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Hair tourniquet syndrome (HTS) is a condition where a hair strand will circle and become entangled around an appendage. In some cases a formidable knot will form, and the resulting tightened noose will slowly strangulate the appendage. Unfortunately, the first instinct of the patient or parent is to tug at the loose hair, which only further complicates the problem, and pain from ischemia may start. Without immediate release, the appendage may be lost. HTS usually affects the fingers, toes, wrists, penis or scrotum, vaginal labium

management, 18 Pressure pain threshold, 135 Reliability, 135 Restorative dentistry, 11 Sedation, 3, 164 Supraglottic airway device, 145 Supraglottic airways, 113 Surgical fire, 21 Third molars, 3 Tooth, 111 Topical anesthesia, 135 Tourniquet, 111 Validity, 135 Ventilation, 78, 113, 162

), 73 Croft K, Deliberate Hypotensive Anesthesia With the Rapidly Acting, Vascular-Selective, L-Type Calcium Channel Antagonist—Clevidipine: A Case Report (case report), 18 Cuddy MA, see Cooke M, 73 Drum M, see Younkin K, 63 Eguchi S, see Takaishi K, 107 Elmore JR, Do Patients Fear Undergoing General Anesthesia for Oral Surgery? (scientific report), 69 Farr B, see Cooke M, 73 Flores JR, Hair Tourniquet Syndrome in the Dental Patient (case report), 111 Fujisawa T, see Hase Y, 103 Fujisawa

the efficacy of pretreatment with lidocaine or flurbiprofen, with and without a tourniquet, to decrease the intensity of pain on propofol injection. The incidence of pain associated with injection of a solution of propofol containing an emulsion of medium and long chain-triglyceride was also assessed. Methods: 120 female patients undergoing oral day care surgery under local anesthesia with intravenous sedation were randomly assigned to one of 6 groups. No premedication was administered. Patients in group LCT (n  =  20) served as the control group and were

separated from the parent and taken into the treatment room. The patient was placed in the dental chair in a supine position and secured in a papoose board. A nasal hood was then placed over the nose and a mixture of 50% nitrous oxide and 50% oxygen was administered. The dental anesthesiologist then examined the antecubital fossa of each arm for an adequate vein. Once a suitable vein was found, a tourniquet was placed superior to the venipuncture site. The antecubital fossa area was then cleansed with an alcohol swab and a small volume of 4% prilocaine hydrochloride (0

Anesthesiologists standard monitors and a BIS monitor (Aspect Medical Systems Inc, Newton, Mass) were reapplied. The patient requested additional sedation at this time, and a small dose of ketamine (25 mg) was administered while a propofol infusion (100 μg/kg/min) was initiated. An upper extremity tourniquet was inflated to 275 mm Hg. The patient was comfortable at skin incision. Sedation was maintained with the propofol infusion and intermittent ketamine bolus doses. A total of 90 mg ketamine was administered during the 130-minute case. No antibiotics or other medications were

surgical procedures were likely to require extremely prolonged periods of general anesthesia, (4) the required use of a tourniquet to harvest the free flap in the third surgery, and (5) the need for prolonged posture restrictions to ensure lack of tension on the free flap after the second operation. For this patient with deteriorated cardiac function, placement of a central venous line was essential for CVP measurement to guide fluid management and to facilitate the administration of drugs including the potent vasopressors. However, it has been previously