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Intraoperative Fluids and Fluid Management for Ambulatory Dental Sedation and General Anesthesia
Mana SaraghiDMD
Article Category: Research Article
Volume/Issue: Volume 62: Issue 4
Online Publication Date: Jan 01, 2015
DOI: 10.2344/0003-3006-62.4.168
Page Range: 168 – 177

venous catheters and pulmonary artery catheters, have their limitations in ambulatory settings for assessing volume status and they pose their own risks and morbidities. 3 , 7 Preoperative evaluation begins with a thorough history and physical examination. The patient's preoperative fasting or non per os (NPO) status, history of recent illness, skin turgor, mucosal hydration, fullness of palpated peripheral pulses, and urine output offer insights into the patient's overall fluid status. 3 , 4 , 7 Preexisting deficits can be attributed to fasting, bowel

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Ambulatory Anesthesia for a Case of Idiopathic Bronchiolitis Obliterans
Michelle WongDDS, MSc, EdD
Article Category: Case Report
Volume/Issue: Volume 68: Issue 2
Online Publication Date: Jun 29, 2021
DOI: 10.2344/anpr-68-01-05
Page Range: 98 – 106

Rare medical conditions like bronchiolitis obliterans pose challenges for planning safe anesthesia, particularly in the ambulatory setting. Thorough review of the patient's medical history, obtaining accurate diagnostic information, and reviewing pertinent literature and available case reports aid in the formulation of an appropriate anesthetic plan. Principles of rational drug selection and patient-centered care were followed in this case to successfully manage this patient in a community dental clinic using deep sedation with a nonintubated TIVA technique of

Patients With Type 2 Diabetes: Anesthetic Management in the Ambulatory Setting. Part 1: Pathophysiology and Associated Disease States
Bryant W. CorneliusDDS, MBA, MPH
Article Category: Research Article
Volume/Issue: Volume 63: Issue 4
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.4.208
Page Range: 208 – 215

are undiagnosed. 5 It is important to realize that more than 1 of every 10 patients anesthetized for ambulatory surgery may potentially have diabetes. Prediabetes, or “dysglycemia,” can be defined as impaired fasting plasma glucose (greater than 100 mg/dL [5.6 mmol/L] but less than 125 mg/dL [6.94 mmol/L]), impaired oral glucose tolerance (blood glucose of 140 mg/dL [7.8 mmol/L] to 199 mg/dL [11.0 mmol/L] 2 hours after a 75-g oral glucose challenge), or a hemoglobin A1c (HbA1c) of 5.7% to 6.4%. 5 , 6 HbA1c is used to approximate a patient's plasma glucose

Patients With Type 2 Diabetes: Anesthetic Management in the Ambulatory Setting: Part 2: Pharmacology and Guidelines for Perioperative Management
Bryant W. CorneliusDDS, MBA, MPH
Article Category: Other
Volume/Issue: Volume 64: Issue 1
Online Publication Date: Jan 01, 2017
DOI: 10.2344/anpr-64-01-02
Page Range: 39 – 44

There are many different classes of antidiabetic medications and types of insulin currently in use to treat diabetes. It is important that the ambulatory anesthesia provider recognize the different classes of drugs, have a general understanding of their mechanism of action, and have specific knowledge of whether they should be taken prior to surgery. Before any discussion of type 2 diabetic medications, it is prudent to recognize the importance of lifestyle modification in the treatment of diabetes. The cornerstone of any effective

Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment—A Crossover Comparison Between Propofol and Sevoflurane
Keita OhkushiDDS, PHD,
Ken-ichi FukudaDDS, PHD,
Yoshihiko KoukitaDDS, PHD,
Yuzuru KanekoDDS, PHD, and
Tatsuya IchinoheDDS, PHD
Article Category: Research Article
Volume/Issue: Volume 63: Issue 4
Online Publication Date: Jan 01, 2016
DOI: 10.2344/15-00012.1
Page Range: 175 – 180

Anesthetics used for ambulatory anesthesia should have the following characteristics: smooth and rapid induction, easily controllable depth of anesthesia in the maintenance phase, rapid emergence and recovery from anesthesia, and few adverse reactions after general anesthesia. 1 Two anesthetics currently used for ambulatory anesthesia are propofol and sevoflurane. Emergence from propofol anesthesia is rapid because the context-sensitive half-time is less than 30 minutes 2 even after 5-hour continuous infusion. Emergence from sevoflurane

Malignant Hyperthermia: A Case Study in the Dental Ambulatory Surgery Setting
Bryant W. CorneliusDDS, MBA, MPH,
Shelby Olsen DibDDS,
Regina A. DowdyDDS,
Christina K. HortonDDS,
Katherine FrimenkoDDS,
Shadee MansourDMD,
Farah Abu SharkhDDS,
Marcus T. JoyDDS,
David L. HallDDS,
Hany A. Emam BDS, MS,,
Courtney A. JatanaDDS, MS, FACS,, and
Kelly S. KennedyDDS, MS
Article Category: Case Report
Volume/Issue: Volume 66: Issue 4
Online Publication Date: Jan 01, 2019
DOI: 10.2344/anpr-66-04-03
Page Range: 202 – 210

hospital setting and 1 per 500,000 surgical patients treated under anesthesia in the ambulatory surgery setting. 5 – 7 These statistics imply that most anesthesiologists will never encounter a case of MH during their careers. Notwithstanding the rarity of MH, anesthesiologists should understand the pathophysiology of this deadly disease and regularly review with their colleagues and support staff the proper manner in which to treat it perioperatively. Familiarity with and adherence to approved MH protocols is essential in assuring a positive outcome when MH

Review of Modern Insulin Pumps and the Perioperative Management of the Type 1 Diabetic Patient for Ambulatory Dental Surgery
Philip M. YenDDS, MS and
Andrew S. YoungDDS
Article Category: Review Article
Volume/Issue: Volume 68: Issue 3
Online Publication Date: Oct 04, 2021
DOI: 10.2344/anpr-68-03-16
Page Range: 180 – 187

, Ghojazadeh M. Prevalence and incidence of type 1 diabetes in the world: a systematic review and meta-analysis . Health Promotion Perspectives . 2020 ; 10 (2) : 98 – 115 . 4.  Cornelius BW. Patients with type 2 diabetes: Anesthetic management in the ambulatory setting. Part 1: pathophysiology and associated disease states . Anesth Prog . 2016

Potent Inhalational Anesthetics for Dentistry
Mary SatuitoDDS and
James TomDDS, MS
Article Category: Other
Volume/Issue: Volume 63: Issue 1
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.1.42
Page Range: 42 – 49

anesthesia. Although there are multiple agents that can be utilized, whether inhaled or intravenous (IV), to achieve general anesthesia, inhalational anesthesia is still the most common modality utilized today in many ambulatory and hospital settings. 1 With the advancement of surgical techniques and availability of newer, short-acting drugs, particularly the introduction of the IV agent propofol, there has been a rapid increase in ambulatory surgery in the last 2 decades, 2 – 4 with over 35 million patients utilizing it for various surgical procedures yearly. 3

Figure 2 ; (a) A comparison of surgical case duration in National Anesthesia Clinical Outcomes Registry–DENTAL and Society for Ambulatory Anesthesia Clinical Outcomes Registry (SAMBA-SCOR) registries. Surgical duration is defined as the difference between surgical start and stop times, in minutes. (b) A comparison of ambulatory surgery center and office-based venues with regard to induction time, perioperative time, and recovery time. All cases were performed by the dentist anesthesiologists in the SAMBA-SCOR registry.
Mark A. Saxen,
Richard D. Urman,
Juan F. Yepes,
Rodney A. Gabriel, and
James E. Jones
<bold>Figure 2</bold>
Figure 2

(a) A comparison of surgical case duration in National Anesthesia Clinical Outcomes Registry–DENTAL and Society for Ambulatory Anesthesia Clinical Outcomes Registry (SAMBA-SCOR) registries. Surgical duration is defined as the difference between surgical start and stop times, in minutes. (b) A comparison of ambulatory surgery center and office-based venues with regard to induction time, perioperative time, and recovery time. All cases were performed by the dentist anesthesiologists in the SAMBA-SCOR registry.

Figure 4.; Number of respondents reporting participation in peer review or office accreditation. Abbreviations: ISOMS, Illinois Society of Oral and Maxillofacial Surgeons; AAOMS, American Association of Oral and Maxillofacial Surgeons; JCAHO, Joint Commission on Accreditation of Healthcare Organizations; AAAHC, Accreditation Association for Ambulatory Health Care.
William G. Flick,
Alexander Katsnelson, and
Howard Alstrom
Figure 4.
Figure 4.

Number of respondents reporting participation in peer review or office accreditation. Abbreviations: ISOMS, Illinois Society of Oral and Maxillofacial Surgeons; AAOMS, American Association of Oral and Maxillofacial Surgeons; JCAHO, Joint Commission on Accreditation of Healthcare Organizations; AAAHC, Accreditation Association for Ambulatory Health Care.