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Anesthesia Progress

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https://www.readbyqxmd.com/read/28128664/temperament-as-a-predictor-of-nitrous-oxide-inhalation-sedation-success
#1
Travis M Nelson, Thomas M Griffith, Katherine J Lane, Sarat Thikkurissy, JoAnna M Scott
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. To assess child temperament, 48 caregivers completed the Children's Behavior Questionnaire Short Form. Patient behavior was abstracted from Frankl scores recorded in the patient's chart...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128663/updates-to-anesthesia-progress
#2
Steven Ganzberg
No abstract text is available yet for this article.
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128662/salivary-alpha-amylase-dental-anxiety-and-extraction-pain-a-pilot-study
#3
Kevin C Lee, Jennifer P Bassiur
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...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128661/comparing-the-efficiencies-of-third-molar-surgeries-with-and-without-a-dentist-anesthesiologist
#4
Uday Reebye, S Young, E Boukas, E Davidian, J Carnahan
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. An example calculation is presented to demonstrate economic advantages of scheduling the participation of a dentist anesthesiologist for more difficult surgeries...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128660/cardiac-failure-in-a-trisomy-9-patient-undergoing-anesthesia-a-case-report
#5
Cara J Riley, Timothy Moore, Lauren Eagelston, Dale Burkett, Scott Auerbach, Richard J Ing
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. She had undergone multiple previous general anesthetics, some of which documented respiratory complications such as laryngospasm, bronchospasm, and possible aspiration...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128659/remifentanil-reduces-blood-loss-during-orthognathic-surgery
#6
Nobuyuki Matsuura, Taiki Okamura, Satoko Ide, Tatsuya Ichinohe
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. The variables included gender, age, weight, type of maintenance anesthetic, type and dose or infusion rate of opioid, mean systolic blood pressure (SBP-mean), coefficient of variation of systolic blood pressure (CVSBP) during surgery, mean heart rate (HR-mean), duration of surgery, total blood loss, volume of infusion used, amount of local anesthetic used, body temperature, and urine output...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128658/reviewers
#7
(no author information available yet)
No abstract text is available yet for this article.
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128657/patients-with-type-2-diabetes-anesthetic-management-in-the-ambulatory-setting-part-2-pharmacology-and-guidelines-for-perioperative-management
#8
Bryant W Cornelius
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...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28128656/anesthetic-management-of-a-child-with-unspecified-mitochondrial-disease-in-an-outpatient-dental-setting
#9
Taylor R Gordon, Richard J Montandon
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. Mitochondrial disease presents a unique challenge in terms of anesthetic management, as many anesthetic drugs suppress mitochondrial function...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/27973943/correlation-between-body-movements-and-salivary-secretion-during-sedation
#10
Yoko Sasaki, Seiichi Kato, Masaaki Miura, Haruhisa Fukayama
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. Therefore, the aim of this study was to investigate the difference in salivary secretion between the with-movements state and the without-movements state during sedation. Salivary weight for 1 min was measured 3 times in 27 patients with intellectual disability during dental treatment under deep sedation with midazolam and propofol...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973942/in-memoriam-dr-james-k-grainger
#11
(no author information available yet)
No abstract text is available yet for this article.
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973941/the-effect-of-various-concentrations-of-nitrous-oxide-and-oxygen-on-the-hypersensitive-gag-reflex
#12
Candace K E De Veaux, Thomas A Montagnese, Masahiro Heima, Anita Aminoshariae, Andre Mickel
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...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973940/preliminary-evidence-supports-modification-of-retraction-technique-to-prevent-needlestick-injuries
#13
Bernadette Alvear Fa, Eve Cuny
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. Data from evaluations of students from 2014 and 2015 were obtained and tracked to determine whether the modified retraction technique was "excellent," "clinically acceptable," or "clinically unacceptable...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973939/asystole-from-direct-laryngoscopy-a-case-report-and-literature-review
#14
Andrew J Redmann, Gregory D White, Benu Makkad, Rebecca Howell
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. This incident emphasizes the implications of continued vigilance during laryngoscopy and the importance of communication between the anesthesia and surgical staff to identify and treat this rare complication...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973938/anesthetic-management-of-a-patient-with-ehlers-danlos-syndrome
#15
Naohiro Ohshita, Masahiko Kanazumi, Kaname Tsuji, Hiroaki Yoshida, Shosuke Morita, Yoshihiro Momota, Yasuo M Tsutsumi
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. The major clinical feature of this type is joint hypermobility. The patient had sprain or subluxation of the elbows and ankles and dislocation of the knees. Anticipated problems during general anesthesia would be affected by the disease type...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973937/new-and-emerging-medications
#16
Steven Ganzberg
No abstract text is available yet for this article.
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973936/recovery-profile-and-patient-satisfaction-after-ambulatory-anesthesia-for-dental-treatment-a-crossover-comparison-between-propofol-and-sevoflurane
#17
Keita Ohkushi, Ken-Ichi Fukuda, Yoshihiko Koukita, Yuzuru Kaneko, Tatsuya Ichinohe
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. The order of these methods was randomized. The depths of anesthesia were kept constant using bispectral index (BIS) monitoring...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973934/patients-with-type-2-diabetes-anesthetic-management-in-the-ambulatory-setting-part-1-pathophysiology-and-associated-disease-states
#18
Bryant W Cornelius
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. Anesthesiologists and sedation providers must also understand certain surgical and anesthetic considerations when planning an effective and safe anesthetic for diabetic patients...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973933/erratum
#19
(no author information available yet)
No abstract text is available yet for this article.
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973931/anesthetic-management-of-a-patient-with-emanuel-syndrome
#20
Masanori Tsukamoto, Takashi Hitosugi, Kanako Esaki, Takeshi Yokoyama
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. In addition, patients with Emanuel syndrome may have seizure disorders. We experienced anesthetic management of a patient with Emanuel syndrome who underwent palatoplasty. This patient had received tracheotomy due to micrognathia...
2016: Anesthesia Progress
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