Cultura

Integration And Cooperation Between Anesthesia And Dentistry In Light Of Modern Technology

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Mohammed Abdullah Alhijaili, Mohammad Abubakr Elaidarous, Abdullah Eidhah Misfer Almalki, Meshari Abdulelah S Alotaibi, Ahmed Zeyad Aljuhani, Ghalish Hassin Hassan Almalky, Abdullah Ahmed Abdullah Alabdali

Abstract

Complex procedures require the integration of anesthesia and dentistry, which is crucial, but major obstacles to interdisciplinary cooperation exist and are intensified by the uneven usage of modern technology. There is a gap in knowledge on how digital tools can have a quantitative effect on this professional partnership. In line with this, the current research paper was able to perform a systematic review of the contemporary circumstances of technology-mediated collaboration and formalize the essential predictors of effective collaboration. It was a mixed-methods, exploratory study, which included 200 professionals (100 dental practitioners and 100 anesthesiologists). Structured questionnaires and semi-structured interviews were used to gather data, which were analyzed using descriptive statistics, independent-samples t-tests, Pearson correlation, and multiple regression analysis carried out in SPSS. Findings showed that there was a significant difference in the adoption of technology, with anesthesiologists (Mean = 4.0) scoring higher than dental professionals (Mean = 3.6; p =.02). The technology adoption and the level of satisfaction with collaboration (r =.58, p <.01) were found to be strongly related. The adoption of technology was the strongest predictor of collaboration satisfaction ( =.45, p =.001) as confirmed by multiple regression analysis with the overall model explaining 63% of the variance (R 2 =.63). These results provide conclusive evidence that modern technology can be considered as an enabler of inter professional collaboration. The current study presents a research-backed model of clinical practice, which indicates that the specific technological integration, especially in the dental context, is a key approach to improving collaboration, streamlining working processes, and eventually to better patient safety and care outcomes in the practice of dental anesthesia.

Keywords : Anesthesia, Collaboration, Dentistry, Healthcare Technology, Interprofessional Integration.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty