Abstract

Twenty-four patients were randomly divided into 2 groups. Intraoperatively, one group received a continuous intravenous infusion of dexmedetomidine alone, whereas the other received a continuous dexmedetomidine infusion plus a small dose of midazolam. Early measurements of patient anxiety and psychomotor performance were lower in patients who had received midazolam. This difference was not seen later in the appointment. An amnesic effect was observed in those patients who received midazolam. This effect, however, did not translate into increased patient satisfaction in the group receiving midazolam. Our findings suggest a prolonged discharge time for patients who had been given midazolam that may be clinically significant. Overall, dexmedetomidine showed an unpredictable sedative response and may be less practical than more common alternatives for oral surgery procedures.

Abstract

The purpose of this study was to document current practices of dentist anesthesiologists who are members of the American Society of Dentist Anesthesiologists regarding the supplemental use of local anesthesia for children undergoing dental rehabilitation under general anesthesia. A survey was administered via e-mail to the membership of the American Society of Dentist Anesthesiologists to document the use of local anesthetic during dental rehabilitations under general anesthesia and the rationale for its use. Seventy-seven (42.1%) of the 183 members responded to this survey. The majority of dentist anesthesiologists prefer use of local anesthetic during general anesthesia for dental rehabilitation almost always or sometimes (90%, 63/70) and 40% (28/70) prefer its use with rare exception. For dentist anesthesiologists who prefer the administration of local anesthesia almost always, they listed the following factors as very important: “stabilization of vital signs/decreased depth of general anesthesia” (92.9%, 26/28) and “improved patient recovery” (82.1%, 23/28). There was a significant association between the type of practice and who determines whether or not local anesthesia is administered during cases. The majority of respondents favor the use of local anesthesia during dental rehabilitation under general anesthesia.

Abstract

Deliberate hypotension is an important technique for use in select anesthetics for procedures such as orthognathic surgery, specifically LeFort I maxillary osteotomy. We present a case report of an anesthetic involving deliberate hypotension for a 17-year-old female patient who presented for a LeFort I osteotomy, bilateral sagittal split of the mandible, and a genioplasty in order to correct a skeletal class III malocclusion. After reaching a steady-state general anesthetic, deliberate hypotension was induced solely with a bolus and subsequent continuous infusion of the ultrashort acting calcium channel blocker, clevidipine. The preoperative, intraoperative, and postoperative course and anesthetic management are discussed.

Takeshi Sogabe,

Address correspondence to Takeshi SOGABE Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, 2-1-3, Tsurumi, Tsurumi-ku, Yokohama 230-8501, Japan.

Dai Oohara Kan Misumi Aya Morikawa Yoko Kamiya Hiroshi Kobayashi Masayuki Suzuki Hiroshi Kawahara

Study of the FloTrac System™ Using the Dorsalis Pedis Artery in General Anesthesia for Oral Surgery

J Jpn Dent Soc Anesthesiol 2013;41:585–589.

The FloTrac system™ is composed of the FloTrac sensor™ and a Vigileo monitor™ (Edwards Lifesciences, Irvine, CA). The FloTrac system is an arterial pressure-based cardiac output (APCO) method that allows continuous measurement of cardiac output in real time using an arterial

Multiple Risks for Patients Using the Transdermal Fentanyl Patch

Dexmedetomidine Sedation With and Without Midazolam for Third Molar Surgery

Abstract

Use of Local Anesthesia During Dental Rehabilitation With General Anesthesia: A Survey of Dentist Anesthesiologists

Abstract

Deliberate Hypotensive Anesthesia With the Rapidly Acting, Vascular-Selective, L-Type Calcium Channel Antagonist—Clevidipine: A Case Report

Abstract

Factors Involved In Dental Surgery Fires: A Review of the Literature

Abstract

Adverse Drug Reactions in Dental Practice

Abstract

Continuing Education Program

JSDA JOURNAL ABSTRACTS

Study of the FloTrac System™ Using the Dorsalis Pedis Artery in General Anesthesia for Oral Surgery

J Jpn Dent Soc Anesthesiol 2013;41:585–589.

Commentary: Are Anesthesiologists Still “Darting” Their Patients?

Immunohistochemical Analysis of Maxillary Nerve Distribution in Rats

General Anesthesia for a Child With a Living Donor Liver Transplant After Hepatoblastoma and Metastatic Lung Tumor Resection

Difficulty Controlling Sedation Level Using Processed Electroencephalography Monitoring in a Patient With Intellectual Disability, Fontan Circulation, and a Severe Gag Reflex

A Case in Which the Hole in the Inflation Line Was Not Closed at the Tip of the Tracheal Tube

Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery

The Effect of Intraoral Suction on Oxygen-Enriched Surgical Environments: A Mechanism for Reducing the Risk of Surgical Fires

Letter to the Editor

Monheim LM. Analgesia in dentistry now and in the future. Anesth Prog. 1971;18(5):100–106 and J Am Analg Soc. 1971:9:1(abstract).

A Review of Current Literature of Interest to the Office-Based Anesthesiologist