BDA CDS Group general anaesthesia study days

To book a hotel room, please contact Mice Concierge on [email protected] or 01438 908 770.

The conference venue is Holiday Inn Birmingham Airport Hotel, but there are a selection of other nearby hotels as well. 

Please email [email protected] with any dietary requirements

Download the event flyer as a pdf file here and share it with your colleagues

General anaesthesia for adult special care dental patients

08:45 - 16:45

09:30   Welcome by Graham Smith, President, BDA CDS Group

09:40   General anesthesia in Special Care Dentistry – what, why, how…. 

Aim

The aim of this sessions will be to cover the relevance of general anaesthesia within special care dentistry, consider when it may be appropriate and outline some of the key considerations and guidelines which are relevant in this area.

Learning objectives

• Have an awareness of what general anaesthesia entails and when its use may be appropriate
• Be aware of the indications for general anesthesia within the context of special care dentistry
• Understand the key guidelines which are relevant to delivering dental care under general anesthesia within special care dentistry
• Be aware of the key treatment planning factors which must be considered when delivering dental care under general anesthesia.

Learning content

This session will outline general anesthesia within special care dentistry. It will explore when general anesthesia may be indicated and will give an outline of the key guidance documents related to delivery of dental care under general anaesthesia. It will consider some of the key treatment planning factors when planning and delivering dental care in a special care setting.

Caroline Graham, Consultant in Special Care Dentistry and Clinical Lead, Tees Community Dental Service, North Tees and Hartlepool NHS Foundation Trust

10:40   Refreshments and exhibition

11:10   GA’s for Special Care Dentistry – going with the flow…safely

Aim

We will consider anaesthesia for adult special care patients, with a focus on risk reduction. It will cover planning for medically complex patients, planning a safety-aware service and managing behaviourally challenging patients safely.

Learning objectives

• Identify and gather information for patients at increased anaesthetic risk
• Seek anaesthetic advice where appropriate
• Plan pre- and post-operative pathways with safety in mind
• Interface with other healthcare providers to manage risk.

Learning content

This session examines physical health conditions associated with anaesthetic risk in this patient group, and how to gather relevant information for planning where to treat higher risk patients.

The session will explore strategies for managing behaviourally challenging patients safely and consider difficulties commonly encountered with planning a pre-op and referral pathway for community services.

Kim Soulsby, Clinical Lead for Anaesthetics, Royal Berkshire NHS Foundation Trust

11:55   A case-based approach to designing and developing a general anaesthetic special care service

Aim

The session will give an overview of the design and development considerations for a Special Care Dentistry (SCD) General Anaesthetic (GA) service, using a case-based approach with real clinic cases.

Learning objectives

• Outline staffing, equipment and facility requirements for a SCD GA list with consideration of their organisational, administrative and financial impacts
• To discuss special requirements that need to be considered when designing a SCD GA service and what additional training/education staff require to deliver this to a high standard
• To outline the use of audit and QI to monitor and improve the quality of a GA service
• To outline areas for future developments in SCD and GA services.

Learning content

The session will give attendees an overview of the design and development considerations for a SCD GA service. It will have a particular focus on the special requirements of a SCD GA service and the unique needs for this patient group. Organisational challenges that can present when delivering a GA service and the need for staff training and quality assurances will be reviewed. The session will finally look to the future and how GA services may develop and adapt to better serve the patient group. 

Elizabeth Cheales, Specialist in Special Care Dentistry, Oxford Health NHS Foundation Trust and Lucy Taylor, Specialty Registrar (StR) in special care dentistry, Oxford Health NHS Foundation Trust

12:40   Lunch and exhibition

13:40   Ethical and legal barriers for a patient with a learning disability requiring dental and medical treatment under GA - getting it right  

Aim

To understand the ethical and legal complexities encountered when managing the dental and medical care of a patient with severe autism and learning disability who was refusing to leave his house under General Anaesthesia (GA). To be able to apply this information and experience to similar cases encountered.

Learning objectives

• Understand the legal implications of working with the Court of Protection
• Be aware of different ways to overcome social and medical difficulties related to treating patients under GA
• How to co-ordinate multiple professions to enhance the management of patients with severe learning disabilities and autism.

Learning content

This session will present a case-study, showing how a patient faced numerous ethical dilemmas and complex legal involvement in accessing dental care due to his learning disability and social circumstances. The session highlights awareness of legal and clinical challenges that may affect practitioners.

Hamza Hossenally, Specialist/Consultant in Special Care Dentistry, Whittington Health NHS Trust/Barts Health NHS Trust

14:25 Remimazolam for older patients: a safe and effective sedation solution

Aim

This session will cover a range of cases which will help to understand the use of Remimazolam for Intravenous Sedation (IV) within the older patient cohort who may have physical and or medical impairments.

Learning objectives

• Understanding the impact of frailty and the impact this has on treatment plan options for the older patient
• Be aware of the advantages and disadvantages of Remimazolam as the drug of choice for IV sedation.

Learning content

The session will provide insights into Remimazolam as an alternative sedation drug. It will also examine its indications, benefits and potential drawbacks when used in special care.

Jeena Patel, Specialty Trainee in Special Care Dentistry, Barts Health Trust

15:10   Afternoon refreshments and exhibition 

15:40   Sleep apnoea and its relevance to dentistry

Aim

Understand the prevalence and causes of sleep apnoea, its potential risks for patients undergoing dental treatment with sedation or anaesthesia, how to spot it, how to mitigate those risks and understand the dental professional's role in referral.

Learning objectives

• Understand why we sleep and why sleep is so important
• Understand the aetiology and consequences of sleep apnoea
• Identify patients who are at risk.
• Be aware of the methods of diagnosing and treating sleep apnoea

Learning content

This session will focus on sleep apnoea (obstructive, central, altitude), anaesthetic consequences of OSA and diagnosis and treatment of OSA.

David Dawson, Consultant in Anaesthesia and Sleep Medicine, Bradford Teaching Hospitals NHS Foundation Trust

16:40   Closing remarks from CDS Group President

16:45   Close 

General anaesthesia for paediatric dental patients

08:45 - 16:35

09:30   Welcome by Graham Smith, President, BDA CDS Group

09:40    Inhalation sedation and beyond, how does sedation support the green agenda?

Aim

This session covers the use of inhalation sedation for paediatric patients, alternative sedation options, factors influencing treatment selection and strategies to mitigate environmental exposure to N2O.

Learning objectives

• Update on inhalation sedation as a treatment modality 
• Update of current legislation, and the Nitrous Oxide Project
• Use cases to reflect on patient and treatment selection
• Have knowledge of different standard paediatric sedation techniques other than IHS.

Learning content

The talk will cover techniques in inhalation sedation, including tips on how to utilise inhalation sedation in practice and available sedation alternatives. Exploring additional techniques will help to increase behaviour management tools in their armamentarium to manage paediatric patients.

Carly Dixon, Specialist in Paediatric Dentistry/Clinical Lecturer, University of Manchester

10:40   Refreshments and exhibition

11:10   Paediatric dental general anaesthetic: who, what, where and how

Aim

To provide an overview of when dental treatment under general anaesthetic may be undertaken and what to consider when treatment planning these cases.

Learning objectives

By the end of this activity, the participant should be able to:

• Outline the indications and contraindications for the use of general anaesthetic for completing dental treatment in children and young people
• Discuss medical conditions which require special considerations
• Review factors to consider when treatment planning cases for treatment under general anaesthetic
• Explore the differences in treatment that is being carried out under general anaesthetic depending on local service provision.

Learning content

Delegates will gain an insight into the differences between being a paediatric dentist in the community dental services versus a hospital setting and how the provision of dental treatment under general anaesthetic for children and young people may differ between the two settings.

Dhruvi Patel, Specialty Trainee Registrar in Paediatric Dentistry, Alder Hey Hospital, Liverpool

11:55   Trauma-informed practice in paediatric dentistry 

Aim

To discuss causes of trauma in children and explore how adverse childhood experiences can affect a child and their behaviour in the dental setting. To discuss approaches to providing gentle dentistry for paediatric patients who may have experienced trauma in their life.

Learning objectives

By the end of this activity, the participant should be able to:

• Understand what Adverse Childhood Experiences (ACEs) are and how it may affect a child’s ability to cope with dental treatment
• Understand how to recognise common trauma responses in children
• Improve your ability to provide trauma informed care for paediatric dental patients and improve their experience of dental treatment.

Learning content

Outline what ACEs means and discuss how it can affect a child’s wellbeing. Explain how traumatic life experiences can heighten a child’s anxiety and how this may affect behaviour at the dental clinic. Discuss approaches to providing gentle dentistry for children who may have experienced trauma.

Sinead Enright, Specialist in Paediatric Dentistry, Community Dental Service, Bradford District Care Foundation Trust

12:40   Lunch and exhibition 

13:40   Dental general anaesthesia and safeguarding considerations

Aim

To give an overview of safeguarding for vulnerable patients in the context of their dental general anesthetic and how to manage cases by utilising skills from other healthcare professionals and safeguarding teams.

Learning objectives

• Understand referral pathways to safeguarding teams in Community and Hospital Dental Services, as well as Was Not Brought pathways
• Support vulnerable groups including asylum seekers/refugees and looked after children and their families and caregivers to receive a dental general anaesthetic
• Be aware of the importance of dental nurses and administrative staff in relation to safeguarding.

Learning content

This session will outline the importance of safeguarding in the context of dental general anesthesia, how to act on concerns and how to support patients and their caregivers to receive a dental general anesthetic and look at a patient example.

14:25   General anaesthesia for paediatric dentists – The anaesthetic perspective

Aim

Using a case-based approach we will cover pre-operative assessment and planning, additional needs commonly associated with paediatric patients requiring general anaesthesia for dental procedures, the use of pre-medication, shared airway considerations and common anaesthetic complications.

Learning objectives

By the end of this activity, the participant should be able to:

• Identify and gather information for patients at increased anaesthetic risk
• Identify patients who may require pre-medication
• Understand the shared airway considerations and how to minimize risk of anaesthetic complication.

Learning content

This session examines the context of general anaesthesia in paediatric patients from the anaesthetic perspective. We will focus on potential difficulties that may be encountered and strategies to anticipate and mitigate for these issues to provide the best experience for patients and their families and to provide a smooth and efficient service.

Grace McClune, Consultant Anaesthetist, South Eastern H&SC Trust

15:10   Afternoon refreshments and exhibition


15:30   All systems go - managing children with complex medical conditions

Aim

This session will consider medical problems in a systematic way and discuss the management of children with complex medical conditions. Understand how this may impact on dental treatment and what additional preparation needs to be considered to ensure safe delivery of care under general anaesthetic.

Learning objectives

• Have a structured systematic approach to taking a medical history with key questions that will support treatment planning.  
• To understand the medical condition and be able to gather relevant information that will support safe delivery of care
• Understand the impact of medical history and how this may influence treatment choices.
• Explore what preparation is required in managing a patient with a complex medical history, what questions need to be asked and who to contact.

Learning content

Providing an overview of managing children with complex medical conditions providing the clinician with the tools to be curious to ensure that children are managed safely in the right environment with the right team.

Sarah McKaig, Consultant in Paediatric Dentistry, Birmingham Children’s Hospital, Birmingham Dental Hospital


16:35   Close