Abstract:
:While local anaesthetic agents are usually safe and are used ubiquitously, inadvertent overdoses may have potentially fatal consequences. Errors in the dosing of local anaesthetics frequently occur due to inherent difficulties in remembering the toxic dosage limits, difficulties in performing the appropriate calculations correctly, and errors in estimating patient weight. We have developed a simple graphical calculation aid (nomogram) to overcome these problems and facilitate rapid cross-checking of the maximum safe dose for a variety of local anaesthetic agents in common use. Standard mathematical techniques were used to draft the nomogram. A randomised blinded study using simulated patient data and Bland-Altman analysis was used to assess the accuracy and precision of the nomogram. The nomogram was found to have a bias of 0.0 ml, with limits of agreement -0.05-0.04 ml. It was found to be easy to use and suitably accurate for clinical use.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Walker JD,Summers A,Williams DJdoi
10.1038/sj.bdj.2015.297subject
Has Abstractpub_date
2015-04-24 00:00:00pages
469-71issue
8eissn
0007-0610issn
1476-5373pii
sj.bdj.2015.297journal_volume
218pub_type
杂志文章,随机对照试验abstract::The flexible use of a visual/verbal analogue scale--the thermometer--is described as a means of monitoring patients' levels of cognitive fear, trust, pain and self-esteem during treatment visits. Variations for use with very young children and those with physical and learning disabilities are also described. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:2002-10-26 00:00:00
abstract:OBJECTIVES:The objectives of this study were to determine on what evidence infective endocarditis (IE) could be legally linked to dental treatment. METHOD:The records of 319 legal cases involving dental treatment as the probable cause of IE were analysed. The medical history, type of dental operation, and whether anti...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.123
更新日期:2007-07-14 00:00:00
abstract::Dental standards play a vital and important role in society by contributing to the quality and safety levels of products used in dental treatments by dental professionals as well as the hygiene products used by the general public. Few members of the public or indeed many dentists fully appreciate the contribution made...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2012.835
更新日期:2012-09-01 00:00:00
abstract::As we debate shaping the future oral health workforce within the UK, to meet the needs of current and future populations, it is helpful to take an international perspective on this very important issue. Globally, there is a strong recognition that human resources for health (HRH) are fundamentally important to deliver...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.532
更新日期:2018-07-27 00:00:00
abstract::Introduction Shared decision-making (SDM) is a process by which patients and clinicians work collaboratively to make decisions about healthcare. Previously, research has shown that patients want to be more involved in decisions about their care, but more recent evidence suggests that some patients may not wish to have...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1638-z
更新日期:2020-06-01 00:00:00
abstract::This paper explores the concept of quality as applied to healthcare and its subsequent application to dentistry. The assessment of quality arose from the manufacturing industry and is viewed as a cornerstone of current Government thinking. The difficulties in defining and therefore in measuring are examined and, in pa...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.521
更新日期:2011-07-08 00:00:00
abstract::The clinical durability of restorations made using water-based materials depends upon the type of material used. Current specification tests cannot predict durability, possibly because these are carried out on samples matured for 24 hours whereas longer maturation times may be more relevant. The lactic acid jet test w...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808049
更新日期:1992-12-05 00:00:00
abstract::The use of problem-based learning as part of a vocational training scheme for vocational dental practitioners is described and evaluated. Problem-based learning is currently viewed as an effective means of delivering medical education and has been adopted as a principal style of education by many undergraduate medical...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800213
更新日期:1999-07-24 00:00:00
abstract::Chronic obstructive pulmonary disease (COPD) affects an estimated 3 million people in the United Kingdom, and is most common among elderly smokers. Patients may present with recurrent coughing of mucoid secretions (chronic bronchitis) or breathlessness caused by destruction of the airways (emphysema). If possible, it ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.756
更新日期:2014-09-01 00:00:00
abstract::Ecstasy (also known as 'love drug', 'XTC' or 'E') is the name commonly used for the illegal designer drug related to amphetamine, 3,4 methylenedioxy-methamphetamine (MDMA). MDMA was patented in 1914 as an appetite suppressant, has been investigated as a mood modifying agent, but with its predecessor 3,4 methylenedioxy...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808200
更新日期:1993-07-10 00:00:00
abstract::Chemomechanical caries removal involves the chemical softening of carious dentine followed by its removal by gentle excavation. The reagent involved is generated by mixing amino acids with sodium hypochlorite; N-monochloroamino acids are formed which selectively degrade demineralised collagen in carious dentine. The p...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800501
更新日期:2000-04-22 00:00:00
abstract::In December 2014, Public Health Wales introduced a proof-of-concept incentive scheme, aiming to encourage National Health Service (NHS) dental practitioners in Wales to provide brief intervention for smoking cessation and increase referrals to Stop Smoking Wales (SSW). The scheme ran for 11 weeks. Practitioners were a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.916
更新日期:2016-12-09 00:00:00
abstract::Routines for disinfecting working surfaces in dental surgeries are difficult to monitor without time-consuming and labour-intensive microbiological techniques, yet effective monitoring is a vital part of cross-infection control. Easy to use, on-site methods would be valuable in this context. This study evaluates a por...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807546
更新日期:1991-05-11 00:00:00
abstract::The effect of the presence of fluoride in toothpaste on tooth wear was investigated in extracted human premolar teeth collected from two geographic areas with different fluoride concentrations in the public water supply. Nine teeth from each area were divided bucco-lingually into matched pairs and subjected to a wear ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808450
更新日期:1994-05-07 00:00:00
abstract::Mercury amalgam has been used for dental fillings since the 1830s. Over that time, questions have occasionally been raised with regard to its safety, but a recent TV programme in America has re-focussed attention in this area. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807608
更新日期:1991-08-10 00:00:00
abstract:OBJECTIVE:To investigate job satisfaction among hygienist-therapists. Increasing numbers of hygienist-therapists work in UK primary dental care teams. Earlier studies suggest a clinical remit/clinical activity mismatch, without investigating any link with job satisfaction. METHODS:A UK-wide survey of dental hygienist-...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.116
更新日期:2011-02-26 00:00:00
abstract::Over 19,000 patients treated by 57 HIV-infected health care workers (HCWs) have been tested for HIV. Apart from the notorious Florida dental case, no patient has been shown to be infected by treatment given by an HIV-infected HCW. Cases of 10 HIV-infected HCWs have been examined in some depth. The evidence indicates t...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808330
更新日期:1993-11-20 00:00:00
abstract:AIM:To ascertain general dental practitioners' views on the use of stainless steel (pre-formed metal) crowns to restore carious primary molars. METHOD:Ninety-three general dental practitioners were selected at random from those practising in Lancashire, Cheshire and Greater Manchester in 2003 and interviewed separatel...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812746
更新日期:2005-10-08 00:00:00
abstract:OBJECTIVES:To investigate if dental nurses perceive gender differences in the communication and interaction style used by their dentist in general practice. METHODS:Data were collected from 64 Northern Irish dental nurses (70% response), and from 549 Dutch nurses (41% response). Respondents completed the Communication...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813848
更新日期:2006-08-12 00:00:00
abstract::Objective To establish the appropriateness of timing of referrals for patients referred for the management of ectopic maxillary canines, and to evaluate the success of previous recommendations to educate referrers.Design Retrospective clinical re-audit.Setting Royal Surrey County Hospital NHS Foundation Trust.Subjects...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.816
更新日期:2016-11-04 00:00:00
abstract::Many UK patients in the search for their perfect smile have now decided to have their dental treatment abroad, the main reasons being that they believe they can have the same treatment but at a much lower price. With many overseas clinics offering treatment packages that also include a holiday, dental tourism seems an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2591-6
更新日期:2021-01-01 00:00:00
abstract::The prevalence of overweight and obesity is rising in many developed and developing countries and, most worryingly, among children. Within the EU, Scotland has the highest prevalence, more than twice that of the Netherlands, and in England almost a quarter of children now enter primary school either overweight or obes...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.1009
更新日期:2012-11-01 00:00:00
abstract::In orthodontic practice, many patients present with unerupted and impacted maxillary canine teeth. The clinical outcome is frequently compromised by a failure to diagnose the problem at the appropriate age. This article reviews the development of the maxillary canine, the assessment of normal and abnormal eruptive pat...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807250
更新日期:1990-07-07 00:00:00
abstract::Dental disease in the form of caries and abscesses has been known since antiquity. Before the advent of anaesthesia, operations upon the mouth were painful. The introduction of general anaesthesia in the form of ether and chloroform seemed to provide a solution, but there was an unacceptable level of mortality. James ...
journal_title:British dental journal
pub_type: 传,历史文章,杂志文章
doi:10.1038/sj.bdj.2016.179
更新日期:2016-03-11 00:00:00
abstract::Simulation training involves reproducing the management of real patients in a risk-free environment. This study aims to assess the use of simulation training in the management of acutely ill patients for those in second year oral and maxillofacial surgery dental foundation training (DF2s). DF2s attended four full day ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.1143
更新日期:2013-12-01 00:00:00
abstract::At one time the incidence of broken hypodermic needles was a fairly common occurrence in general dental practice. Fortunately the routine use of modern stainless steel needles has all but eliminated this emergency. Occasionally a patient may make a sudden movement during administration of local anaesthetic, particular...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809128
更新日期:1996-06-22 00:00:00
abstract::Continuing professional development should embrace all aspects of our professional life. Changes in the pattern of oral disease, developing concepts of specialisation and delivery of dental care require a flexible approach to the interface between the end of the undergraduate dental course and the early years of gener...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809004
更新日期:1996-02-24 00:00:00
abstract:OBJECTIVE:To report on the dental health of three-year-old children in Greater Glasgow, and to examine the amount of dental caries associated with deprivation in this young age group. DESIGN:Dental inspections in nursery schools. SUBJECTS AND METHODS:The national inspection programme using BASCD criteria was extended...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.723
更新日期:2010-08-28 00:00:00
abstract::Implant surgery protocols differ slightly with individual systems. However, basic surgical principles are required to ensure successful osseointegration of the implant in the correct location which allows good aesthetics and loading. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800294
更新日期:1999-10-23 00:00:00
abstract::In part 2 of this series, we look at the clinician's role in replacing multiple missing teeth and the associated soft tissues and bone, following severe forms of trauma. These patients usually wish to have fixed prostheses to help restore their appearance and function. In order to fulfil the patient's request, the mul...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2014.1102
更新日期:2014-12-01 00:00:00