Pseudocholinesterase Deficiency Considerations: A Case Study.
This article summarizes the pharmacologic and physiologic data relevant to understanding the basic pathophysiology associated with pseudocholinesterase deficiency and illustrates a case study of a young woman suspected of having the disorder after a prolonged delay in emergence from general anesthesia. PMID: 32992329 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Effects of Stellate Ganglion Blockade on Muscle Blood Flow During Hypercapnia.
In conclusion, unilateral SGB restored the ipsilateral masseter muscle blood flow that had been reduced during hypercapnia. In contrast, the SGB exacerbated the hypercapnia-induced reduction in blood flows in the contralateral masseter muscle and the femoral quadriceps muscle. PMID: 32992330 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Assessing the Effectiveness of Combined Analgesics for Bilateral Ramus Osteotomies.
Authors: Maeda S, Higuchi H, Fujimoto M, Miyake S, Honda-Wakasugi Y, Miyawaki T Abstract Pain management is important for alleviating patients' suffering and early recovery. Although analgesic combinations are known to be effective, a comparison of the effectiveness of different combinations has never been performed specifically for ramus osteotomy procedures. Therefore, the purpose of this observational retrospective cohort study was to identify an effective combination for pain management throughout the intraoperative and immediate postoperative period for patients undergoing bilateral ramus osteotomy procedures....
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Case of Anaphylaxis in Which a Basophil Activation Test Was Used to Identify the Suspected Agent.
Authors: Goto T, Hayashi S, Tsugane H, Iinuma M, Sakurai S Abstract This is a case report of anaphylaxis in which the basophil activation test (BAT) was used to identify the etiological agent. Although skin tests are considered the most effective methods for identifying anaphylactic triggers, the test itself presents a risk of inducing anaphylaxis. The BAT is advantageous because of its inherent lack of risk, high sensitivity and specificity to identify the suspected anaphylactic agents, and diagnostic accuracy comparable to conventional skin testing. Therefore, in the future, the BAT is likely to become the prefer...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Case of Methemoglobinemia Thought to Have Been Caused by the Combined Use of Propitocaine and Nitroglycerin During General Anesthesia.
Authors: Hojo T, Kimura Y, Ohiwa D, Fujisawa T Abstract This is a case report of methemoglobinemia presumably caused by the combined use of prilocaine (propitocaine) and nitroglycerin under general anesthesia. Methemoglobinemia is reportedly caused by the administration of prilocaine at a dose of ≥8 mg/kg. Moreover, ≥3 μg/kg/min of nitroglycerin can also trigger methemoglobinemia. In this patient, methemoglobinemia occurred despite neither drug having been administered at the aforementioned doses. Even if individual doses of drugs predisposed to causing methemoglobinemia are low, combined use may increase ...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery.
Authors: Koyanagi Y, Yokota E, Iwata M, Shimazaki R, Misaki T, Oi Y Abstract A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. The removed endotracheal tube was torn 19 cm from the distal tip. The McGrath MAC was useful for visualizing the glottis and confirming the entire co...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Ultrasound-Guided Local Anesthetic Nerve Blocks in a Forehead Flap Reconstructive Maxillofacial Procedure.
Authors: Kojima Y, Furuse K, Murouchi T, Hirabayashi K, Kato M, Oka T Abstract Head and neck reconstructive surgery involving tissue flaps is often complex requiring the development of an individualized anesthetic plan. The following case report describes the anesthetic management of an 87-year-old man considered at high risk for postoperative delirium due to advanced age and blindness undergoing general anesthesia for resection of squamous cell carcinoma of the right side of the nose and reconstructive surgery with a scalping forehead flap. Ultrasound-guided local anesthetic maxillary and supraorbital nerve blocks...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Potentiation of Rocuronium Bromide by Lithium Carbonate: A Case Report.
Authors: Kishimoto N, Yoshikawa H, Seo K Abstract Lithium carbonate is a medication used for the management of various mental disorders. The present report describes a case of prolongation of rocuronium bromide in a patient concurrently taking lithium carbonate. A 64-year-old woman was scheduled to undergo cystectomy under general anesthesia. The patient took lithium carbonate (600 mg/d) for treatment of bipolar affective disorder. General anesthesia was induced with propofol, fentanyl, remifentanil, and sevoflurane. After loss of consciousness, rocuronium bromide (50 mg) was administered, and the trachea was intub...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Postoperative Pain Management in Patients With Ulcerative Colitis.
This report describes 2 patients with UC in whom postoperative pain following oral and maxillofacial surgery was managed by intravenous patient-controlled analgesia with pentazocine. Apart from the development of acute dystonia in 1 case that was likely due to the use of droperidol for prevention of postoperative nausea and vomiting, postoperative pain was well controlled by pentazocine in both patients without any complications or UC exacerbations. PMID: 32992337 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Tracheopulmonary Complications of a Malpositioned Nasogastric Tube.
Authors: Guthrie DB, Pezzollo JP, Lam DK, Epstein RH Abstract Tracheopulmonary complications following placement of a nasogastric (NG) feeding tube are uncommon but can cause significant morbidity and mortality. In this case report, an 83-year-old woman of American Society of Anesthesiologists class IV with underlying pulmonary disease required placement of an NG feeding tube after surgical treatment of primary squamous cell carcinoma of the tongue. Malpositioning of the NG feeding tube into the right pleural space was confirmed by computed tomography. Removal of the NG feeding tube resulted in a tension pneumothor...
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The Surprising Re-emergence of Droperidol.
Authors: Kramer KJ PMID: 32992339 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Vale Doug Stewart.
Authors: Mahoney DG, Crowley DKE, Phero DJC PMID: 32992340 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - October 1, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Literature Review for Office-Based Anesthesia.
Authors: Saxen MA PMID: 32633767 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

General Anesthesia During Lip Repair and Palatoplasty After Glenn Surgery.
In conclusion, the risks associated with hypoxemia and increased bleeding must be considered for the safe provision of general anesthesia during palatoplasty procedures in patients with cyanotic heart disease. PMID: 32633768 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The History of the American Dental Board of Anesthesiology.
Authors: Weaver JM PMID: 32633769 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Infection Control in Dental Anesthesiology: A Time for Preliminary Reconsideration of Current Practices.
Authors: Tom J Abstract Relegated to clinical afterthought, the topic of infection control has never taken center stage in our modern dental sedation and anesthesiology practices. Surgical and procedural masks, gloves, gowns, protective eyewear, and appropriate surgical attire have remained de rigueur in both fashion and custom for decades. However, the emergence of certain seminal events throughout health care history has driven mandated changes when practitioners, staff, patients, and the surrounding communities were exposed or put at risk of exposure to infectious disease. Hepatitis, human immunodeficiency virus...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Adding Dexmedetomidine to Articaine Increases the Latency of Thermal Antinociception in Rats.
Authors: Tsutsui Y, Sunada K Abstract Articaine is a low-toxicity local anesthetic that is widely used in dentistry. Typically, epinephrine is added to prolong the duration of articaine local anesthesia; however, epinephrine exhibits adverse effects. Low-dose dexmedetomidine (DEX), an α2-adrenoreceptor agonist, reportedly prolongs local anesthesia without notable adverse cardiovascular effects. The purpose of this study was to assess whether a combination of low-dose DEX and articaine would provide a low-toxicity local anesthetic option for dental procedures without adverse cardiovascular effects. Thus, this ...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Impact of Subglottic Saline Irrigation on Reducing Bacterial Contamination for Oral Surgery Patients.
This study investigated the effectiveness of subglottic irrigation (SI) with 100 mL of saline on reducing bacterial contamination in the subglottic space during oral surgery procedures without the use of throat packs. Subglottic lavage and irrigation were performed through the suction lumen located on specialized endotracheal tubes (ETTs) with capabilities of permitting evacuation from the subglottic space. Fifty-three patients who were scheduled for oral surgery procedures under general anesthesia while intubated with specialized ETTs at Kyushu Dental University Hospital were enrolled in this study. Subglottic irrigation ...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Twin Block in Myogenous Orofacial Pain: Applied Anatomy, Technique Update, and Safety.
Authors: Quek SYP, Gomes-Zagury J, Subramanian G Abstract The twin block, introduced in 2014, has proven to be more advantageous for the management of myogenous orofacial pain than the masseteric nerve block, which was introduced in 2009. The twin block is an extraoral nerve block injection which passes through the temporal fossa to anesthetize both the masseteric and the deep temporal nerves as they exit the infratemporal fossa at the infratemporal crest. Similar to the masseteric nerve block, the twin block has demonstrated efficacy with expeditious and sustained relief of myogenous face pain originating from the...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Refractory Hypotension During General Anesthesia Despite Withholding Telmisartan.
Authors: Hojo T, Shibuya M, Kimura Y, Otsuka Y, Fujisawa T Abstract Angiotensin receptor blockers (ARBs) are commonly used to treat hypertension. However, similar to angiotensin-converting enzyme inhibitors, ARBs can also cause refractory hypotension during general anesthesia. Therefore, it has been recommended that ARBs be withheld for 24 hours prior to the induction of anesthesia. This is a case report of refractory hypotension requiring the administration of potent vasopressors after the induction of general anesthesia despite withholding telmisartan for 24 hours. In the same patient undergoing a subsequent gene...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Mask Induction for an Intellectually Disabled Patient With Congenital Infiltrating Lipomatosis of the Face.
Authors: Yamanaka H, Tsukamoto M, Hitosugi T, Yokoyama T Abstract Airway management for patients with craniofacial disorders poses many challenges. Congenital infiltrating lipomatosis of the face (CILF) is an extremely rare disorder in which mature lipocytes invade adjacent tissues in the head and neck. The manifestations are typically unilateral, often with associated hypertrophy of both the hard and soft tissues of the face. This is a case report regarding the anesthetic management for a 5-year-old intellectually disabled female with CILF involving the right side of her face who underwent a successful intubated g...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Medical Management of Epiglottitis.
Authors: Dowdy RAE, Cornelius BW Abstract Epiglottitis is most commonly caused by bacterial infection resulting in inflammation and edema of the epiglottis and neighboring supraglottic structures. Acute infection was once found predominantly in children ages 2 to 6 years old, but with the introduction of the Haemophilus influenzae B (HiB) vaccine the incidence of cases in adults is increasing. Typical clinical presentation of epiglottitis includes fever and sore throat. Evidence of impending airway obstruction may be demonstrated by muffled voice, drooling, tripod position, and stridor. Radiographs can be helpful i...
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The COVID-19 Pandemic and Its Impact on Dentistry.
Authors: Kramer KJ PMID: 32633777 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - July 9, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Aerosol-Generating Procedures and Simulated Cough in Dental Anesthesia.
Authors: Chanpong B, Tang M, Rosenczweig A, Lok P, Tang R Abstract Dental professionals are at an increased risk for exposure to the severe acute respiratory syndrome coronavirus 2 with aerosol-generating procedures (AGPs), and dental anesthesia practices have additional risks due to airway management procedures. The purpose of this pilot study was to examine the extent of splatter on dental personnel that may occur with AGPs and coughing in a dental anesthesia practice. A Dentoform model was fitted into a dental mannequin and coated with Glo Germ to detect splatter during simulated dental AGPs produced with use of...
Source: Anesthesia Progress - June 20, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Medication Safety: Reducing Anesthesia Medication Errors and Adverse Drug Events in Dentistry Part 2.
Authors: Sarasin DS, Brady JW, Stevens RL Abstract For decades, the dental profession has provided the full spectrum of anesthesia services ranging from local anesthesia to general anesthesia in the office-based ambulatory environment to alleviate pain and anxiety. However, despite a reported record of safety, complications occasionally occur. Two common contributing factors to general anesthesia and sedation complications are medication errors and adverse drug events. The prevention and early detection of these complications should be of paramount importance to all dental providers who administer or otherwise use ...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Literature Review for Office-Based Anesthesia.
Authors: Saxen MA PMID: 32191502 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

An Avulsed Tooth Detected Prior to Insertion of a Laryngeal Mask Airway.
Authors: Asahi Y, Hyodo M, Ikai S, Deki I, Aono A, Takasaki Y, Omichi S, Uzawa N, Niwa H Abstract This case report describes the importance of inspecting the hypopharynx via direct laryngoscopy prior to laryngeal mask airway (LMA) insertion during induction of general anesthesia for dental patients with special needs. A 51-year-old man with cerebral palsy underwent induction of general anesthesia for dental extractions and subsequently was noted to be missing a tooth. Prompt inspection of the airway via direct laryngoscopy revealed the tooth resting within the pharynx, which was subsequently retrieved, prior to ins...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of a Patient With Systemic Sclerosis and Microstomia.
Authors: Shionoya Y, Kamiga H, Tsujimoto G, Nakamura E, Nakamura K, Sunada K Abstract Systemic sclerosis (SSc) is an autoimmune disease that can cause fibrosis in vital organs, often resulting in damage to the skin, blood vessels, gastrointestinal system, lungs, heart, and/or kidneys. Patients with SSc are also likely to develop microstomia, which can render dental treatment difficult and painful, thereby necessitating advanced anesthetic management. This is a case report of a 61-year-old woman with a history of SSc with microstomia, interstitial pneumonia, and gastroesophageal reflux disease in whom intravenous mo...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Perfect Time for a Fresh Perspective.
Authors: Kramer KJ PMID: 32191505 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Comparing the Efficacy of a Compound Topical Anesthetic Versus Benzocaine: A Pilot Study.
Authors: Park L, Tom J, Bui N, Wilson M, Tanbonliong T Abstract To compare the effectiveness of a combination of 10% lidocaine, 10% prilocaine, and 4% tetracaine versus 20% benzocaine for use as a topical anesthetic agent prior to dental injections. A double-blind randomized prospective clinical trial was conducted with 26 participants receiving a topical anesthetic of 20% benzocaine (control) and 26 participants receiving a compound topical anesthetic mixture of 10% lidocaine, 10% prilocaine, and 4% tetracaine (experimental) prior to a maxillary infiltration injection. The procedure was conducted by 1 operator wit...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Alternative Transoral Application of Nasopharyngeal Airways.
Authors: Matsui R, Wong M, Waters B Abstract Transoral application of a nasopharyngeal airway (NPA) is a novel technique for difficult airway management. Clinically, it is an effective alternative for use in nonintubated dental cases under total intravenous anesthesia. This technique can help improve oxygenation and ventilation in clinical situations in which the conventional use of NPAs is ineffective, such as in patients who have findings of obesity; mandibular retrognathia or hypoplasia; maxillary hypoplasia; macroglossia; nasal obstruction secondary to hypertrophic tonsillar, adenoid, and/or lymphoid tissues or...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Endotracheal Tube Migration Associated With Extension During Tracheotomy.
In this study, changes in the position of the endotracheal tube tip during extension of the head and neck for a tracheotomy were investigated. Twelve patients underwent placement of a tracheotomy during surgical procedures for oral cancer. After nasal intubation, the distance between the tube tip and the carina was measuring using a fiberoptic scope with the patient's head placed at an angle of 110°. Patients were repositioned for tracheotomy by placing a pillow under the shoulders and extending the head and neck at an angle of 140°. The distance measurements were subsequently repeated. The difference between the f...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of a Patient With a Vagal Nerve Stimulator.
This report describes the successful anesthetic management of a 28-year-old woman with a VNS device who underwent dental treatment under general anesthesia. She was morbidly obese and had undergone placement of a VNS device secondary to drug-resistant epilepsy 2 years prior but continued to experience daily epileptic seizures. Because of concerns about the risk of perioperative epileptic seizures and apneic events, use of the dedicated VNS device magnet was planned if such complications occurred. Total intravenous anesthesia was induced with propofol and remifentanil and a bispectral index sensor was used to help monitor b...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Use of the Microcuff ® During General Anesthesia for Patients With Scoliosis.
Use of the Microcuff® During General Anesthesia for Patients With Scoliosis. Anesth Prog. 2020;67(1):23-27 Authors: Kishimoto T, Hayashi S, Nakanishi Y, Goto T, Kosugi K, Sakurai S Abstract Scoliosis may often be associated with a variety of cardiovascular and respiratory conditions or diseases, and depending on the severity of the spinal deformity, it may also complicate anesthetic management because of the difficulty of neck extension and tracheal deformity. Therefore, patients with scoliosis may require careful perioperative anesthetic considerations. A 14-year-old girl was scheduled to undergo ...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of a Pediatric Patient With Cardiofaciocutaneous Syndrome.
Authors: Shionoya Y, Yamamoto M, Sunada K, Nakamura K Abstract Cardiofaciocutaneous (CFC) syndrome is a rare condition characterized by congenital heart disease, craniofacial dysmorphology, and dermatological abnormalities. CFC syndrome is one of the RASopathies, a family of syndromes that also includes Noonan and Costello syndromes, all with underlying gene mutations involving the Ras/mitogen-activated protein kinase pathways. Important considerations for anesthesiologists caring for these patients include the need to evaluate for possible cardiac defects, anticipating and planning for potentially difficult airway...
Source: Anesthesia Progress - March 21, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Analgesia in Dentistry Now and in the Future.
Authors: Monheim LM PMID: 31891290 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Acute Management of Massive Epistaxis After Nasotracheal Extubation.
Authors: Kido K, Shindo Y, Miyashita H, Kusama M, Sugino S, Masaki E Abstract Epistaxis is one of the most common complications of nasotracheal intubation and can be life-threatening. However, there is little discussion in the current literature on the acute management of massive epistaxis after nasotracheal extubation. This is a report of 2 patients who experienced severe unanticipated nasal bleeding immediately after extubation, 1 after a surgical procedure for oral cancer and another after restorative dental treatment. In both cases the significant epistaxis was managed successfully with a Foley balloon catheter...
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Announcing a New Annual Feature for the Journal.
Authors: Kramer KJ PMID: 31891292 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Anesthetic Management of a Patient With Fanconi Anemia.
Authors: Nagano S, Tsukamoto M, Yokoyama T Abstract Fanconi anemia (FA) is a type of bone marrow failure syndrome based on an autosomal recessive inherited trait with increased predisposition for other cancers. It is extremely rare and is characterized by short stature, polydactyly, and pancytopenia. At present, the only effective treatment for FA is allogeneic hematopoietic stem cell transplantation (SCT). Chemotherapy is necessary prior to allogeneic SCT. Dental treatment is usually performed before chemotherapy to reduce potential infections. We experienced the anesthetic management of a 4-year-old boy diagnosed...
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.
Authors: Saxen MA PMID: 31891294 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

An Evaluation of Ibuprofen Versus Ibuprofen/Acetaminophen for Postoperative Endodontic Pain in Patients With Symptomatic Irreversible Pulpitis and Symptomatic Apical Periodontitis.
Authors: Stamos A, Drum M, Reader A, Nusstein J, Fowler S, Beck M Abstract The purpose of this investigation was to compare ibuprofen versus an ibuprofen/acetaminophen combination for postoperative pain control in a patient model specific to teeth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis. One hundred and two patients presenting with moderate to severe pain from a maxillary or mandibular posterior tooth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis were included. Following local anesthetic administration, complete endodontic cleanin...
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Malignant Hyperthermia: A Case Study in the Dental Ambulatory Surgery Setting.
This article presents the very likely case of acute malignant hyperthermia in a 24-year-old man with special needs, who presented for restorative dentistry under general anesthesia in the outpatient clinic of The Ohio State University's College of Dentistry. PMID: 31891296 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Impact of Instituting General Anesthesia on Oral Sedation Care in a Tertiary Care Pediatric Dental Clinic.
Authors: Moore DL, Ding L, Yang G, Wilson S Abstract Tertiary pediatric medical centers disproportionately care for low-income, underserved children with significant dental needs. Long wait times for hospital operating room treatment increase tooth loss rather than restoration. Oral sedation has commonly been provided to avoid the long waits for operating room treatment. However, this can be challenging with young, anxious patients. High failure rates and repeat visits for oral sedation have resulted in continued waiting for definitive dental services in the operating room. The Division of Dentistry requested the D...
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Comparison of Patient Comfort During the First Stage of Conventional Versus Modified Two-Stage Inferior Alveolar Nerve Blocks in Pediatric Patients.
Authors: Joseph RM, Rao AP, Srikant N, Karuna YM, Nayak PA Abstract Our aim was to compare the comfort of pediatric patients during the first stage of the conventional 2-stage inferior alveolar nerve block (IANB) versus the modified 2-stage IANB. This was a parallel group, single-blinded, randomized controlled trial. Pediatric patients meeting the inclusion criteria were randomly allocated to 1 of the 2 groups receiving IANB, group 1 (31 subjects) utilized a conventional 2-stage technique, and group 2 (33 subjects) utilized a modified 2-stage approach. Patient comfort was assessed indirectly by 2 observers using th...
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Monheim LM. Analgesia in dentistry now and in the future. Anesth Prog. 1971;18(5):100-106 and J Am Analg Soc. 1971:9:1(abstract).
Authors: Giovannitti JA, Rosenberg MB, Phero JC PMID: 31891299 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - January 2, 2020 Category: Anesthesiology Tags: Anesth Prog Source Type: research

A Review of Current Literature of Interest to the Office-Based Anesthesiologist.
Authors: Saxen MA PMID: 31545666 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 25, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

The ADSA Ten Minutes Saves a Life! App.
Authors: Kramer KJ PMID: 31545667 [PubMed - in process] (Source: Anesthesia Progress)
Source: Anesthesia Progress - September 25, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Two Cases of Rocuronium-Induced Anaphylaxis/Anaphylactic Shock Successfully Treated With Sugammadex.
Authors: Hashimoto M, Sato Boku A, Tachi N, Okumura Y, Kadoi K, Harada J, Okuda M Abstract While anaphylaxis can occur at any time during general anesthesia, 90% of cases occur at induction of anesthesia. As several drugs are administered simultaneously at this time, it is difficult to identify the causative agent. However, it has been found that rocuronium is the most common drug associated with perioperative anaphylaxis. We treated 2 cases of patients who were administered sugammadex for anaphylactic symptoms thought to be caused by rocuronium, after which the anaphylactic symptoms disappeared. One of the most im...
Source: Anesthesia Progress - September 25, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Mortality and Morbidity in Office-Based General Anesthesia for Dentistry in Ontario.
Authors: El-Mowafy A, Yarascavitch C, Haji H, Quiñonez C, Haas DA Abstract Our objective was to estimate the prevalence of mortality and serious morbidity for office-based deep sedation and general anesthesia (DS/GA) for dentistry in Ontario from 1996 to 2015. Data were collected retrospectively in 2 phases. Phase I involved the review of incidents, and phase II involved a survey of DS/GA providers. In phase I, cases involving serious injury or death for dentistry under DS/GA, sourced from the Office of the Chief Coroner of Ontario and from the Royal College of Dental Surgeons of Ontario (RCDSO), were review...
Source: Anesthesia Progress - September 25, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research

Perioperative Management of a Patient With Cornelia de Lange Syndrome and Tetralogy of Fallot.
Authors: Nakajima A, Ohshima A, Fukayama H, Kinoshita T Abstract This is a case report of a 21-year-old male patient with Cornelia de Lange syndrome (CdL) and unrepaired tetralogy of Fallot scheduled for dental treatment under general anesthesia. Anticipated dental care consisted of restorative treatment and extractions. Surgical correction of the patient's congenital cardiac abnormalities had not occurred by the time of dental treatment. As such, the developed anesthetic plan included the following goals: prevention of any anoxic episodes or spell and preparation for difficult airway management due to micrognathia...
Source: Anesthesia Progress - September 25, 2019 Category: Anesthesiology Tags: Anesth Prog Source Type: research