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Infection Control in Dental Anesthesiology: A Time for Preliminary Reconsideration of Current Practices
James TomDDS, MS DADBA
Article Category: Research Article
Volume/Issue: Volume 67: Issue 2
Online Publication Date: Jul 06, 2020
DOI: 10.2344/anpr-67-02-12
Page Range: 109 – 120

Joint Commission, require high-level disinfection after each use because of their contact with mucous membranes or nonintact skin surfaces ( Table 1 ). In the past, laryngoscope handles themselves were classified as noncritical, and therefore subject only to low-level disinfection unless substantial risk was identified in the anesthetic management of patients with infectious disease, including Ebola virus, or treatment involving patients with active prions, such as Creutzfeldt-Jakob disease. 9 However, further studies into the efficacy of various sterilization

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Joel M. WeaverDDS, PhD
Article Category: Other
Volume/Issue: Volume 61: Issue 3
Online Publication Date: Jan 01, 2014
Page Range: 93 – 94

Of course, prevention is the best way to control the spread of HCV since unfortunately no vaccine has yet been developed to prevent HCV infection. In the dental office, proper sterilization of instruments is paramount, along with washing of hands with soap and water if they are grossly contaminated, the use of alcohol-based hand rubs before and after touching each patient, and of course the use of gloves, especially when working in the mouth or starting intravenous infusions. Meticulous sterile technique must be enforced regarding parenteral drug administration

Candace K. E. De VeauxDDS, MSD,
Thomas A. MontagneseDDS, MS,
Masahiro HeimaDDS, PhD,
Anita AminoshariaeDDS, MS, and
Andre MickelDDS, MSD
Article Category: Research Article
Volume/Issue: Volume 63: Issue 4
Online Publication Date: Jan 01, 2016
Page Range: 181 – 184

, which consisted of 10 questions, and the MDAS, which consisted of 5 questions. Each patient was tested using the same sequence of events, namely, mandibular PA x-ray and a simulated IANB. Exclusion Criteria We excluded patients who were ASA class III or IV, pregnant, edentulous, or refused to participate. Radiographic Tolerance Test Standard sterilization and infection control procedures were followed throughout and for all tests. The sensor in the sensor holder was positioned for a

Daniel S. SarasinDDS,
Jason W. BradyDMD, and
Roy L. StevensDDS
Article Category: Research Article
Volume/Issue: Volume 67: Issue 1
Online Publication Date: Jan 01, 2020
Page Range: 48 – 59

drug from the vial and proper labeling of the syringe, is crucial. This should be performed utilizing strict sterile technique in accordance with the Centers for Disease Control and Prevention guidelines. In hospitals and many accredited surgery centers, infection control standards are regularly inspected by third-party infection control committees and accreditation agencies. This oversight is not routinely present in dental offices, requiring additional effort from the anesthesia provider to confirm that proper sterilization technique and infection control measures

Joanna Saenz McPhersonDDS, MS,
Sara A. DixonDDS, MS,
Richard TownsendDMD, MS, and
Kraig S. VandewalleDDS, MS
Article Category: Other
Volume/Issue: Volume 62: Issue 1
Online Publication Date: Jan 01, 2015
Page Range: 2 – 7

sterilized metal syringes that were prescored using a bur measured with a digital caliper. The portion of the syringe that carried the anesthetic cartridge was divided into quarters and scored at each quarter. The syringes were arranged as shown in Figure 1 . The PI loaded the 4 scored syringes with the anesthetic cartridges and attached each of the different types of needle. The 4 loaded syringes were laid on a patient napkin on the counter, and the PI left the room. Needle-stick protectors were permanently scored with “A” and “a” and “B” and “b.” The uppercase letters

Yozo ManabeDDS, PhD,
Shigeru IwamotoDDS,
Mika SetoDDS, PhD, and
Kazuna SugiyamaDDS, PhD
Article Category: Other
Volume/Issue: Volume 61: Issue 2
Online Publication Date: Jan 01, 2014
Page Range: 47 – 52

adjusted to the light source. The NTT was inserted with the TL after removal of the stylet (TL-NTT) and soaking it in warm sterilized normal saline to reduce epistaxis and nasal damage. 11 The TL-NTT was inserted into the nostril and advanced until light was seen in the oropharynx. After further advancing, a blurred light was seen in the submandibular area. The TL-NTT tip was maneuvered anteromedially until a bright spot of light was seen at the cricothyroid membrane; the TL was then withdrawn and the NTT advanced into the trachea. The cuff of the tracheal tube was

Rose Maria JosephBDS,
Ashwin P. RaoMDS,
N. SrikantMDS,
Y. M. KarunaMDS, and
P. Anupama NayakMDS
Article Category: Research Article
Volume/Issue: Volume 66: Issue 4
Online Publication Date: Jan 01, 2019
Page Range: 221 – 226

before the commencement of the procedure. Procedure The recommended injection protocol for use with pediatric patients was followed for both groups. This included basic behavior management techniques such as euphemisms, tell-show-do, positive verbal reinforcement, and distraction. 12 The patient's buccal mucosa was dried with gauze and a flavored topical anesthetic (Precaine ® topical anesthetic gel, Pascal International, Inc, Bellevue, WA) was applied to the area of needle insertion for 5 minutes using disposable sterilized cotton

Jeffrey S. YasnyDDS and
Jennifer WhiteMPH
Article Category: Other
Volume/Issue: Volume 59: Issue 4
Online Publication Date: Jan 01, 2012
Page Range: 154 – 158

machine, costs $20,000, and can serve up to 8 operating rooms. The exhaust system is activated only when the patient exhales and used anesthetic appears. Energy savings also result because the vacuum pump runs only 10% of the time. 24 Another company that seeks to capture the unused anesthetic before it is released into the environment is Blue-Zone Technologies Ltd, with its canister system, Deltasorb. The Deltasorb selectively captures the inhalation anesthetics before they enter the atmosphere through a filtration process. The self-sterilizing drugs are then

Nurain Rehman BDS, and
Samir Riaz Qazi BDS, FFDRCSI, MPHIL
Article Category: Research Article
Volume/Issue: Volume 66: Issue 1
Online Publication Date: Jan 01, 2019
Page Range: 24 – 29

or dentists. For both groups, 0.6 mL of 2% lidocaine with epinephrine 1:100,000 via a 1.8-mL cartridge (Medicaine, Huons Co Ltd, Korea) and a 27-gauge needle was used for every participant. The standard procedure of administering infiltration was as follows 15 : The area of needle insertion was first dried using sterile gauze. In the benzocaine group, 1 mL of topical anesthetic gel containing 20% of benzocaine was dispensed into a dosing spoon. Sterilized cotton square pieces measuring (1 × 1 cm) were used to make cotton balls with which the gel was applied

Yuki ChogyojiDDS and
Seiji WatanabeMD, PhD
Article Category: Research Article
Volume/Issue: Volume 67: Issue 2
Online Publication Date: Jul 06, 2020
Page Range: 79 – 85

speaking, the antibacterial spectrum and the sterilizing power of antiseptic solutions (such as povidone-iodine) are much broader and stronger than most commonly used antibiotics. However, the strength of toxicity and potential tissue damage resulting from the use of antiseptic solutions tends to be considerably higher than found with antibiotics. This relatively simple method of SI with saline could potentially reduce the overuse of perioperative antibiotics in health care settings, including dental settings, 5 , 6 because SI with saline reduced bacterial contamination