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Figure 4 ; Regular users of antipsychotics who received lidocaine hydrochloride solution containing adrenaline during dental treatment
<bold>Figure 4</bold>
Figure 4

Regular users of antipsychotics who received lidocaine hydrochloride solution containing adrenaline during dental treatment

Who Should Have Access to the Controlled Substances in Your Office?
Joel M. WeaverDDS, PhD
Article Category: Research Article
Volume/Issue: Volume 56: Issue 4
Online Publication Date: Jan 01, 2009
DOI: 10.2344/0003-3006-56.4.113
Page Range: 113 – 114

themselves, friends, or family members without the doctor's knowledge. Pharmacists who are familiar with the dental auxiliary's voice and style have no reason to doubt the legitimacy of any of the calls. Some drug abuser-employees use the drugs themselves; others sell them at inflated “street prices” to be able to buy the street drugs of their choice. It is my opinion that despite the extra time it takes to personally call into the pharmacy all new prescriptions and refills, this is the sole duty and responsibility of the licensed practitioner. As an added safety benefit

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What is the Standard of Care for Anesthesia? Who Determines it?
Joel M. WeaverDDS, PhD
Article Category: Research Article
Volume/Issue: Volume 56: Issue 1
Online Publication Date: Jan 01, 2009
DOI: 10.2344/0003-3006-56.1.1
Page Range: 1 – 2

standard of care. They then offer their own opinions as to whether or not the dentist met that standard. But what is the true standard of care, and who determines it? The standard of care is often defined as the level at which average, prudent, similarly qualified providers in a given community would have managed the patient's care under the same or similar circumstances. In the past, when there were significant differences in how dentistry was practiced in different communities, experts typically were obtained from the same community as the venue of the case

When Can a Normal Dose Be an Overdose? Who Is at Risk?
Joel M. WeaverDDS, PhD, Editor-in-Chief
Article Category: Other
Volume/Issue: Volume 61: Issue 2
Online Publication Date: Jan 01, 2014
DOI: 10.2344/0003-3006-61.2.45
Page Range: 45 – 46

recommended dose (MRD) above which either there is insufficient data on safety and efficacy or else there is sufficient data to suggest that administering or prescribing above that limit markedly increases the risk of serious side effects such as overdose toxicity. For triazolam, the FDA's MRD is 0.5 mg. In fact, in the package insert, the FDA warns, “A dose of 0.5 mg should be used only for exceptional patients who do not respond adequately to a trial of a lower dose because the risk of several adverse reactions increases with the size of the dose administered. A dose of 0

Figure 1.; Trend of cardiovascular vitals for case 1. Vasopressin stabilized labile hypotension unresponsive to standard vasopressors in a patient who continued angiotensin receptor blocker (ARB) therapy preoperatively.
Caitlin M. Waters,
Kristen Pelczar,
Edward C. Adlesic,
Paul J. Schwartz, and
Joseph A. Giovannitti Jr
Figure 1.
Figure 1.

Trend of cardiovascular vitals for case 1. Vasopressin stabilized labile hypotension unresponsive to standard vasopressors in a patient who continued angiotensin receptor blocker (ARB) therapy preoperatively.

Figure 3. ; Photograph of patient who received 8 mL of 1% diphenhydramine plus 1:100,000 epinephrine. Note the swelling on her right cheek.
Babak Bina,
Elliot V. Hersh,
Micael Hilario,
Kenia Alvarez, and
Bradford McLaughlin
<bold>Figure 3.</bold>
Figure 3.

Photograph of patient who received 8 mL of 1% diphenhydramine plus 1:100,000 epinephrine. Note the swelling on her right cheek.

Difficult Airway Management in a Patient With Nicolaides-Baraitser Syndrome Who Had a Small Jaw and Limited Mouth Opening
Saori TaharabaruDDS,
Takehito SatoMD, and
Kimitoshi NishiwakiMD, PHD
Article Category: Brief Report
Volume/Issue: Volume 68: Issue 1
Online Publication Date: Apr 07, 2021
DOI: 10.2344/anpr-67-04-05
Page Range: 47 – 49

Nicolaides-Baraitser syndrome (NCBRS) is a very rare congenital genetic disorder with the characteristic findings of developmental delay, dysmorphic facial features, seizures, small stature, and sparse hair. 1 Herein, we present the first anesthetic report of a patient with NCBRS who had micrognathia, limited mouth opening, and a difficult airway that was successfully managed and nasally intubated with a flexible fiberoptic scope (FS) during general anesthesia for dental treatment. CASE REPORT The patient was a 9

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

.  World Health Organization: Hand Hygiene Hand-hygiene technique with an alcohol-based formulation (20–30 seconds in duration) Hand-hygiene technique with soap and water (40–60 seconds in duration) Details of the specific hand-hygiene procedures can be found at https://www.who.int/infection-prevention/campaigns/clean-hands/5moments/en/ . Specifically, in the current practice of sedation and anesthesiology in

Figure 1; Algorithm for managing patients who claim allergy to local anesthetics. If allergist referral is elected, items included in the arrowed box are reasonable requests for testing. (Adapted from deShazo RD, Kemp SF. JAMA. 1997;278:1903.)
Daniel E. Becker
Figure 1
Figure 1

Algorithm for managing patients who claim allergy to local anesthetics. If allergist referral is elected, items included in the arrowed box are reasonable requests for testing. (Adapted from deShazo RD, Kemp SF. JAMA. 1997;278:1903.)