represent increased surgical risk. Complex or lengthy procedures may benefit from having an additional practitioner or trained person to assist with the anesthetic management of the patient. This will help to offset some of the increased attention required for the surgery itself. With proper planning, a majority of routine OMS surgical procedures can potentially be accomplished in an outpatient setting using the single operator‐anesthetist model.