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所在平台: Udemy |
课程主页: https://www.udemy.com/course/nitrous-oxide-oxygen-minimal-conscious-sedation-guide-pan/
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**课程名称：** 牙医与牙科保健员的氧化亚氮课程 **课程概述：** 本课程由Mark A. Gillman博士（2024年9月更新）主讲，是一本全面的、清晰的教科书/工作手册，旨在为牙医、牙科保健员及其他合格医疗专业人员提供氧化亚氮/氧气最小镇静（也称PAN镇静）的理论基础。该技术（也称为吸入镇静或相对镇痛）尤其适用于伴有焦虑和/或疼痛的轻微医疗及牙科操作。 **课程内容亮点：** * **理论基础全面：** 详细阐述PAN镇静的理论基础，包括其在医学（如急性物质滥用戒断、抑郁症治疗、神经精神病学应用）和牙科领域的临床应用。 * **适用于牙科和医学：** 特别强调其在缓解牙科和轻微医疗操作中的焦虑和疼痛，并提及了在医学领域治疗急性物质滥用戒断及其他神经精神疾病的潜力。 * **学习模式灵活：** 采用幻灯片配合讲解的形式，允许学员按自己的节奏吸收理论知识，为后续的实践操作打下坚实基础。 * **实践操作准备：** 课程内容提供了充足的理论细节，以便学员在完成理论学习后，能快速掌握实际操作技巧。强调实践操作需在经验丰富的专业人士指导下进行。 * **区分麻醉与镇静：** 明确指出PAN镇静与一般麻醉的区别，即在PAN镇静下，患者意识仅轻微模糊，能够遵守指令，而麻醉则使患者失去意识。 * **专业认可与渊源：** 在南非获得8个继续职业发展学分，并基于其前几版在非洲、欧洲及其他地区成功销售的经验。 * **详细课程结构：** 1. 引言与定义 2. PAN的生理与药理学（包含多部分详细讲解） 3. PAN镇静对患者与医生的优势 4. 实践方面 5. PAN的伦理应用 6. 经济可行性 7. 参考文献 * **深入探讨的主题：** 涵盖PAN的其他常用术语、历史概述、临床应用、焦虑与疼痛的概念、疼痛生理学与内源性阿片系统、氧化亚氮与内源性阿片系统的相互作用、疼痛与焦虑管理方法、PAN镇静与全身麻醉的区别、氧化亚氮的物理化学特性、呼吸解剖生理学、氧化亚氮的药理学，以及详细的临床实践要点（患者评估、滴定、监测、患者参与、终点控制、停止给药、患者恢复、定制设备、物质滥用治疗、伦理责任、商业实践、污染控制、经济效益等）。 **讲师联系方式：** Dr. Gillman (mag@iafrica.com) 可在南非或全球范围内提供实践培训。 **重要提示：** 本课程提供详细的理论知识，但不能替代实际操作培训。实践操作必须在有经验的专业人士指导下进行。
Nitrous oxide course for Dentists & Dental Hygienists - Guide to Nitrous Oxide/Oxygen Minimal Conscious Sedation or PAN Sedation: Theoretical Basis of Practice. By Dr Mark A. Gillman (updated September 2024)This nitrous oxide course (laughing gas) is a comprehensive, clear textbook/ workshop manual giving the theoretical knowledge on how to use PAN also known as minimal sedation with nitrous oxide/oxygen for medical and dental applications ((Nitrous oxide course for Dentists & Dental Hygienists) · It is particularly useful for minor medical and dental procedures which are accompanied by anxiety and/or pain.· It has applications in medicine for treatment of acute substance abuse withdrawal states and for diagnostic and therapeutic use in other neuropsychiatric conditions such as depression.· The basic slide format with commentary enables practitioners to proceed at their own pace absorbing the essential theory and once they have done so, rapidly learn the practical technique during hands-on training.PAN is also known as inhalation sedation or relative analgesia. This Nitrous oxide course for Dentists & Dental Hygienists - (laughing gas) (Nitrous oxide course for Dentists & Dental Hygienists) aims to give physicians, dentist and suitably qualified nurses the theoretical basis on which the technique is based. Like any surgical procedure replace hands-on training which takes no more that 2-3 hours to acquire practical skills once the practitioner is thoroughly familiar with the theoretical aspects, which are given in sufficient detail in the presentation to enable trainees to rapidly be taught to administer the gases practically. The training must be done with either a dental practitioner who is experienced with the technique of PAN in their daily practice or some other registered practitioner who is also well-schooled in the use of nitrous oxide/oxygen minimal sedation. Anaesthesiologists are not usually suitable because practitioners to teach PAN sedation, because they normally use much higher concentrations of nitrous oxide for anaesthesia and seldom use PAN in their practices. The crucial difference is that during anaesthesia the subject is unconscious, while during PAN sedation the consciousness of the subject is little obtunded so that they can readily understand and comply with verbal instructions. For those interested, Dr Gillman is available to train practitioners in South Africa or anywhere else in the world. He can be contacted at mag@iafrica.com.This current 4th edition is largely based on the previous editions, which had a similar title which has been successfully sold in South Africa and the rest of Africa as well as various countries in Europe and elsewhere. In South Africa, it has been allocated 8 continuing professional development. It has 6 sections:1.Introduction and definition - gives some back ground2. Physiology & Pharmacology of PANLecture 2 Part 1 Introduction to Pharmacology & Physiology of PANLecture 2. Part 2 Pharmacology & Physiology of PAN Continued3. Advantages of PAN sedation for Patient & Doctor4. Practical Aspects5. Ethical use of PAN6. Financial viability7. BibliographyThese 6 sections cover the following:Other terms commonly used for PAN;Historical Overview;Overview of Clinical Uses of Nitrous Oxide/Oxygen Sedation;Concept of Anxiety and Pain;Basic Physiology of Pain and the Endogenous Opioid System and physiological basis of the pain-pleasure continuum;Nitrous oxide interactions with the Endogenous opioid system and this relationship to Pain and Anxiety Control;Methods of Pain & Anxiety Management and Nitrous Oxide/Oxygen Sedation;Differences between Nitrous Oxide/Oxygen Sedation and General Anaesthesia;Physical & Chemical Properties in relation to Nitrous Oxide/Oxygen Sedation;Clinical Respiratory Anatomy Physiology & Nitrous Oxide/Oxygen Sedation;Pharmacology of Nitrous Oxide/Oxygen Sedation;Practical Aspects of Nitrous Oxide/Oxygen Sedation;a. Patient Assessmentb. Importance of Titrationc. Monitoring Patientd. Patient Involvemente. Endpoint/Comfort Zone (Ethics of using correct concentration)f. Terminating Administrationg. Patient Recoveryh. Customised Equipmenti. Using PAN to treat acute substance abuse withdrawal statesj. Ethical responsibilities.k. Ethical prudent practice guidelinesl. Ethical practise building and profit aspectsm. Pollution control as an ethical and legal responsibilityn. Financial aspects and benefits
