Your editor's mother is a Phi Beta Kappa college graduate who majored in Latin. She made certain that everyone understood its influence on modern culture. Latin is the root language for all the Romance languages. Although it could be argued that because people do not communicate among themselves in Latin, it would be better to study languages that are spoken, such as French, German, Spanish, or Japanese. Latin is much less popular with students now than in my time, but it still influences our society, despite being called a dead language.

For instance, while completing my studies in pharmacy school,

Abstract

This study was conducted on 72 American Society of Anesthesiologists class 1 patients scheduled for extraction of a mandibular third molar after inferior alveolar nerve block. Each patient was randomly administered one of the following ropivacaine concentrations: 0.75%, 0.5%, 0.375%, or 0.25% (18 patients per group). Onset of block (mean ± SD) was rapid for both 0.75% (1.4 ± 0.4 minutes) and 0.5% (1.7 ± 0.5 minutes) ropivacaine but significantly slower for the 0.375% (4.2 ± 2.5 minutes) and 0.25% (10.7 ± 3.0 minutes) concentrations. Tooth extraction was performed successfully with the 0.5% and 0.75% concentrations, and supplemental injections were not required. Second injections, however, were required with 0.375% ropivacaine. Anesthesia was unsuccessful in 13 patients given 0.25% ropivacaine even after 3 injections. The mean durations of soft tissue anesthesia were 3.3 ± 0.3 hours and 3.0 ± 0.3 hours for the 0.75% and 0.5% concentrations, but significantly shorter with more dilute concentrations. The duration of analgesia showed a similar pattern, with the 0.75% and 0.5% concentrations producing prolonged analgesia of 6.0 ± 0.4 hours and 5.6 ± 0.4 hours. These results indicate that 0.5% and 0.75% concentrations were effective for intraoral nerve blockade, with both a rapid onset and prolonged duration of pain control.

Abstract

The aim of this study is to assess the difference in duration of action after infiltration anesthesia when elevation of a periosteal flap (EPF) was accomplished with water or saline irrigation versus nonelevation of a periosteal flap (NEPF). The 57 patients in this study were under conscious sedation. A long treatment time of more than 1 hour was used. Instances where peripheral nerve block or opioids were administered and infiltration anesthesia over 2 fields were excluded before the study. Patients were included in either an EPF group (n = 29) or an NEPF group (n = 28). Statistically significant differences were detected in the initial dose of anesthetic (EPF: 4.3 ± 1.4 mL, NEPF: 1.8 ± 0.9 mL), the time until initial supplemental anesthesia (EPF: 38 ± 26 minutes, NEPF: 65 ± 27 minutes), and the frequency of anesthesia administration (EPF: 2.5 ± 1.2 times, NEPF: 1.3 ± 0.7 times). These results suggest that the duration of anesthesia action in EPF decreases to half compared with NEPF, even if the anesthetic was infiltrated in double the amount. Although supplemental anesthesia is required frequently in EPF, it is not efficacious. We speculated that the residual anesthetics in tissue were washed out by irrigation and hemorrhage and that supplemental anesthesia became ineffective because of leakage from the opened flap. Elevation of a periosteal flap reduces the effect of infiltration anesthetics.

Abstract

A 57-year-old male with a documented history of obstructive sleep apnea with loud snoring received deep intravenous sedation with midazolam, fentanyl, ketamine, and propofol infusion and a left interscalene brachial plexus nerve block for a left biceps tendon repair. Loud snoring during the case was noted. On the second postoperative day, he was observed to have significant uvular edema. After due consideration of the various elements in the differential diagnosis, it was concluded that negative pressure trauma from deep snoring during the sedation was the most likely etiology.

Anaphylaxis After a Third Exposure to Sugammadex

Honoka IshiharaDDS,

Yukie NittaDDS, PhD,

Yoko KudoDDS, PhD, and

Kanta KidoDDS, PhD

It's Time to Throw Out Old-Fashioned Latin Abbreviations

Anesthetic Efficacy of Different Ropivacaine Concentrations for Inferior Alveolar Nerve Block

Abstract

Elevation of a Periosteal Flap with Irrigation of the Bone for Minor Oral Surgery Reduces the Duration of Action of Infiltration Anesthesia

Abstract

Uvular Edema Secondary to Snoring Under Deep Sedation

Abstract

Anesthetic Management of a Patient With Sturge-Weber Syndrome Undergoing Oral Surgery

Abstract

Management of Medical Emergencies in the Dental Office: Conditions in Each Country, the Extent of Treatment by the Dentist

Anaphylaxis After a Third Exposure to Sugammadex

Limited Nasal Intubation Route After Pharyngeal Flap Surgery: A Case Report

Use of Ultrasound-Guided Glossopharyngeal Nerve Block and Intravenous Sedation to Control a Gag Reflex

An Appropriate Setting for a Patient-Controlled Analgesia Pump for Continuous Local Anesthesia After Bimaxillary Osteotomy

Ramped Position Improves Oxygenation During Mechanical Ventilation for Patients With Severe Obesity