1,815 results match your criteria Anesthesia Progress [Journal]


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
1 Read

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

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

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
1 Read

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
Publisher Site
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
2 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
2 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
Publisher Site
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
4 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
13 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
Publisher Site
http://dx.doi.org/10.2344/anpr-65-03-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148694PMC
January 2018
5 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
12 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
14 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
6 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
9 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
9 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
5 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
26 Reads

Sedation With a Combination of Dexmedetomidine and Midazolam for Pediatric Dental Surgery.

Anesth Prog 2018 ;65(2):124-126

Department of Science of Physical Functions, Division of Dental Anesthesiology, Kyushu Dental University, Kokurakita, Kitakyushu, Japan.

Intravenous sedation (IVS) is commonly used to complete dental treatment for uncooperative pediatric patients. Propofol (PRO) is widely used for IVS because of its short context sensitive half-time and amnestic effect. However, administering PRO to patients who have a history of egg anaphylaxis is still somewhat controversial. Read More

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http://dx.doi.org/10.2344/anpr-65-03-14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022792PMC
January 2018
23 Reads

Sugammadex: Efficacy and Practicality in the Dental Office.

Anesth Prog 2018 ;65(2):113-118

Assistant Professor, Section of Dental/Maxillofacial Anesthesiology, The Ohio State University College of Dentistry, Columbus, Ohio.

Sugammadex is a novel drug capable of reversing paralysis induced by the common steroidal nondepolarizing neuromuscular blocking drugs, rocuronium and vecuronium. Reversal is complete at any depth of blockade dependent on the dose of sugammadex administered. This allows rocuronium to be used as a rescue agent in scenarios where succinylcholine is contraindicated. Read More

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http://dx.doi.org/10.2344/anpr-65-03-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022787PMC
January 2018
4 Reads

The Effect of Adding Midazolam to Propofol Intravenous Sedation to Suppress Gag Reflex During Dental Treatment.

Anesth Prog 2018 ;65(2):76-81

Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan.

We retrospectively investigated the efficacy and safety of propofol administration alone and in combination with midazolam for gag reflex suppression during dental treatment under intravenous sedation. We included 56 patients with an overactive gag reflex who were to undergo dental treatment under intravenous sedation. They were divided into propofol (P group, n = 22) and midazolam with propofol (MP group, n = 34) groups. Read More

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http://dx.doi.org/10.2344/anpr-65-02-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022797PMC
January 2018
4 Reads

Come to IFDAS in Nara, Japan.

Authors:
Steven Ganzberg

Anesth Prog 2018 ;65(2):75

Editor, Anesthesia Progress.

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http://dx.doi.org/10.2344/anpr-65-02-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022800PMC
January 2018
3 Reads

Utility of Vibratory Stimulation for Reducing Intraoral Injection Pain.

Anesth Prog 2018 ;65(2):95-99

Faculty of Dental Medicine, Rangsit University, Pathumtani, Thailand.

Intraoral local anesthesia injection is often perceived as a painful and anxiety-causing dental procedure. Vibration stimulus is one of the nonpharmacologic methods used to reduce unwanted sensations of local anesthesia injection. This clinical study evaluated the effectiveness of a recently introduced vibratory stimulation device in intraoral local anesthesia administration. Read More

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http://dx.doi.org/10.2344/anpr-65-02-01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022791PMC
January 2018
4 Reads

Anesthetic Management of the Hypertensive Patient: Part I.

Authors:
Russell Yancey

Anesth Prog 2018 ;65(2):131-138

PGY-2 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 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://dx.doi.org/10.2344/anpr-65-02-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022786PMC
January 2018
17 Reads

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

Anesth Prog 2018 ;65(2):140-143

Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.2344/anpr-65-02-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022790PMC
January 2018
4 Reads

One More Checklist?

Authors:
Steven Ganzberg

Anesth Prog 2018 ;65(1):1-2

Editor.

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http://dx.doi.org/10.2344/anpr-65-01-09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841476PMC
October 2018
5 Reads

Recurrent Coronary Artery Spasm Induced by Vasopressors During Two Operations in the Same Patient Under General Anesthesia.

Anesth Prog Spring 2018;65(1):44-49

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

Variant angina is caused by coronary artery spasm (CAS) with ST-segment elevation. We herein report a case of recurrent CAS during 2 operations in the same patient. An 80-year-old woman was scheduled to undergo tracheostomy, submandibular dissection, left partial maxillectomy, and coronoidectomy. Read More

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http://dx.doi.org/10.2344/anpr-64-04-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841482PMC
October 2018
5 Reads

A Case of Rocuronium-Induced Anaphylactic Shock in an Asthmatic Child.

Anesth Prog Spring 2018;65(1):58-59

Department of Anesthesiology, Kurume University School of Medicine, Kurume, Japan.

We experienced a case of anaphylactic shock in a young asthmatic child immediately after administering rocuronium during the induction of anesthesia. Because urticaria did not develop immediately after ventilation difficulty, we diagnosed and responded to asthma, rather than to anaphylactic shock. Correct and rapid response to anaphylactic is extremely important. Read More

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http://dx.doi.org/10.2344/anpr-64-03-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841486PMC
October 2018
6 Reads

Facial Artery Pseudoaneurysm: Challenges of Airway Management.

Anesth Prog Spring 2018;65(1):52-55

Oral and Maxillofacial Surgery, University of Miami Miller School of Medicine, Miami, Florida; Uniformed Services University of the Health Sciences, Bethesa, Maryland; Naval Medical Center Portsmouth, Portsmouth, Virginia.

A patient with recent jaw reconstruction presented for treatment of postoperative oropharyngeal hemorrhage. Asleep nasal fiberoptic intubation was attempted, but a rare and unanticipated complication ensued: rupture of right facial artery pseudoaneurysm. The difficult airway algorithm was followed up to the point of surgical airway. Read More

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http://dx.doi.org/10.2344/anpr-65-02-09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841484PMC
October 2018
7 Reads