Dental health: Saving Matthew’s smile

Looking at Matthew’s full set of teeth, it would be difficult to guess that two years ago, he was in danger of losing them all. Matthew, now 15, has a complicated medical history. It runs the gamut, including pervasive developmental disorder (part of autism spectrum disorder), acid reflux and intermittent vomiting. Additionally, Matthew has sensory issues that make him averse to the feeling of a toothbrush. All of this combined to make brushing Matthew’s teeth a daily battle for his parents Janet and Michael Carco, and sometimes the battle was impossible to win. Because of Matthew’s intermittent vomiting, at age 12, he weighed only 55 pounds. His parents and doctors knew all calories mattered. They decided to boost his calorie intake with juice several times a day. It seemed like a great solution. Matthew really enjoyed the juice, and it doubled as a delivery system for a bad-tasting nutritional supplement. But juice is high in sugar and acids, and Matthew’s teeth began to show signs of severe decay. In addition to the sugar from the juice, Matthew’s seizure medication was filled with sugar that stayed on his teeth, even after brushing them before bedtime. Matthew’s dental rehabilitation Michael and Janet brought Matthew to Boston Children’s Hospital, where Dr. Man Wai Ng, chief of the Boston Children’s Hospital Department of Dentistry, resolved to save Matthew’s teeth and to keep them saved. After a dental ...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Health & Wellness Our Patients’ Stories Source Type: news

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Authors: Gunes ME, Dural AC, Akarsu C, Guzey D, Sahbaz NA, Tulubas EK, Bulut S, Donmez T Abstract Purpose: The use of nondepolarizing neuromuscular blocking agents (NMBAs) may affect intraoperative neuromonitoring (IONM) during anesthesia used during thyroid and parathyroid surgery. Methods: The use of sugammadex was evaluated in a prospective clinical study during thyroid surgery. Between July 2018 and January 2019, 129 patients were prospectively randomized to either the sugammadex group (group B) or the control group (group A). Group A patients underwent standardized IONM during thyroidectomy, while group B ...
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
This review examines the role artificial intelligence, neural networks, and machine learning can play in anesthesiology. How might they improve decision-making for the practicing anesthesiologist?Anesthesiology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Source: Anesthesiology - Category: Anesthesiology Source Type: research
The Editor-in-Chief and the Mind to Mind editor are pleased to announce the winner of our annual creative writing competition:
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Whether indigenous or introduced, red deer (Cervus elaphus,left) now roam every continent except Antarctica. Females ( “hinds”) and males (“stags” or “harts”) segregate most of the year into bachelorette and bachelor groups, respectively. In preparation for autumn battles for a harem of hinds, each hart’s antlers (right) start growing in the spring before shedding by end of winter. Harder than bone, their antlers have been fashioned by humans into knives and other tools for thousands of years. Antler carvers learned rather quickly not to discard leftover horn into campfires because...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Discovered independently in America, France, and Germany in 1831, chloroform was first used as an anesthetic in 1847 in Edinburgh, Scotland. Six years later, in London, chloroform provided obstetric anesthesia for the birth of Queen Victoria ’s eighth child. Although initially the preferred anesthetic of Europeans because of its potency, portability, and pleasant odor, chloroform fell out of favor in the United States due to its anesthetic mortality. By 1881, however, theDanbury News reported anonlethal chloroforming that took place 95 miles east, in Norwich, Connecticut. (Note that clergyman Henry Ward Beecher had h...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
In the early twentieth century, many physician-anesthetists packed example(s) of an oropharyngeal airway in their toolboxes. Although metal varieties invented by Connell or Waters werestatus quo, these forced physicians to tolerate a patent but potentially traumatized patient airway in the form of bruised lips and chipped teeth. Enter Arthur E. Guedel, M.D. (1883 to 1956,left), with his “nontraumatic pharyngeal airway,” publicized in 1933 from his adopted hometown of Beverly Hills, California. Constructing his semicircular oropharyngeal airway of rubber that could flex to any individual’s anatomy, Dr. Gue...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Practice guidelines are systematically developed recommendations that assist the practitioner and patient in making decisions about health care. These recommendations may be adopted, modified, or rejected according to clinical needs and constraints and are not intended to replace local institutional policies. In addition, practice guidelines developed by the American Society of Anesthesiologists (ASA) are not intended as standards or absolute requirements, and their use cannot guarantee any specific outcome. Practice guidelines are subject to revision as warranted by the evolution of medical knowledge, technology, and prac...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Source: Anesthesiology - Category: Anesthesiology Source Type: research
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