Accueil du site - Anesthésiologie - Anesthésies locoregionales - Analgésie au foramen grand palatin

Instrumentation

JPG - 153.5 ko
plateau pour analgésie avec aiguille de 16 mm

Instruments en distribution :

Instruments en salle de stérilisation :

GIF - 191.3 ko
image animée du montage d’une seringue jetable

Protocole

1- Expliquer au patient le déroulement de l’anesthésie, si cela permet de diminuer son appréhension.

2- Placement de l’aiguille :

  • Au niveau du foramen palatin postérieur (2 mm en avant de la limite palais dur/palais mou et 1 cm au dessus de l’angle disto palatin de la 7) -* L’ouverture du biseau orientée vers la table osseuse.
  • Repérer la jonction palais dur palais mou en demandant au patient de prononcer un A grave
  • Palper la gouttière palatine pour repérer la hauteur du nerf

3- Pénétration de l’aiguille :

  • La faire pénétrer légèrement.

4- Injecter lentement une demi carpule.

5- Retirer l’aiguille et bloquer la seringue en position sécurité.

6- Stimuler la muqueuse avec une sonde pour confirmer la réussite de l’anesthésie.


Actes associés


Administration

Dossier

Information

  • Anesthésie utilisée.
  • Difficultés rencontrées.
  • Validation du responsable de la vacation.

Cotation

  • Cotation et derrière le code service.
    • Cet acte ne peut être coté

Q-planner

  • Convenir avec le patient de la date et l’heure de la séance de soin suivante.
  • Rentrer la séance de soin suivante dans Q-planner.

Informations

  • Diffusion par le pôle ondontologie.
  • Processus : Réalisation du programme de prise en charge du patient.
  • Domaine d’application.
    • Pôle ondontologie.
    • Étudiants de la faculté de chirurgie dentaire de Nantes.
  • Rédacteur : Thomas Weigel/Gregory Devilliers.
  • Vérificateur : Dr A. Gaudin/
  • Approbateur : Pr O. Laboux.
  • Date d’application : 00/00/0000.
  • Version : 1.
  • Bibliographie
    • Cours de la faculté de chirurgie dentaire de Nantes.
      • CHIRURGIE BUCCALE PATHOLOGIE ET THÉRAPEUTIQUE ANESTHESIOLOGIE ET REANIMATION : 57ème Section - 2ème Sous-Section.
    • Cahiers de travaux pratiques de la faculté de chirurgie dentaire de Nantes.
      • CHIRURGIE BUCCALE PATHOLOGIE ET THÉRAPEUTIQUE ANESTHESIOLOGIE ET REANIMATION : 57ème Section - 2ème
    • Gaudy JF.
      • La pratique de l’analgésie en odontologie.
      • Éditions CdP, 2005.
    • Gaudy JF, Arreto CD, Alimi D, Brulé S, Donnadieu S, Landru MM.
      • Manuel D’analgésie En Odontostomatologie.
      • Masson, 2005.

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