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Management of Patients With Cardiovascular Implantable Electronic Devices in Dental, Oral, and Maxillofacial Surgery
James TomDDS, MS
Article Category: Research Article
Volume/Issue: Volume 63: Issue 2
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.2.95
Page Range: 95 – 104

. IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS ICDs are generally indicated for patients with unstable or potentially fatal tachyarrhythmias. Similar to external defibrillators, ICDs have the ability to continuously monitor and analyze heart rhythms for ventricular fibrillation (VF) or ventricular tachycardia (VT) and deliver a shock intrathoracically. Contemporary ICDs not only provide defibrillation (up to 30–39 J) but may also provide cardioversion and antitachycardia pacing. 8 ICD placement is indicated for patients who may have suffered previous cardiac arrest

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Figure 1. ; Paced rhythm with pacer “spike.”
James Tom
<bold>Figure 1.</bold>
 
Figure 1.

Paced rhythm with pacer “spike.”


James Tom
<bold>Figure 2.</bold>
 
Figure 2.

Medtronic MRI-compitable pacemaker.


James Tom
<bold>Figure 3.</bold>
 
Figure 3.

Typical ICD and right atrial and right ventricular lead placement.


James Tom
<bold>Figure 4.</bold>
 
Figure 4.

Typical 90-gauss “doughnut” magnet.


Thunshuda SumphaongernMD,
Erika YamaharaDDS, and
Ryo WakitaDDS, PhD
Article Category: Case Report
Volume/Issue: Volume 70: Issue 1
Online Publication Date: Mar 28, 2023
Page Range: 25 – 30

patients. The administration of IV epinephrine along with other relevant medications and their correct dosing could be included. The need to ensure our dental clinics are sufficiently prepared and our staff appropriately trained for emergency resuscitation is essential. Prompt use of AEDs in addition to high-quality CPR is critical to save the lives of patients who require early defibrillation. In Japan, ∼60% of ECGs indicated ventricular fibrillation or pulseless ventricular tachycardia at the time of SCA, and 40% of SCAs reflect ventricular fibrillation

Mark A. SaxenDDS, PhD,
Richard D. UrmanMD, MBA, and
Joseph T. HomsiMD
Article Category: Research Article
Volume/Issue: Volume 66: Issue 2
Online Publication Date: Jan 01, 2019
Page Range: 111 – 114

compared with general anesthesia, presumably because of its anti-inflammatory effect and preservation of the functionality of natural killer cells (which opioids appear to inhibit), there is still a need for prospective randomized trials. At the same time, it is still unclear from a mechanistic perspective how specific anesthetic drugs such as barbiturates, inhalational agents, propofol, and etomidate contribute to tumor recurrence. (Summary RD Urman) Bircher NG, Chan PS, Xu Y. Delays in cardiopulmonary resuscitation, defibrillation and epinephrine

Mark A. SaxenDDS, PhD
Article Category: Research Article
Volume/Issue: Volume 67: Issue 2
Online Publication Date: Jul 06, 2020
Page Range: 121 – 123

waving the activated electrode over the generator; and (3) use short, intermittent, and irregular bursts of electrosurgery at the lowest feasible energy levels. Use of bipolar electrosurgery or an ultrasonic (harmonic) scalpel is advised, if possible. During the perioperative period, the patient with CIED might require emergency external defibrillation or cardioversion. In this case, the main concern is to minimize the current flowing through the pulse generator and leads. Before attempting to emergently externally cardiovert or defibrillate a patient with an

Article Category: Other
Volume/Issue: Volume 63: Issue 4
Online Publication Date: Jan 01, 2016
Page Range: 218 – 218

Cardiac arrest, 34 Cardiopulmonary resuscitation, 62 Cardiorenal syndrome, 34 Cauterization, 95 Charcot-Marie-Tooth disease, 80 CIED, 95 Congenital heart disease, 201 Congestive heart failure, 34 Conscious sedation, 25 Coronary artery steal, 42 Cough reflex, 185 Deep sedation, 185 Defibrillation, 95 Dental anesthesia, 84, 116, 139, 192 Dental education, 62 Dental emergency, 34 Dental injection technique, 192 Dental radiographs, 181

Joel M. WeaverDDS, PhD
Article Category: Editorial
Volume/Issue: Volume 53: Issue 4
Online Publication Date: Jan 01, 2006
Page Range: 117 – 118

to take credit for inventing it, as he insisted that he had merely brought to light separate effective procedures that had already been discovered and put them together into what he called the ABCs—maintaining a patient's airway, breathing, and circulation. At its annual meeting in 1962, the American Dental Society of Anesthesiology was honored to have Dr Safar present and subsequently to publish a case report of successful CPR with defibrillation in the Journal of the American Dental Society of Anesthesiology, the former name of Anesthesia Progress