Intravenous Sedation in Arnold-Chiari Malformation With Respiratory Failure.
Authors: Shionoya Y, Nakamura E, Goi T, Nakamura K, Sunada K Abstract 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. We performed dental treatment twice under intravenous sedation in a patient wit...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Case of Cardiac Arrest for 31 Seconds During Recovery After Intravenous Sedation.
Authors: Hamazaki K, Kato Y, Hasegawa A, Yoneda H, Miyatani N, Momota Y Abstract 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. Tooth extraction was performed under intravenous sedation without incident. When she was returned to a sitting position after being roused, convulsion, loss of consciousness, and...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Office-Based Sedation/General Anesthesia for COPD Patients, Part II.
Authors: Chino K, Ganzberg S, Mendoza K Abstract 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 ...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.
Authors: Saxen MA PMID: 30883230 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Large Shoes to Fill.
Authors: Kramer KJ PMID: 30883231 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Endotracheal Intubation Complicated by a Palatal Tooth in a Patient With Treacher Collins Syndrome.
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. A later operation was performed after tooth extraction without difficult laryngoscopy. Our experience stresses the importance of removing obstructions to laryngoscopic inspection pr...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Efficacy of Topical Benzocaine in Maxilla: A Randomized Controlled Trial.
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. Pain of needle penetration and local anesthesia deposition was recorded separately using an 11-point...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of a Patient With Hereditary Angioedema for Oral Surgery.
This report describes the anesthetic management of a patient with HAE and reviews treatment options and concerns. PMID: 30883234 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Pulpal Anesthesia of Adjacent Teeth Following Infiltration of 2% Lidocaine With 1:100,000 Epinephrine in the Maxillary Lateral Incisor and First Molar.
Authors: Fowler S, Drum M, Reader A, Nusstein J, Beck M Abstract 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). Pulpal anesthesia of the injected tooth and adjacent mesial and distal teeth was monitored with the electric pulp tester in 2-minute...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Efficacy of Buccal Infiltration Articaine versus Lidocaine for Extraction of Primary Molar Teeth.
Authors: Rathi NV, Khatri AA, Agrawal AG, M SB, Thosar NR, Deolia SG Abstract 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. The heart rate and the blood pressure values were assessed objectively as an indirect meas...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

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.
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%). The samples had to have at least 2 lower molar teeth on both sides without any blurring, previous fracture of the ramus or other artifacts. The distance of the MF to the OP and the AB of the ramus was measured using a caliper. The role of age and gender were ...
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Formula for Estimating the Appropriate Tube Depth for Intubation.
In conclusion, the estimation formulas of (height/10) - 3 + DM and (height/10) + 1 + DM for oral and nasal intubation, respectively, are within almost 1 cm error in most cases. PMID: 30883238 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 20, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The Future of Anesthesia Progress.
Authors: Ganzberg S PMID: 30715930 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children.
Authors: Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR Abstract 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 cardi...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study.
Authors: Fowler S, Crowley C, Drum M, Reader A, Nusstein J, Beck M Abstract 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. One hundred ten asymptomatic subjects were randomly given IANBs using 2% lidocaine with 1:100,000 epinephrine while in an upright si...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

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.
Authors: Bradford KE, Siegelman LI, Psoter WJ Abstract 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-...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Histological Study of Vasoconstriction by Local Anesthetics in Mandible.
Authors: Tanaka K, Kudo K, Ambe K, Kawaai H, Yamazaki S Abstract 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. Infiltration anesthesia was performed with 0.2 mL of epinephrine-free 2% lidocaine (E-) near the left mandibular first molar and with 0.2 mL of epinephrine-containing 2% lidocaine (E+) near the right mandibular first molar. After decalcification, the specimens were paraf...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Difficult Nasal Intubation Using Airway Scope ® for a Child With Large Tumor.
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. For nasal intubation using the AWS, guidance of the tube toward the glottis was attempted using pediatric Magill forceps. Although we could hold the tube with the Magill forceps, it was difficult to insert the tube into the trachea due to the limited space in her hypopharynx. We then used a standard laryngoscope with a Miller strai...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation.
This article highlights the complications encountered due to turbinectomy while also identifying causes, signs, and methods to prevent it. PMID: 30715951 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Sudden Tachycardia Due to Submucosal Migration of an Epinephrine-Soaked Swab During Nasal Intubation.
Authors: Hoshi T, Suzuki T, Somei M, Iijima T, Kurihara Y Abstract 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 mu...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Office-Based Sedation/General Anesthesia for COPD Patients, Part I.
Authors: Chino K, Ganzberg S, Mendoza K Abstract 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 como...
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Letter to the Editor.
Authors: Seay J PMID: 30715954 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Reply.
Authors: Ganzberg S PMID: 30715955 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Literature Review for Office-Based Anesthesia.
Authors: Saxen MA PMID: 30715956 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

IFDAS 2018 Meeting News.
Authors: Ganzberg S PMID: 30715957 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 6, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Practice Guidelines for Intravenous Conscious Sedation in Dentistry (Second Edition, 2017).
Authors: Working Group on Guidelines Development for Intravenous Sedation in Dentistry, the Japanese Dental Society of Anesthesiology PMID: 30702348 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - February 2, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Practice Guidelines for Intravenous Conscious Sedation in Dentistry (2nd Edition, 2017) Developed for Dentists in Japan by the Japanese Dental Society of Anesthesiology.
Authors: PMID: 30606044 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 5, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Dr David Donaldson, BDS, FDSRCS, MDS, FADSA, FAAD, Dental Educator and Sedation Pioneer, Dies at 76.
Authors: PMID: 30235425 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Atrio-ventricular Block Following Neostigmine-Glycopyrrolate Reversal in Non-heart Transplant Patients: Case Report.
In this report, we describe a case of 21-year-old with a history of seizure disorder and developmental delay that presented for dental surgery under general anesthesia and developed type I AV block following the simultaneous administration of neostigmine and glycopyrrolate to reverse a nondepolarizing neuromuscular block with rocuronium at the end of his surgery. We suggest that the chronic use of antiepileptic drugs in this patient in combination with neostigmine and glycopyrrolate lead to AV block in this patient. We also review similar cases reported in the literature and suggest an explanation for this observed phenome...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The Effect of Dexmedetomidine on Oral Mucosal Blood Flow and the Absorption of Lidocaine.
In conclusion, despite decreased palatal blood flow with DEX infusion, local anesthetics with vasoconstrictors should be used in implant and oral surgery even with administered DEX. PMID: 30235427 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Comparison of the Contact Force Exerted on Teeth by Conventional Macintosh Laryngoscope Versus Video Laryngoscopes.
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). The mean force exerted was 141.1 ± 15.7 kg by the Mac, 39.2 ± 10.3 kg by the Airway Scope, and 48.7 ± 6.7 kg by the McGrath MAC. No significant difference was observed between the Airway Scope and the McGrath MAC. When the Mac is inserted, the glottis has to be visually located from outside the oral cavity. However, a significant force is not necessary when inserting video laryngoscopes because a camera is mounted on the blade tip. In thi...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

General Anesthetic Management of a Patient With Hypertrophic Cardiomyopathy for Oral Surgery: Did Digitalis Contribute to Bradycardia?
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. Using stroke volume variation and stroke volume from the FloTrac as indices, successful circulatory management was performed with dopamine. The hypotension and bradycardia were thought to be the result of methyldigoxin and possibly associated with our perioperative management. Cardiology consult should have been obtained. We demonstrated that the FloTrac ...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of the Hypertensive Patient: Part II.
Authors: Yancey R Abstract 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. Part I provided an overview of hypertension and blood ...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Comparison of Risk Factors in Patients With Acute and Chronic Orofacial Pain.
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. We categorized patients into the acute group if their condition had persisted
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

American Society of Dentist Anesthesiologists: Parameters of Care.
Authors: PMID: 30235432 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

When Can the Recovery Process Be Delegated to Staff?
Authors: Ganzberg S PMID: 30235433 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Male Gender and High Trait Anxiety Are 2 Major Factors Associated With Severe Dental Fear and Avoidance.
Authors: Ihara Y, Fukuda KI, Saita N, Ichinohe T Abstract 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...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.
Authors: Saxen MA PMID: 30235435 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Office-Based Anesthetic and Oral Surgical Management of a Child With Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report.
This report provides support that simple dental extractions can be accomplished safely in the HSAN IV patient in the office-based setting, thereby avoiding unnecessary risk. PMID: 30235436 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Effect of Nitrous Oxide on Pulpal Anesthesia: A Preliminary Study.
Authors: Chompu-Inwai P, Simprasert S, Chuveera P, Nirunsittirat A, Sastraruji T, Srisuwan T Abstract To compare the success of perceived pulpal anesthesia between groups using nitrous oxide/oxygen (N2O/O2) and oxygen (O2) in children premedicated with ibuprofen with symptomatic irreversible pulpitis permanent teeth. Thirty-three children (mean age 10.4 ± 1.9 years) with 33 symptomatic irreversible pulpitis permanent teeth were included in this preliminary study. All children were premedicated with ibuprofen and randomly assigned to receive either N2O/O2 (17 participants) or O2 (16 participants). Four percen...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

AirWay Scope ™ for Difficult Ventilation in a Patient With Epiglottic Cyst.
AirWay Scope™ for Difficult Ventilation in a Patient With Epiglottic Cyst. Anesth Prog. 2018;65(3):204-205 Authors: Sugita T, Arisaka H Abstract Epiglottic cysts often cause difficulty in airway management, with potential serious life-threatening complications. 1 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. This case demonst...
Source: Anesthesia Progress - September 22, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Position Available - Editor, Anesthesia Progress.
Authors: PMID: 29952636 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.
Authors: Orr DL, Saxen MA, Kodali BS PMID: 29952637 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of the Hypertensive Patient: Part I.
Authors: Yancey R Abstract 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. Part I will provide an overview of hypertension and blood pr...
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Utility of Vibratory Stimulation for Reducing Intraoral Injection Pain.
Authors: Erdogan O, Sinsawat A, Pawa S, Rintanalert D, Vuddhakanok S Abstract 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. Thirty-two subjects underwent 2 maxillary local anesthesia injections in 2 different sessions: 1 with conventional techniques and 1 with the aid of a vibratory stimu...
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Come to IFDAS in Nara, Japan.
Authors: Ganzberg S PMID: 29952640 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The Effect of Adding Midazolam to Propofol Intravenous Sedation to Suppress Gag Reflex During Dental Treatment.
Authors: Yamamoto T, Fujii-Abe K, Fukayama H, Kawahara H Abstract 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. The P group received propofol alone, while the MP group received midazolam (0.04 mg/kg) prior to target-controlled infusion (TCI) ...
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Sugammadex: Efficacy and Practicality in the Dental Office.
This article features a case report where succinylcholine was undesirable and rapid reversal of paralysis with sugammadex was used during general anesthesia for dentistry. PMID: 29952642 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Sedation With a Combination of Dexmedetomidine and Midazolam for Pediatric Dental Surgery.
Authors: Sago T, Shiiba S, Ando E, Kondo K, Tsunakake M, Akitomi S, Ono A, Kato Y, Chogyoji Y, Watanabe S Abstract 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. The evidence that supports the potential risks for allergic reactions following PRO use in patients with egg allergies is limited with some anesthesiologists recommending against...
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Effects of Lidocaine and Articaine on Neuronal Survival and Recovery.
In conclusion, articaine does not damage neural cells more than lidocaine in this in vitro model. While this does not question the safety of lidocaine used clinically, it does suggest that articaine is no more neurotoxic, at least in the in vitro setting. PMID: 29952644 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - June 30, 2018 Category: Anesthesiology Tags: Anesth Prog Source Type: research