1,827 results match your criteria Anesthesia Progress [Journal]


A Formula for Estimating the Appropriate Tube Depth for Intubation.

Anesth Prog 2019 ;66(1):8-13

Department of Perioperative Medicine, Division of Anesthesiology, Showa University School of Dentistry, Tokyo, Japan.

An estimation of the appropriate tubing depth for fixation is helpful to prevent inadvertent endobronchial intubation and prolapse of cuff from the vocal cord. A feasible estimation formula should be established. We measured the anatomical length of the upper-airway tract through the oral and nasal pathways on cephalometric radiographs and tried to establish the estimation formula from the height of the patient. Read More

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http://dx.doi.org/10.2344/anpr-65-04-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424171PMC
January 2019

Panoramic Radiographic Relationship of the Mandibular Foramen to the Anterior Border of the Ramus and Occlusal Plane as an Aid in Inferior Alveolar Nerve Block.

Anesth Prog 2019 ;66(1):20-23

Dentistry student, Islamic Azad University, Tehran, Iran.

The location of the mandibular foramen (MF) on digital panoramic radiographs can be an important guide for clinicians when administering the inferior alveolar nerve block (IANB) for dental anesthesia of the mandible. This study, aimed to assess the location of the MF relative to the anterior border (AB) of the ramus and the occlusal plane (OP) from digital panoramic radiographs. An observational case series study was conducted on digital panoramic radiographs from the oral and maxillofacial radiology department archives of patients at least 18 years of age with a 1:1 scale (100%). Read More

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http://dx.doi.org/10.2344/anpr-65-04-05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424164PMC
January 2019
2 Reads

Anesthetic Efficacy of Buccal Infiltration Articaine versus Lidocaine for Extraction of Primary Molar Teeth.

Anesth Prog 2019 ;66(1):3-7

Department of Public Health Dentistry, Sharad Pawar Dental College, Sawangi (M), Wardha, Maharashtra, India.

The aim of this study was to compare the efficacy of articaine versus lidocaine, both containing epinephrine, using a single buccal infiltration for extraction of primary molars.A total of 100 children requiring primary molar extraction received buccal infiltration using either 4% articaine or 2% lidocaine, both with epinephrine, with 50 children in each group. The Wong-Baker Facial Pain Scale (FPS) was used to evaluate pain perception subjectively. Read More

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http://dx.doi.org/10.2344/anpr-65-04-02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424172PMC
January 2019

Pulpal Anesthesia of Adjacent Teeth Following Infiltration of 2% Lidocaine With 1:100,000 Epinephrine in the Maxillary Lateral Incisor and First Molar.

Anesth Prog 2019 ;66(1):14-19

Emeritus Associate Professor, Division of Biosciences, The Ohio State University, Columbus, Ohio.

The purpose of this study was to determine anesthetic success in adjacent teeth following a primary infiltration of the maxillary lateral incisor and first molar using 1.8 mL of 2% lidocaine with 1:100,000 epinephrine. Three hundred eight asymptomatic subjects received an infiltration of a cartridge of 2% lidocaine with 1:100,000 epinephrine over the maxillary lateral incisor (163 subjects) or first molar (145 subjects). Read More

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http://dx.doi.org/10.2344/anpr-65-04-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424161PMC
January 2019

Anesthetic Management of a Patient With Hereditary Angioedema for Oral Surgery.

Anesth Prog 2019 ;66(1):30-32

Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Hereditary angioedema (HAE) is a rare genetic disease that results from deficiency or dysfunction of C1 inhibitor (C1-INH). This disease is characterized by sudden attacks of angioedema. When edema occurs in the pharynx or larynx, it can lead to serious airway compromise, including death. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-04-01
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http://dx.doi.org/10.2344/anpr-65-04-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424165PMC
January 2019
10 Reads

Efficacy of Topical Benzocaine in Maxilla: A Randomized Controlled Trial.

Anesth Prog 2019 ;66(1):24-29

Oral and Maxillofacial Surgeon, Lahore, Pakistan.

This study aims to compare the effect of topical anesthesia against the use of no topical agent on pain of needle penetration and local anesthesia deposition during buccal infiltration in anterior maxilla. In a randomized controlled trial, 100 adult participants were randomly allocated to the benzocaine group (received 20% benzocaine gel) and no benzocaine group (received no topical agent) prior to buccal infiltration in maxillary anterior teeth. A 27-gauge needle was used to deposit 2% lidocaine with 1:100,000 epinephrine. Read More

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http://dx.doi.org/10.2344/anpr-66-01-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424162PMC
January 2019

Endotracheal Intubation Complicated by a Palatal Tooth in a Patient With Treacher Collins Syndrome.

Anesth Prog 2019 ;66(1):42-43

Division of Dental Anesthesiology, Graduate School of Medicine and Dental Sciences, Niigata University, Niigata, Japan.

We report a case of difficult endotracheal intubation in a patient with Treacher Collins syndrome. A sixteen-year-old female patient scheduled for general anesthesia had a displaced palatal tooth that interfered with laryngoscope insertion into the pharyngeal space. To address this problem, we successfully performed endotracheal intubation using a fiberscope while elevating the epiglottic vallecula using a King Vision™ video laryngoscope. Read More

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http://dx.doi.org/10.2344/anpr-66-02-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424163PMC
January 2019
1 Read

Large Shoes to Fill.

Authors:
Kyle J Kramer

Anesth Prog 2019 ;66(1):1-2

Editor-in-Chief, Anesthesia Progress.

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http://dx.doi.org/10.2344/anpr-66-01-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424167PMC
January 2019

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.

Authors:
Mark A Saxen

Anesth Prog 2019 ;66(1):52-54

Indiana Office-Based Anesthesia, Indiana University School of Dentistry, Indianapolis, IN.

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http://dx.doi.org/10.2344/anpr-66-01-14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424166PMC
January 2019

Office-Based Sedation/General Anesthesia for COPD Patients, Part II.

Anesth Prog 2019 ;66(1):44-51

Private Practice, CarePoint Anesthesia, Denver, Colorado.

The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office office-based settings can be quite complex without a current understanding of the etiology, course, severity, and current treatment modalities of the disease. The additional concerns of providing sedation and/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other co-morbidities, such as advanced age and potential significant cardiovascular compromise, the dental practitioner providing sedation or general anesthesia must tailor any treatment plan to address multiple organ systems and mitigate risks of precipitating acute respiratory failure from inadequate pain and/or anxiety control. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-66-02-05
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http://dx.doi.org/10.2344/anpr-66-02-05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424168PMC
January 2019
8 Reads

A Case of Cardiac Arrest for 31 Seconds During Recovery After Intravenous Sedation.

Anesth Prog 2019 ;66(1):33-36

Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan.

A 26-year-old woman with a history of feeling nauseated during dental local anesthesia presented to our clinic for tooth extraction under intravenous sedation. Although she had experienced episodes of neurally-mediated syncope, her symptoms were controlled well with drug therapy, stopped 3 years earlier. No syncope episodes developed over the previous 2 years. Read More

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http://dx.doi.org/10.2344/anpr-66-01-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424170PMC
January 2019
1 Read

Intravenous Sedation in Arnold-Chiari Malformation With Respiratory Failure.

Anesth Prog 2019 ;66(1):37-41

Department of Dental Anesthesiology, Nippon Dental University School of Life Dentistry, Tokyo, Japan.

Type II Arnold-Chiari malformation (ACM) is an abnormality in which the cerebellum, pons, and medulla oblongata are displaced downward into the spinal cord. Type II ACM is often complicated by respiratory depression, sleep-disordered breathing, and deglutition disorder as a result of medullary dysfunction and impairment of the lower cranial nerves. Bending and stretching of the neck is restricted, and anesthetic management is problematic in patients with the disorder. Read More

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http://dx.doi.org/10.2344/anpr-66-01-06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424169PMC
January 2019
1 Read

IFDAS 2018 Meeting News.

Authors:
Steven Ganzberg

Anesth Prog 2018 ;65(4):274

Editor.

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http://dx.doi.org/10.2344/anpr-65-04-16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318737PMC
January 2018
1 Read

Literature Review for Office-Based Anesthesia.

Authors:
Mark A Saxen

Anesth Prog 2018 ;65(4):271-273

Indiana Office-Based Anesthesia, Indiana University School of Dentistry, Indianapolis, Indiana.

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http://dx.doi.org/10.2344/anpr-65-04-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318729PMC
January 2018

Reply.

Authors:
Steven Ganzberg

Anesth Prog 2018 ;65(4):270

Editor.

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http://dx.doi.org/10.2344/anpr-65-04-14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318725PMC
January 2018
1 Read

Letter to the Editor.

Authors:
Joe Seay

Anesth Prog 2018 ;65(4):269

Dentist Anesthesiologist, Specialist in Anesthesiology.

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http://dx.doi.org/10.2344/anpr-65-04-13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318738PMC
January 2018
1 Read

Office-Based Sedation/General Anesthesia for COPD Patients, Part I.

Anesth Prog 2018 ;65(4):261-268

Private Practice, CarePoint Anesthesia, Denver, Colorado.

The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office-based settings can be quite complex without a current understanding of the etiology, course, severity, and treatment modalities of the disease. The additional concerns of providing sedation and/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other comorbidities, such as advanced age and potential significant cardiovascular compromise, the dental practitioner providing sedation or general anesthesia must tailor any treatment plan to address multiple organ systems and mitigate risks of precipitating acute respiratory failure from inadequate pain and/or anxiety control. Read More

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http://dx.doi.org/10.2344/anpr-65-04-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318726PMC
January 2018
3 Reads

Sudden Tachycardia Due to Submucosal Migration of an Epinephrine-Soaked Swab During Nasal Intubation.

Anesth Prog 2018 ;65(4):259-260

Department of Anesthesiology, Showa University Koto Toyosu Hospital, Tokyo, Japan.

A 23-year-old healthy man was scheduled for extraction of his mandibular third molars under general anesthesia with nasotracheal intubation. Sudden sinus tachycardia up to 170 beats/min occurred when applying an epinephrine solution-soaked swab into the nasal cavity for preventing epistaxis during intubation. This was presumably evoked by submucosal migration of the swab into a false passage created because of the force applied during a prior failed attempt at nasal passage of the tracheal tube, and rapid epinephrine absorption by the traumatized mucosa. Read More

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http://dx.doi.org/10.2344/anpr-66-01-02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318739PMC
January 2018
1 Read

Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation.

Anesth Prog 2018 ;65(4):255-258

The Brooklyn Hospital Center, Department of Oral & Maxillofacial Surgery, Brooklyn, New York.

The purpose of this article is to describe a case of an accidental turbinectomy during nasal intubation for an elective oral and maxillofacial surgical case that was confirmed after extubation. While there are several reported cases, this still tends to be an overall rare complication in the field of anesthesia. This article highlights the complications encountered due to turbinectomy while also identifying causes, signs, and methods to prevent it. Read More

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http://dx.doi.org/10.2344/anpr-65-04-09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318732PMC
January 2018
4 Reads

Difficult Nasal Intubation Using Airway Scope for a Child With Large Tumor.

Anesth Prog 2018 ;65(4):251-254

Anesthesiology and Clinical Physiology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

We report a case of difficult nasal intubation utilizing a Pentax-Airway scope AWS-100. A 4-month-old female with a rapidly growing melanotic neuroectodermal tumor was scheduled for resection under general anesthesia. The tumor was a large rubbery mass located in the middle of the mandible. Read More

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http://dx.doi.org/10.2344/anpr-65-04-08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318730PMC
January 2018
1 Read

A Histological Study of Vasoconstriction by Local Anesthetics in Mandible.

Anesth Prog 2018 ;65(4):244-248

Department of Dental Anesthesiology, Ohu University School of Dentistry, Fukushima, Japan.

To assess the effect of epinephrine-containing local anesthetics on vasoconstriction, we immunohistochemically measured the intravascular lumen area in different regions of the mandible. Twelve male Wistar rats were used. General anesthesia was induced and maintained with sevoflurane. Read More

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http://dx.doi.org/10.2344/anpr-65-03-15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318727PMC
January 2018
1 Read

The Effects of Mouth Opening and Throat Pack Placement on Uncuffed Nasal Endotracheal Tube Leakage and Delivered Tidal Volumes in Mechanically Ventilated Pediatric Patients Undergoing Dental Procedures.

Anesth Prog 2018 ;65(4):237-243

Dental Anesthesiology, New York University-Lutheran Medical Center, Brooklyn, New York, and University of Rochester, Eastman Institute for Oral Health, Rochester, New York.

Intubation for pediatric patients is frequently performed with an uncuffed endotracheal tube (ETT), which may result in an incomplete tracheal seal, resulting in gas leakage (leak). The purpose of this study was to assess the effect of (1) mouth opening and (2) throat pack placement in sealing and/or minimizing this leak to an acceptable level while providing adequate tidal volumes in mechanically ventilated patients. This prospective study of 2- to 6-year-olds undergoing general anesthesia with nasal intubation for dental procedures in the New York University-Lutheran Medical Center operating room was conducted between March 2015 and October 2015. Read More

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http://dx.doi.org/10.2344/anpr-65-03-13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318728PMC
January 2018

Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study.

Anesth Prog 2018 ;65(4):231-236

Emeritus Associate Professor, Division of Biosciences, The Ohio State University, Columbus.

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. Read More

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http://dx.doi.org/10.2344/anpr-65-03-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318735PMC
January 2018
2 Reads

Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children.

Anesth Prog 2018 ;65(4):225-230

Dentist Anesthesiologist, Virginia Dental and Anesthesia Associates, Richmond, Virginia.

Dental treatment of young pediatric patients can be confounded by lack of cooperation for dental rehabilitation procedures and even examination and/or radiographs. With the recent US Food and Drug Administration warning applied to many anesthetic/sedative agents for children less than 3 years old, a retrospective review of general anesthesia (GA) cases from 1 private pediatric dental practice was studied for age, gender, body mass index, anesthetic duration, airway management used, extent of dental surgical treatment, recovery time, and cardiac/pulmonary complications. For the 2016 calendar year, 351 consecutive GA cases were identified with patients aged 2-13 years. Read More

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http://dx.doi.org/10.2344/anpr-65-03-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318733PMC
January 2018
1 Read

AirWay Scope™ for Difficult Ventilation in a Patient With Epiglottic Cyst.

Anesth Prog 2018 ;65(3):204-205

Division of Anesthesiology, Department of Highly Advanced Stomatology, Kanagawa Dental University Graduate School, Yokohama, Japan.

Epiglottic cysts often cause difficulty in airway management, with potential serious life-threatening complications. This case report describes a patient with an epiglottic cyst in whom mask ventilation became difficult after induction of anesthesia. Immediately, an AirWay Scope™ (TMAWS-S100; Pentax, Japan) was inserted orally, and the location of the epiglottis was clarified to assess the reason for difficulty with ventilation. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-66-01-03
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http://dx.doi.org/10.2344/anpr-66-01-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148701PMC
January 2018
5 Reads

Effect of Nitrous Oxide on Pulpal Anesthesia: A Preliminary Study.

Anesth Prog 2018 ;65(3):156-161

Division of Endodontics, Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

To compare the success of perceived pulpal anesthesia between groups using nitrous oxide/oxygen (NO/O) and oxygen (O) in children premedicated with ibuprofen with symptomatic irreversible pulpitis permanent teeth. Thirty-three children (mean age 10.4 ± 1. Read More

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http://dx.doi.org/10.2344/anpr-65-02-08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148698PMC
January 2018
5 Reads

Office-Based Anesthetic and Oral Surgical Management of a Child With Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report.

Anesth Prog 2018 ;65(3):181-186

Oral and Maxillofacial Surgeon, Triangle Implant Center, Durham, North Carolina.

Hereditary sensory and autonomic neuropathy type IV (HSAN IV), or congenital insensitivity to pain with anhidrosis, is an exceptionally rare genetic disorder that results in the complete loss of pain and temperature sensation as well as anhidrosis. Anesthetic management of these patients can be difficult because of significantly increased risks during general anesthesia. Literature on perioperative anesthetic management is typically written in the context of a hospital setting. Read More

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http://dx.doi.org/10.2344/anpr-65-03-07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148702PMC
January 2018
5 Reads

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.

Authors:
Mark A Saxen

Anesth Prog 2018 ;65(3):214-216

Indiana Office-Based Anesthesia Indiana University School of Dentistry Indianapolis, IN.

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http://dx.doi.org/10.2344/anpr-65-03-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148689PMC
January 2018
1 Read

Male Gender and High Trait Anxiety Are 2 Major Factors Associated With Severe Dental Fear and Avoidance.

Anesth Prog 2018 ;65(3):177-180

Chair and Professor of Dental Anesthesiology, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.

The purpose of this article is to investigate the association between the background characteristics of patients with severe fear of dental treatment who frequently avoid dental care and the degree of difficulty in treating them. At the time of initial presentation at a dental phobia clinic, each of 321 subjects was asked to complete the State-Trait Anxiety Inventory, the Dental Anxiety Scale, and a health questionnaire related to phobic objects. Subjects who rejected oral examination with a dental mirror were categorized as being severely difficult to treat, whereas those who were able to undergo examination were categorized as being moderately difficult to treat. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-03-08
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http://dx.doi.org/10.2344/anpr-65-03-08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148696PMC
January 2018
3 Reads

Comparison of Risk Factors in Patients With Acute and Chronic Orofacial Pain.

Anesth Prog 2018 ;65(3):162-167

Professor, Department of Dental Anesthesiology, Tokyo Dental College, Japan.

Management of patients with orofacial pain may benefit from a better understanding about patient factors that may lead pain chronicity. In this study, we retrospectively compared physical and psychological factors in patients with acute and chronic orofacial pain. We analyzed data from 854 patients presenting to the Orofacial Pain Center, Department of Dental Anesthesiology, Tokyo Dental College, Suidobashi Hospital between April 2010 and March 2014. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-02-05
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http://dx.doi.org/10.2344/anpr-65-02-05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148695PMC
January 2018
5 Reads

Anesthetic Management of the Hypertensive Patient: Part II.

Authors:
Russell Yancey

Anesth Prog 2018 ;65(3):206-213

Doctor of Dental Surgery, Indiana University School of Dentistry, PGY-3 Resident, New York University-Langone Hospital Dental Anesthesiology Service, Brooklyn, New York.

Hypertension is an important health challenge that affects millions of people across the world today and is a major risk factor for cardiovascular disease. It is critical that anesthesia providers have a working knowledge of the systemic implications of hypertension. This review article will discuss the medical definitions of hypertension, the physiology of maintaining blood pressure, outpatient treatment of hypertension, anesthetic implications, and the common medications used by anesthesia providers in the treatment of hypertension. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-03-17
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http://dx.doi.org/10.2344/anpr-65-03-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148691PMC
January 2018
21 Reads

General Anesthetic Management of a Patient With Hypertrophic Cardiomyopathy for Oral Surgery: Did Digitalis Contribute to Bradycardia?

Anesth Prog 2018 ;65(3):192-196

Professor, Department of Anesthesiology and Intensive Care Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Stabilization of circulatory dynamics is a critical issue in the anesthetic management of patients with hypertrophic cardiomyopathy (HCM). In this report, we managed general anesthesia for a 74-year-old male patient with nonobstructive HCM who developed circulatory instability intraoperatively. Severe bradycardia measuring 35 beats/min and hypotension measuring 78 mm Hg systolic were observed during surgery. Read More

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http://dx.doi.org/10.2344/anpr-65-03-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148690PMC
January 2018
2 Reads

Comparison of the Contact Force Exerted on Teeth by Conventional Macintosh Laryngoscope Versus Video Laryngoscopes.

Anesth Prog 2018 ;65(3):151-155

Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan.

During laryngoscopy, the laryngoscope blade sometimes comes in contact with the teeth, fracturing or dislocating them. However, no studies have compared the effects of newly marketed video laryngoscopes and the Macintosh laryngoscope (Mac) on teeth. In this study, we measured and compared the force exerted on the teeth of an intubating manikin by the Mac, the Airway Scope (Pentax), and the McGrath MAC (Covidien). Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-65-03-01
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http://dx.doi.org/10.2344/anpr-65-03-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148694PMC
January 2018
6 Reads

The Effect of Dexmedetomidine on Oral Mucosal Blood Flow and the Absorption of Lidocaine.

Anesth Prog 2018 ;65(3):168-176

Division of Dental Anesthesiology, Department of Oral Surgery, Ohu University School of Dentistry, Fukushima, Japan.

Dexmedetomidine (DEX) is a sedative and analgesic agent that acts via the alpha-2 adrenoreceptor and is associated with reduced anesthetic requirements, as well as attenuated blood pressure and heart rate in response to stressful events. A previous study reported that cat gingival blood flow was controlled via sympathetic alpha-adrenergic fibers involved in vasoconstriction. In the present study, experiment 1 focused on the relationship between the effects of DEX on alpha adrenoreceptors and vasoconstriction in the tissues of the oral cavity and compared the palatal mucosal blood flow (PMBF) in rabbits between general anesthesia with sevoflurane and sedation with DEX. Read More

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http://dx.doi.org/10.2344/anpr-65-03-02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148693PMC
January 2018
2 Reads

Atrio-ventricular Block Following Neostigmine-Glycopyrrolate Reversal in Non-heart Transplant Patients: Case Report.

Anesth Prog 2018 ;65(3):187-191

Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Neostigmine is the anticholinesterase drug most commonly used to reverse blockade or speed up recovery from neuromuscular blockade from nondepolarizing neuromuscular blocking drugs. Because of its cardiac muscarinic effects, prior or simultaneous administration of glycopyrrolate or atropine is usually recommended. There have been a few case reports of bradycardia, atrio-ventricular (AV) block, and cardiac arrest following neostigmine/glycopyrrolate administration to reverse neuromuscular block affecting several patients. Read More

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http://dx.doi.org/10.2344/anpr-65-03-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148699PMC
January 2018
19 Reads

Alternating Current Iontophoresis for Control of Postoperative Pain.

Anesth Prog 2018 ;65(2):106-110

Section of Anesthesiology and Clinical Physiology Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Control of early postoperative pain entails the use of various medications including acetaminophen, nonsteroidal anti-inflammatory drugs, selective cyclooxygenase-2 inhibitors, tramadol, and opioids. However, these medications should be carefully administered in patients with aspirin-exacerbated respiratory disease because some medications may trigger adverse reactions after maxillofacial surgeries. The goal of postoperative pain control in patients with aspirin-exacerbated respiratory disease is to eliminate pain without complications. Read More

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http://dx.doi.org/10.2344/anpr-64-04-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022798PMC
January 2018
15 Reads

Commentary.

Authors:

Anesth Prog 2018 ;65(2):94

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http://dx.doi.org/10.2344/anpr-65-03-09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022795PMC
January 2018
4 Reads

Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery.

Anesth Prog 2018 ;65(2):111-112

Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. Read More

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http://dx.doi.org/10.2344/anpr-65-01-07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022801PMC
January 2018
9 Reads

Thermophysical Properties of Thermosoftening Nasotracheal Tubes.

Anesth Prog 2018 ;65(2):100-105

Product Development Research Center, Daiken Medical Co Ltd, Osaka, Japan.

Thermosoftening treatment of polyvinyl chloride (PVC) nasotracheal tubes (NTTs) can reduce the incidence and amount of epistaxis during nasotracheal intubation. The optimal thermal setting for thermosoftening treatment of NTTs without burn injury was investigated. Two composite types of PVC NTTs were used. Read More

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http://dx.doi.org/10.2344/anpr-65-02-06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022796PMC
January 2018
4 Reads

Pilot Study Comparing Nasal vs Oral Intubation for Dental Surgery by Physicians, Nurse Anesthetists, and Trainees.

Anesth Prog 2018 ;65(2):89-93

Assistant Professor and Director General Practice Residency, Department of Surgery, Division of Dentistry, University of Toledo Medical Center, Toledo, Ohio.

The purpose of this article was to determine if pediatric dental treatment under general anesthesia utilizing orotracheal intubation takes longer than using nasotracheal intubation techniques. Twenty-six American Society of Anesthesiologists Physical Status Classification I and II pediatric dental patients, ages 2-8 years treated under general anesthesia, were assigned to 1 of 2 groups: (a) nasotracheal intubation (control, n = 13), (b) orotracheal intubation (experimental, n = 13). Times for intubation, radiographic imaging, and dental procedures, as well as total case time were quantified. Read More

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http://dx.doi.org/10.2344/anpr-65-02-07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022785PMC
January 2018
11 Reads

A Case of General Anesthesia for a Young Infant in Whom Intubation Was Suspected to Be Difficult Because of a Thyrolingual Cyst.

Anesth Prog 2018 ;65(2):127-128

Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.

This is a case report of an infant who underwent thyrolingual cystectomy under general anesthesia. Two tracheal tubes were used: 1 for nasopharyngeal airway and the other for fiberoptic intubation. With this method, nasal intubation was successfully performed without hypoxia and hypercapnia even in a 3-month-old infant. Read More

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http://dx.doi.org/10.2344/anpr-65-02-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022799PMC
January 2018
5 Reads

Tapia's Syndrome.

Anesth Prog 2018 ;65(2):129-130

Mid Essex Hospitals Trust, Chelmsford, United Kingdom, and.

More than 100,000 general anesthetic procedures are conducted in United Kingdom every year for dental interventions, according to large survey of the National Health Services. The risk of mortality has reduced considerably in the past few decades because of the use of safe and effective techniques. However, adverse effects still exist and are dependent on patient, environmental, and operator factors. Read More

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http://dx.doi.org/10.2344/anpr-65-04-06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022793PMC
January 2018
10 Reads

True Allergy to Amide Local Anesthetics: A Review and Case Presentation.

Anesth Prog 2018 ;65(2):119-123

PGY2 General Practice Chief Resident, NYU Lutheran, Brooklyn, New York.

Adverse reactions to local anesthetics are usually a reaction to epinephrine, vasovagal syncope, or overdose toxicity. Allergic reactions to local anesthetics are often attributed to additives such as metabisulfite or methylparaben. True allergic reactions to amide local anesthetics are extremely rare but have been documented. Read More

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http://dx.doi.org/10.2344/anpr-65-03-06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022794PMC
January 2018
7 Reads

Effects of Lidocaine and Articaine on Neuronal Survival and Recovery.

Anesth Prog 2018 ;65(2):82-88

Department of Anatomy and Cell Biology, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania.

The local anesthetics lidocaine and articaine are among the most widely used drugs in the dentist's arsenal, relieving pain by blocking voltage-dependent Na channels and thus preventing transmission of the pain signal. Given reports of infrequent but prolonged paresthesias with 4% articaine, we compared its neurotoxicity and functional impairment by screening cultured neural SH-SY5Y cells with formulations used in patients (2% lidocaine + 1:100,000 epinephrine or 4% articaine + 1:100,000 epinephrine) and with pure formulations of the drugs. Voltage-dependent sodium channels Na(v)1. Read More

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http://dx.doi.org/10.2344/anpr-65-02-02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022788PMC
January 2018
38 Reads