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    1751 results match your criteria Anesthesia Progress [Journal]

    1 OF 36

    Inner Wall Detachment of the Spiral Tube During Extubation: A Case Report.
    Anesth Prog Fall 2017;64(3):171-172
    Department of Dental Oral and Maxillofacial Surgery, Aidu Chuo Hospital, Aizuwakamatsu, Japan.
    We report a case of endotracheal tube malfunction, in which the inner surface of the tube peeled off during anesthesia. The patient, a 7-year-old boy, was under general anesthesia for the treatment of multiple dental caries. The damaged tube could have caused respiratory failure, putting the patient's life at risk. Read More

    A Case With Deteriorating Palmoplantar Pustulosis and Hyperthyroidism After Simultaneous Bimaxillary Orthognathic Surgery.
    Anesth Prog Fall 2017;64(3):173-174
    Department of Dental Anesthesiology, Program of Dental Sciences, Integrated Health Sciences, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
    A case of palmoplantar pustulosis and hyperthyroidism following orthognathic surgery is presented. Both diseases may have been related to allergic phenomena. Read More

    Office-Based Anesthesia: Safety and Outcomes in Pediatric Dental Patients.
    Anesth Prog Fall 2017;64(3):144-152
    Program Director and Professor, Department of Pediatric Dentistry, Riley Hospital for Children/Indiana University School of Dentistry, Indianapolis, Indiana.
    The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed. Read More

    Liposomal Bupivacaine Use in Third Molar Impaction Surgery: INNOVATE Study.
    Anesth Prog Fall 2017;64(3):127-135
    Pacira Pharmaceuticals, Inc, Parsippany, New Jersey.
    The analgesic efficacy and safety of liposomal bupivacaine (LB) in third molar extraction was evaluated in this phase 3, double-blind, placebo-controlled study of subjects undergoing bilateral third molar extraction. Subjects were randomized 2 : 1 to infiltration with LB (133 mg/10 mL) or placebo, and received opioid rescue medication as needed. Primary efficacy measure was cumulative area under the curve (AUC) of numeric rating scale (NRS) pain severity scores through 48 hours (AUC of NRS0-48) postsurgery. Read More

    Nitrous Oxide Inhalation Sedation Through a Nasal High-Flow System: The Possibility of a New Technique in Dental Sedation.
    Anesth Prog Fall 2017;64(3):175-177
    Division of Clinical Physiology, Department of Translational Medical Sciences, Course of Medical and Dental Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
    High-flow nasal cannula (HFNC) systems are increasingly used for patients with both acute and chronic respiratory failure because of the clinical effectiveness and patient comfort associated with their use. Recently, HFNC has been used not only as a respiratory support device, but also as a drug delivery system. HFNC is designed to administer heated and humidified inspiratory oxygen flows (100% relative humidity at 37°C). Read More

    The Anesthetic Management for a Patient With Trisomy 13.
    Anesth Prog Fall 2017;64(3):162-164
    Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
    Trisomy 13 is a chromosomal disorder that occurs in complete or partial mosaic forms. It is characterized by central apnea, mental retardation, seizure and congenital heart disease. The survival of the patients with trisomy 13 is the majority dying before one month. Read More

    Preemptive Effect of Dexamethasone in Third-Molar Surgery: A Meta-Analysis.
    Anesth Prog Fall 2017;64(3):136-143
    Pharmacology and Therapeutic Professor, Department of Basic Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil.
    The aim of the present study was to assess the effectiveness of preemptive dexamethasone in surgery of the lower third molars and to compare it with other oral anti-inflammatories. An electronic search was conducted for preemptive effects related to lower third-molar surgery in 3 separate databases. The variables pain, swelling, and trismus were assessed. Read More

    Submental Intubation in Cases of Panfacial Fractures: A Retrospective Study.
    Anesth Prog Fall 2017;64(3):153-161
    Professor, Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho - UNESP, Araçatuba, São Paulo, Brazil.
    Surgical treatment of panfacial fractures usually requires intraoperative temporary occlusion of the teeth and simultaneous access to the nasal pyramid. In such cases, the standard method of airway management is to perform a tracheostomy, but this may be associated with a significant number of perioperative and late complications. This study aimed to determine if submental endotracheal intubation (SEI) is a viable alternative to tracheostomy, especially when short-term postoperative control of the airway is foreseen. Read More

    Squamous Papilloma Causing Airway Obstruction During Conscious Sedation.
    Anesth Prog Fall 2017;64(3):168-170
    University College Cork, Ireland.
    Monitoring for respiratory depression is essential during conscious sedation. We report a case of a squamous papilloma as an unusual cause of intermittent partial airway obstruction in a 43-year-old man undergoing intravenous conscious sedation with midazolam. The Integrated Pulmonary Index (IPI) is an algorithm included in some commercially available monitors that constitutes a representation of 4 parameters: end-tidal carbon dioxide, respiratory rate, oxygen saturation, and pulse rate. Read More

    Junctional Rhythm Preoperatively and During General Anesthesia for Oral and Maxillofacial Surgery.
    Anesth Prog Fall 2017;64(3):165-167
    Department of Anesthesiology, Osaka Dental University, Osaka, Japan.
    We report a case of junctional rhythm that occurred both preoperatively and later during a portion of general anesthesia. A 19-year-old woman was scheduled to undergo bilateral sagittal split ramus osteotomy after being diagnosed with a jaw deformity. Preoperative electrocardiography (ECG) revealed a junctional rhythm with a slow heart rate (HR). Read More

    Opioid Use Disorder in Dental Patients: The Latest on How to Identify, Treat, Refer and Apply Laws and Regulations in Your Practice.
    Anesth Prog Fall 2017;64(3):178-187
    Director, Pediatric Craniomaxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Nova Southeastern University College of Dental Medicine; Associate Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Nova Southeastern University College of Dental Medicine, Ft Lauderdale, Florida.
    Opioid use disorder is a persistent problem in the United States and has become an important issue to medical and dental professionals. Americans are the largest users of opioids by a large margin. The importance of knowing how to identify, handle, refer, and treat patients with opioid use disorder cannot be understated. Read More

    Nitrous Oxide and Midazolam Sedation: A Systematic Review and Meta-Analysis.
    Anesth Prog 2017 ;64(2):59-65
    Assistant Professor in Prosthodontics, Department of Oral Health, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.
    Nitrous oxide and midazolam have been used as sedative agents to decrease fear and anxiety associated with dental procedures. Although these agents have been widely used individually, the combination of the two is also commonly used. Four clinical trials were identified that compared the combination technique with the individual use of the drugs. Read More

    Anesthetic Management Using a Laryngeal Mask Airway in a Child With Congenital Bronchial Atresia.
    Anesth Prog Summer 2017;64(2):102-103
    Department of Perioperative Medicine, Division of Anesthesiology, Showa University School of Dentistry, Tokyo, Japan.
    Congenital bronchial atresia is a relatively rare malformation that causes a segmental obstruction of the bronchus during the fetal period. The peripheral lung distal from the obstructed bronchus becomes hyperinflated because of the unidirectional flow through collateral check-valve entry. Positive pressure ventilation during general anesthesia may cause a rupture of the bulla, resulting in pneumothorax. Read More

    Safety and Efficacy of 3 Pediatric Midazolam Moderate Sedation Regimens.
    Anesth Prog Summer 2017;64(2):66-72
    Clinical Assistant Professor, The Ohio State University College of Dentistry, Columbus.
    Our aim was to characterize effectiveness and complications in children receiving oral midazolam alone, nasal midazolam alone, or oral midazolam with other sedatives. Children received oral midazolam alone, nasal midazolam, or oral midazolam in combination with other sedative medications. All subjects received a presedation history and physical examination and were sedated per protocol by any of 28 resident providers under attending supervision. Read More

    Risk Factors for Pressure Ulcers at the Ala of Nose in Oral Surgery.
    Anesth Prog Summer 2017;64(2):104-105
    Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
    A quality review revealed pressure ulcers at the ala of nose in 16 cases (2.2%) over 3 years. We therefore retrospectively investigated the risk factors for alar pressure ulcers from nasal tubes. Read More

    Anesthetic Management of a Patient With Multiple Sclerosis.
    Anesth Prog Summer 2017;64(2):97-101
    Department of Anesthesiology, Tokushima University, Tokushima, Japan.
    A 54-year-old woman diagnosed with multiple sclerosis (MS) at the age of 19 years was scheduled to undergo temporomandibular joint mobilization. She was currently in a remission phase from her MS but with persistent sequelae, including impaired eyesight and muscle weakness of the limbs. In addition, the blood vessels in her upper limbs were compromised by the formation of internal shunts secondary to vascular prosthesis replacements for plasma exchange therapy in MS. Read More

    Comparison of Articaine and Lidocaine for Buccal Infiltration After Inferior Alveolar Nerve Block For Intraoperative Pain Control During Impacted Mandibular Third Molar Surgery.
    Anesth Prog Summer 2017;64(2):80-84
    Piracicaba Dental School, University of Campinas.
    In order to compare the efficacy of lidocaine and articaine for pain control during third molar surgery, 160 patients presenting bilateral asymptomatic impacted mandibular third molars were selected. They received 1.8 mL of 2% lidocaine with epinephrine 1:100,000 during inferior alveolar nerve block. Read More

    Effect of Topical Anesthesia Using an Adhesive Patch and Anesthetic Solution.
    Anesth Prog Summer 2017;64(2):73-79
    Professor and Chairman, Department of Dental Anesthesiology, Tokyo Dental College, Mihama-ku, Chiba-shi, Japan.
    We analyzed trigeminal somatosensory evoked potentials (TSEP) to the alveolar mucosa to investigate the efficacy of an amide local anesthetic, 2% lidocaine hydrochloride with 12.5 μg/mL epinephrine (Lido treatment) as a topical anesthetic. Eighteen consenting healthy adult volunteers were enrolled. Read More

    Dexmedetomidine Infusion for Routine Dental Management of an ASA IV Patient: A Case Report.
    Anesth Prog Summer 2017;64(2):88-96
    Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.
    Anesthetic management of elderly patients requires numerous physiological considerations. With aging, degenerative changes occur in the structure and functional capacity of tissues and organs. Typically, these patients experience clinical effects with lower doses of medication. Read More

    Tension Pneumothorax After Percutaneous Tracheostomy.
    Anesth Prog Summer 2017;64(2):85-87
    Department of Anesthesiology, Osaka Dental University, Osaka, Japan.
    A 76-year-old woman with right mandibular gingival cancer was scheduled for surgery. A percutaneous tracheostomy kit was used for tracheostomy under intravenous sedation. After puncturing the cricothyroid membrane, a dilator was inserted along a guidewire. Read More

    Temperament as a Predictor of Nitrous Oxide Inhalation Sedation Success.
    Anesth Prog 2017 ;64(1):17-21
    Acting Assistant Professor, Department of Pediatric Dentistry, University of Washington, Seattle.
    Little is known about implications of temperament for children who receive nitrous oxide inhalation sedation (N2O/O2) for dental care. The aim of this study was to investigate whether child temperament is associated with success in N2O/O2. Child-caregiver dyads were enrolled from patients aged 36-95 months receiving dental care with N2O/O2 at a university-based pediatric dental clinic. Read More

    Salivary Alpha Amylase, Dental Anxiety, and Extraction Pain: A Pilot Study.
    Anesth Prog 2017 ;64(1):22-28
    Center for Oral, Facial and Head Pain, College of Dental Medicine, Columbia University, New York, New York.
    The primary intention of this study was to determine whether salivary alpha-amylase (sAA) factors or the Dental Anxiety Scale (DAS) was a better predictor of dental extraction pain. This study followed a cross-sectional design and included a convenience sample (n = 23) recruited from an outpatient oral surgery clinic. While waiting for their scheduled appointments, consenting patients completed both basic demographic/medical history questionnaires and Corah's DAS as well as submitted sublingual saliva samples. Read More

    Comparing the Efficiencies of Third Molar Surgeries With and Without a Dentist Anesthesiologist.
    Anesth Prog 2017 ;64(1):8-16
    Adjunct Professor, Department of Industrial and Enterprise Systems Engineering, University of Illinois, Urbana.
    Two different anesthesia models were compared in terms of surgical duration, safer outcomes, and economic implications. Third molar surgeries performed with and without a separate dentist anesthesiologist were evaluated by a retrospective data analysis of the surgical operative times. For more difficult surgeries, substantially shorter operative times were observed with the dentist anesthesiologist model, leading to a more favorable surgical outcome. Read More

    Cardiac Failure in a Trisomy 9 Patient Undergoing Anesthesia: A Case Report.
    Anesth Prog 2017 ;64(1):29-32
    Department of Anesthesiology, Children's Hospital Colorado, Aurora, Colorado.
    A 27-year-old female with Trisomy 9 mosaicism presented to Children's Hospital Colorado for outpatient dental surgery under general anesthesia. The patient's past medical history was also significant for premature birth, gastroesophageal reflux, scoliosis and kyphosis, obesity, and developmental delay. Per her mother's report, the patient had no cardiac issues. Read More

    Remifentanil Reduces Blood Loss During Orthognathic Surgery.
    Anesth Prog 2017 ;64(1):3-7
    Professor and Chairman, Department of Dental Anesthesiology, Tokyo Dental College, Japan.
    Remifentanil is reported to reduce oral tissue blood flow. We performed a retrospective investigation using logistic regression analysis of anesthesia records to investigate whether the use of remifentanil infusion in a balanced anesthesia technique was useful as a primary technique to reduce blood loss during orthognathic surgery. Subjects were 80 patients who underwent Le Fort I osteotomy and sagittal split ramus osteotomy of the mandible. Read More

    Patients With Type 2 Diabetes: Anesthetic Management in the Ambulatory Setting: Part 2: Pharmacology and Guidelines for Perioperative Management.
    Anesth Prog 2017 ;64(1):39-44
    Assistant Professor, Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.
    Type 2 diabetes is a disease of metabolism in which the afflicted patient cannot properly utilize carbohydrates, fats, and proteins. Because the prevalence of type 2 diabetes is rapidly increasing throughout the general population, anesthesia providers must realize that a significant percentage of their patients will present with the disease. Anesthesia providers should have an intimate knowledge of the comorbidities and complications that are associated with type 2 diabetes and know the specific pharmacokinetics and pharmacodynamics of the drugs used to treat the disease. Read More

    Anesthetic Management of a Child With Unspecified Mitochondrial Disease in an Outpatient Dental Setting.
    Anesth Prog 2017 ;64(1):33-38
    Assistant Professor, Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.
    Mitochondrial disease (MD) represents a category of metabolic disorders with a wide range of symptoms across a variety of organ systems. It occurs with an incidence of greater than 1:5000 and can be difficult to specifically diagnose because of the variety of clinical presentations and multiple genomic origins. Although phenotypically variable, MD symptoms often include hypotonia, cardiac defects, dysautonomia, and metabolic dysfunction. Read More

    Correlation Between Body Movements and Salivary Secretion During Sedation.
    Anesth Prog 2016 ;63(4):185-191
    Section of Anesthesiology and Clinical Physiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
    During dental sedation, control of the cough reflex is crucial for a safe and smooth procedure. Accumulated saliva is one of the predisposing factors for coughing. Body movements during dental sedation appear to enhance salivation. Read More

    The Effect of Various Concentrations of Nitrous Oxide and Oxygen on the Hypersensitive Gag Reflex.
    Anesth Prog 2016 ;63(4):181-184
    Associate Professor and Chair, Department of Endodontics, and Director, Postgraduate Endodontic Program, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio.
    The purpose of this study was to compare the effectiveness of various concentrations of N2O/O2 on obtunding a hypersensitive gag reflex. We hypothesized that the administration of nitrous oxide and oxygen would obtund a hypersensitive gag reflex enough to allow a patient to tolerate the placement and holding of a digital x-ray sensor long enough to obtain a dental radiograph. Volunteers claiming to have a hypersensitive gag reflex were first screened to validate their claim and then tested by placing a size 2 digital x-ray sensor in the position for a periapical radiograph of the right mandibular molar area and holding it in place for 10 seconds. Read More

    Preliminary Evidence Supports Modification of Retraction Technique to Prevent Needlestick Injuries.
    Anesth Prog 2016 ;63(4):192-196
    Director for Environmental Health and Safety and Associate Professor in the Department of Dental Practice, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
    A modified retraction technique was introduced into the DDS degree preclinical anesthesia course in 2011 with the goal of reducing needlestick exposure incidents. In numerous studies of dental exposures, injuries from dental anesthetic needles account for the highest proportion of all exposures. The purpose of this study was to assess the preliminary impact of a modified retraction technique on the incidence of blood and body fluids (BBF) exposure incidents associated with needles during injection. Read More

    Asystole From Direct Laryngoscopy: A Case Report and Literature Review.
    Anesth Prog 2016 ;63(4):197-200
    Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio.
    The rare and potentially fatal complication of asystole during direct laryngoscopy is linked to direct vagal stimulation. This case describes asystole in an 85-year-old female who underwent suspension microlaryngoscopy with tracheal dilation for subglottic stenosis. Quick recognition of this rare event with immediate cessation of laryngoscopy resulted in the return of normal sinus rhythm. Read More

    Anesthetic Management of a Patient With Ehlers-Danlos Syndrome.
    Anesth Prog 2016 ;63(4):204-207
    Department of Anesthesiology, Tokushima University, Tokushima, Japan.
    We describe the case of a 37-year-old woman who had been diagnosed with Ehlers-Danlos syndrome (EDS) 4 years earlier and was scheduled to undergo removal of synovial chondromatosis in the temporomandibular joint. EDS is a heritable connective tissue disorder and has 6 types. In this case, the patient was classified into EDS hypermobility type. Read More

    Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment-A Crossover Comparison Between Propofol and Sevoflurane.
    Anesth Prog 2016 ;63(4):175-180
    Professor and Chairman, Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
    The purpose of this study was to determine which anesthetic was preferable for ambulatory anesthesia: propofol alone or sevoflurane alone. A crossover study was performed to compare the recovery profile and patient satisfaction after 2 anesthesia methods. Twenty healthy patients with severe anxiety toward dental treatment undergoing 2 sessions of day-case dental treatment received either propofol or sevoflurane anesthesia. Read More

    Patients With Type 2 Diabetes: Anesthetic Management in the Ambulatory Setting. Part 1: Pathophysiology and Associated Disease States.
    Anesth Prog 2016 ;63(4):208-215
    Assistant Professor, Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.
    The increasing prevalence of diabetes mellitus in the general population has many implications for the ambulatory anesthesia provider. Complications, particularly associated with poor glycemic control, can affect multiple organ systems and jeopardize the safety of any planned anesthetic. It is essential that anesthesiologists and sedation providers have in-depth knowledge of the pathophysiology of diabetes mellitus and the comorbid conditions that commonly accompany it. Read More

    Anesthetic Management of a Patient With Emanuel Syndrome.
    Anesth Prog 2016 ;63(4):201-203
    Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
    Emanuel syndrome is associated with supernumerary chromosome, which consists of the extra genetic material from chromosome 11 and 22. The frequency of this syndrome has been reported as 1 in 110,000. It is a rare anomaly associated with multiple systemic malformations such as micrognathia and congenital heart disease. Read More

    Benzodiazepine Allergy With Anesthesia Administration: A Review of Current Literature.
    Anesth Prog Fall 2016;63(3):160-7
    Professor and Chair, Department of Dental Anesthesiology, University of Pittsburgh, Pennsylvania.
    The incidence of anaphylactic/anaphylactoid reactions has been reported to vary between 1 : 3500 and 1 : 20,000 cases with a mortality rate ranging from 3 to 9%. Clinical signs present as skin rash, urticaria, angioedema, bronchospasm, tachycardia, bradycardia, and hypotension. Rapid identification and treatment are crucial to overall patient prognosis, as delayed intervention is associated with increased mortality. Read More

    Second-Degree Atrioventricular Block Occurring After Tooth Extraction.
    Anesth Prog Fall 2016;63(3):156-9
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry, Tokyo, Japan.
    Although cardiac arrhythmias are occasionally associated with dental extractions and dental anesthesia, atrioventricular block is rarely seen during dental procedures. We report a rare case of type I second-degree atrioventricular block (Wenckebach phenomenon) occurring after bilateral extraction of impacted mandibular third molars under general anesthesia in a 16-year-old Japanese girl. Under consultation with a cardiovascular physician, we carefully monitored the patient's vital signs postoperatively, including blood pressure, oxygen saturation, and electrocardiogram, using a bedside monitor. Read More

    Effective Dosage of Midazolam to Erase the Memory of Vascular Pain During Propofol Administration.
    Anesth Prog Fall 2016;63(3):147-55
    Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, Suita, Japan.
    Intravenous sedation with propofol is often administered to anxious patients in dental practice. Pain on injection of propofol is a common adverse effect. This study aimed to determine the age-adjusted doses of midazolam required to erase memory of vascular pain of propofol administration and assess whether the Ramsay Sedation Scale (RSS) after the pretreatment of midazolam was useful to predict amnesia of the vascular pain of propofol administration. Read More

    Temporary Diplopia After Gow-Gates Injection: Case Report and Review.
    Anesth Prog Fall 2016;63(3):139-46
    Professor, Department of Biomedical Sciences, and Vice Chair of Diagnostic Sciences and Services, Department of Dental Practice, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
    Complications associated with various local anesthetic techniques have been recorded in case reports and reviews. This current case reports a transient incident of blurred, double vision (diplopia) following a Gow-Gates mandibular block injection. There is descriptive discussion on possibilities associated with intra-arterial injection, intravenous injection, diffusion through tissue planes, and the autonomic nervous system pathway to lend credence suggesting the etiology of the complication. Read More

    Effect of Injection Pressure of Infiltration Anesthesia to the Jawbone.
    Anesth Prog Fall 2016;63(3):131-8
    Department of Dental Anesthesiology, School of Dentistry, Ohu University, Fukushima, Japan.
    To obtain effective infiltration anesthesia in the jawbone, high concentrations of local anesthetic are needed. However, to reduce pain experienced by patients during local anesthetic administration, low-pressure injection is recommended for subperiosteal infiltration anesthesia. Currently, there are no studies regarding the effect of injection pressure on infiltration anesthesia, and a standard injection pressure has not been clearly determined. Read More

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