Office Anesthesia for the Psychiatric and Substance Abuse Patient

Millions of patients take medications for psychiatric conditions. There is paucity of guidelines for the management of these medications to provide outpatient anesthesia. The pharmacology of psychiatric drugs, adverse effects and drugs interactions with sedatives and general anesthetics will be discussed. There is a significant increase in substance abuse across the United States. The lecture also will focus on the drug abuse patient and the implications on office anesthesia.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Discuss various psychiatric drugs and their pharmacology. 
  2. Describe the psychiatric drug interactions related to provision of office anesthesia. 
  3. Identify the substance abuse patient and appropriately provide anesthesia. 

Rajesh Gutta, DDS, MS, FACS
Consultant Oral and Maxillofacial Surgeon
Private Practice
Midland, Texas
Disclosure: No relevant financial relationships.

Daniel J. Meara, DMD, MD, MS, MHCDS, FACS
Chair, Department of Oral and Maxillofacial Surgery and Hospital Dentistry
Christiana Care Health System
Wilmington, Delaware
Disclosure: No relevant financial relationships.

An Internet-based CDE/CME Activity
Original Release Date: September 12, 2022
Expiration Date: September 12, 2025
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Rajesh Gutta, DDS, MS, FACS

Consultant Oral and Maxillofacial Surgeon

Private Practice

Dr. Raj Gutta is a board certified oral and maxillofacial surgeon from West Texas. Currently, he is a facial trauma consultant to the hospitals in West Texas. After completion of surgical training at the University of Alabama at Birmingham, he served on faculty at the University of Texas Health Science Center in San Antonio & the University of Cincinnati. Dr. Gutta is a regularly invited guest speaker at the annual meeting of the American association of oral & maxillofacial surgeons. He is a co-editor of a book title “Management of the Medically Compromised Patient”. In addition, he has numerous scientific publications, book chapters, and invited lectures to his credit. He is a fellow of the American academy of craniomaxillofacial surgeons, fellow of the International Association of Oral & Maxillofacial Surgeons, and a Craniomaxillofacial faculty of AO North America. Dr. Gutta practices an expanded scope of oral and facial Surgery with special interest in obstructive sleep apnea, outpatient anesthesia, and facial reconstruction.  

Disclosures: No relevant financial relationships were disclosed.

Daniel J. Meara, DMD, MD, MS, MHCDS, FACS

Chair, Department of Oral and Maxillofacial Surgery and Hospital Dentistry

Christiana Care Health System

Daniel J. Meara, MS, MD, DMD, MHCDS, FACS is Chair of the Department of Oral and Maxillofacial Surgery & Hospital Dentistry at Christiana Care Health System in Delaware. In addition, he is director of research, scholarly activity and simulation for the oral and maxillofacial surgery residency program.  Prior to joining Christiana Care, he completed a craniomaxillofacial surgery fellowship at West Virginia University/Charleston Area Medical Center.  Prior to that, he completed oral and maxillofacial surgery residency at the University of Alabama, Birmingham.

Dr. Meara earned a bachelor's degree in economics at the University of Notre Dame. In addition, he has a master's degree in toxicology from Michigan State University, a medical degree from Wayne State University in Detroit, Michigan, a dental degree from the University of Alabama and he recently graduated from Dartmouth College with a master’s degree in healthcare delivery science.  Also, Dr. Meara spent research time at the National Institutes of Health.

Dr. Meara is board certified and a diplomate of the American Board of Oral and Maxillofacial Surgery (ABOMS).  He is also a fellow of the American Association of Oral and Maxillofacial Surgeons (AAOMS), the American College of Oral and Maxillofacial Surgeons (ACOMS), the American Academy of Craniomaxillofacial Surgeons (AACMFS), the American College of Surgeons (ACS), and the International College of Dentists (ICD).  Dr. Meara is a prior recipient of the AAOMS Faculty Educator Development Award and currently serves as chair on the AAOMS Committee on Continuing Education and Professional Development and is the AAOMS commissioner on the ADA Commission on Continuing Education and Provider Recognition.  Dr. Meara is the immediate past president of the Delaware Academy of Medicine and is an executive committee member for the Middle Atlantic Society of Oral and Maxillofacial Surgeons.

Disclosures: No relevant financial relationships were disclosed.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for .1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
3 Questions  |  1 attempt  |  0/3 points to pass
3 Questions  |  1 attempt  |  0/3 points to pass
Office Anesthesia for the Psychiatric and Substance Abuse Patient
Open to view video.
Open to view video.
Post-Quiz
3 Questions  |  Unlimited attempts  |  2/3 points to pass
3 Questions  |  Unlimited attempts  |  2/3 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available