Intravenous anaesthesia in dentistry.

Date:
c.1957
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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

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Credit

Intravenous anaesthesia in dentistry. Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Source: Wellcome Collection.

About this work

Description

This is a practical instructional film made by the Society for the Advancement of Anaesthesia in Dentistry (SAAD) showing the ease and safety of using intravenous anaesthesia in dentistry practice. Numerous case studies are shown; all the patients recover quickly. 4 segments

Publication/Creation

UK : SAAD, c.1957.

Physical description

1 encoded moving image (20 min.) : sound, color

Duration

00:20:09

Creator/production credits

Produced by S. Drummond-Jackson and H. Mandiwall.

Contents

Segment 1 Very brief opening title over which there is narration explaining the rationale behind the film; there are few teaching resources about good practice on this subject. The preparation of the anaesthetic equipment is demonstrated in an evenly paced and practical way: equipment is removed from a sterilisation unit; appropriate selection of syringes is explained; needles are then selected; the clinician then has to scrub up; the syringes are tested; the dosage is explained; the syringe is charged. Finally the syringe is put into a beaker of warm water so that it is body temperature ready for the patient. Time start: 00:00:00:00 Time end: 00:06:24:13 Length:00:06:24:13
Segment 2 A setting of anaesthetic equipment is shown - it is a tray with everything required laid out in sequence. The layout is explained. There is a gas anaesthetic unit on hand. The preparation of a vein in the patient is demonstrated; a female patient clenches and releases her fist. Time start: 00:06:24:13 Time end: 00:09:04:07 Length: 00:02:39:19
Segment 3 In close up, the advantages of the specific selection of the syringe recommended in segment 1 is explained. The routine for preparing a patient is briefly recounted so that it could be easily memorised; there are 16 discrete actions. A number of case studies are illustrated. A female patient has her mouth packed and then her teeth are cleaned. The patient rouses from her natural sleep. She is aided to a room where she lies on her front in the recovery position. Another female patient is prepared; she is speedily anaesthetised and has two extractions. She is rapidly roused and smiles. A male patient is also shown. Another female patient who is having 6 extractions and a denture fitted is shown. It is noted that assisting the dentist is a second year junior practitioner. An older male patient is shown; the entire process of preparation then intravenous anaesthesia is repeated. Time start: 00:09:04:07 Time end: 00:15:08:03 Length: 00:06:03:21
Segment 4 A number of tray settings with all the equipment required is illustrated. Another female patient is shown anaesthetised. It is noted that the type of agent is immaterial, it is the care and skill in the way they are administered which matter. The patient regains consciousness whilst stitching is in progress. The final two cases illustrate a few variations in procedure; firstly an elderly woman with a heart condition is shown and then a little girl 4 year old girl called Penny. She recites 'Mary had a little lamb' before losing consciousness. She rouses whilst we are reassured by the narrator that the practice demonstrated in this film has been perfected in the administration of intravenous anaesthesia to over 20,000 patients. Penny's nose is tickled to wake her fully. The End. Time start: 00:15:08:03 Time end: 00:20:09:11 Length: 00:05:12:08

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