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Anesthesia Progress

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https://www.readbyqxmd.com/read/27973943/correlation-between-body-movements-and-salivary-secretion-during-sedation
#1
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
#2
(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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/27973935/subject-index
#9
(no author information available yet)
No abstract text is available yet for this article.
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
#10
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
#11
(no author information available yet)
No abstract text is available yet for this article.
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27973932/author-index
#12
(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
#13
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
https://www.readbyqxmd.com/read/27585420/benzodiazepine-allergy-with-anesthesia-administration-a-review-of-current-literature
#14
Elliot Haybarger, Andrew S Young, Joseph A Giovannitti
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. Diagnosis may be confirmed with clinical presentation, serum tryptase levels, and skin test results...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585419/second-degree-atrioventricular-block-occurring-after-tooth-extraction
#15
Takaaki Kamatani, Ayako Akizuki, Seiji Kondo, Tatsuo Shirota
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...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585418/effective-dosage-of-midazolam-to-erase-the-memory-of-vascular-pain-during-propofol-administration
#16
Aiji Boku, Mika Inoue, Hiroshi Hanamoto, Aiko Oyamaguchi, Chiho Kudo, Mitsutaka Sugimura, Hitoshi Niwa
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. A total of 246 patients with dental phobia requiring dental treatment under intravenous sedation were included...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585417/temporary-diplopia-after-gow-gates-injection-case-report-and-review
#17
Bernadette Alvear Fa, Steven R Speaker, Alan W Budenz
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. For practitioners, recognizing when a complication arises from anesthesia delivery and managing the patient in an appropriate manner is essential to an overall agreeable outcome...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585416/effect-of-injection-pressure-of-infiltration-anesthesia-to-the-jawbone
#18
Kenji Yoshida, Eri Tanaka, Hiroyoshi Kawaai, Shinya Yamazaki
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. Hence, the effect of injection pressure of subperiosteal infiltration anesthesia on local anesthetic infiltration to the jawbone was considered by directly measuring lidocaine concentration in the jawbone...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585415/intranasal-midazolam-sedation-in-a-pediatric-emergency-dental-clinic
#19
Fathima Peerbhay, Ahmed Mahgoub Elsheikhomer
The purpose of this study was to compare the effectiveness and recovery times of 0.3 and 0.5 mg/kg intranasal midazolam (INM) administered with a mucosal atomizer device (MAD) in a pediatric emergency dental hospital clinic. One hundred eighteen children aged from 4 to 6 years were randomly administered either 0.3 or 0.5 mg/kg INM via an MAD in a triple-blinded randomized controlled trial. Sedation was achieved to some degree in 100% of the sample. The pulse rate and oxygen saturation were within the normal range in 99% of the patients...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27585414/remifentanil-in-combination-with-propofol-is-suitable-for-use-in-the-dental-outpatient-setting
#20
Makoto Maeno, Ken-Ichi Fukuda, Toyoaki Sakamoto, Yoshihiko Koukita, Tatsuya Ichinohe
Although several adjuncts to the general anesthetic propofol have been proposed, there is insufficient research identifying the ideal agent, and in what dosage, to combine with propofol in dental outpatient anesthesia. Here we examined the combination of remifentanil or nitrous oxide and propofol in patients with severe dental avoidance undergoing dental treatment in the outpatient setting. Eighty patients were randomized to 4 groups and administered propofol/saline solution (PS; n = 20), propofol/remifentanil 0...
2016: Anesthesia Progress
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