{"title":"Analysis of abnormal electrocardiogram observed during surgery: Part 2. Arrhythmia.","authors":"A Osawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Part 1 on the fundamentals of electrocardiographic diagnosis of this two-part series discussed lead placement and artifact recognition. Part 2 describes and clinically evaluates various arrhythmias including tachycardia, bradycardia, extrasystole, fusion beat, and atrial fibrillation and flutter.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"34-48"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18691680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Local anesthesia during surgery: when is the best time to give it?","authors":"M Zacharias, G M Thyne, N H Luyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients undergoing third molar extractions while under general anesthesia were given local anesthesia either before (group 1) or after (group 2) surgery. The medication intake and pain scores were studied for 7 days but showed no difference between the two groups. It is suggested that timing of local anesthesia alone may not prevent or reduce the postoperative pain experience.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"2 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19317467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ingestion and aspiration of foreign bodies.","authors":"M Bernal-Sprekelsen, H Hildmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Foreign bodies may be swallowed as well as aspirated, but patients and their relatives may not understand the distinction. Fortunately, swallowing occurs more often than aspiration. Dental prostheses present specific problems in this regard. Their configuration impedes easy gliding through the esophagus and makes their extraction difficult. Swallowing of foreign bodies in elder patients is often explained by a decrease in psychological or neurological function, which undoubtedly may occur. The loss of tactile sense of the hard and soft palate as a result of complete denture use is another reason for frequent occurrence of this problem in elder patients.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"42-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transligamentary anesthesia: a review.","authors":"E Kaufman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intraligamentary anesthesia or, as we prefer to call it, transligamentary anesthesia (TLA) is one of the more recent developments in the field of pain blockage in dentistry. This review article organizes the vast amount of information, both current as well as past, found in the dental literature. After a general historical introduction, indications for TLA use are explained. This is followed by a technical examination of the anesthesia, including the various syringes in use, the preferred injection technique, and the types and volume of anesthesia solutions used. Other aspects of TLA, including the rate of success, onset time, duration, and animal/laboratory studies, are then examined. The various advantages and disadvantages of TLA are discussed along with adverse reactions, limitations, and patient acceptance. The article closes with a look at the diagnostic possibilities of the injection as well as a call for future research on this important development.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"133-41"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experience with triazolam in preschool children.","authors":"F C Quarnstrom, P Milgrom, P A Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Triazolam (0.125 to 0.25 mg) was administered preoperatively to 17 unmanageable children aged 22 to 65 months. The children were monitored visually and by pulse oximeter. No child experienced any airway obstruction and none had oxygen saturation below 90%. Older children had lower SaO2 values than younger children. There was no relationship between the mg/kg dose and SaO2 values.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"157-9"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drug-related methods for alleviation of stress in dentistry.","authors":"W Tolksdorf, S Siefert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For many patients, dental procedures can cause a great deal of anxiety and fear. These emotions are part of a stress reaction, which, in physiologic terms, can pose a serious risk, particularly to patients with pre-existing cardiopulmonary disorders. In each case the dentist must decide whether anxiolytic stress-reducing treatment is indicated, and which method should be used. Besides certain psychotherapeutic techniques, numerous drugs (neuroleptics, barbiturates, beta-blockers, and benzodiazepines) are available for this purpose. This paper reviews these types of drugs and offers recommendations for their use.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12530136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How safe is dental anesthesia?","authors":"P Sykes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the United Kingdom, the number of general anesthetics given under the National Health Service in general dental practice (excluding those given in hospitals) has declined steadily during the past 10 years. The mortality rate has also declined from approximately 1 in 200,000 (1952) to 1 in 2,000,000 (1990). These figures include deaths that occurred following treatment in hospitals and are divided almost equally between anesthetics given in hospitals and those given in dental practices. This paper examines the causes of deaths under dental general anesthesia and evaluates the proposals that have been made by the various official bodies appointed to consider the subject.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"46-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of coronary artery spasm during oral surgery under general anesthesia.","authors":"H Himuro, K Aono, T Honda, T Nakajima, G Ohara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of coronary artery spasm during oral surgery under general anesthesia is reported. The patient, aged 44 years, 160 cm in height, and 55 kg in weight, was scheduled for radical surgery for right maxillary sinusitis and was healthy except for the disease requiring surgery. Just before the start of the surgery, severe and persistent hypotension with tachycardia after local injection of 3% propitocaine with 0.03 IU/mL felypressin (Citanest-Octapressin) was followed by sudden ST elevations in the ECG. Immediate continuous intravenous injection of nitroglycerin was thought to be effective. The patient recovered without any sequelae.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 4","pages":"215-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M V Schaefer, M S Rugeles, G Gurman, H P Moecke, P M Osswald, D Olthoff, E Voigt, W F Dick
{"title":"Protocol for studying depth of anesthesia using the spectral edge frequency.","authors":"M V Schaefer, M S Rugeles, G Gurman, H P Moecke, P M Osswald, D Olthoff, E Voigt, W F Dick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The preliminary results of a multicenter study designed to determine the utility of the processed EEG in combination with heart rate and blood pressure for estimating anesthetic depth are reported. The study is planned to include 1,000 ASA I, II, and III patients undergoing surgery with at least a 60-minute duration of anesthesia. The preliminary results indicate that the use of EEG and clinical signs may provide better control of anesthetic depth. The study design provides ideal conditions for determining whether spectral edge frequency is a useful criterion for management of routine general anesthesia in a typical clinical environment.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 4","pages":"219-21"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intraoral conduction anesthesia with epinephrine-containing local anesthetics and arterial epinephrine plasma concentration.","authors":"U Sack, P P Kleemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Following conduction anesthesia using either lidocaine 2% with epinephrine 1:80,000, articaine 4% with epinephrine 1:100,000, or articaine 4% with epinephrine 1:200,000, the arterial plasma epinephrine concentration was measured. Eighteen healthy young patients scheduled for osteotomy of a mandibular third molar were studied. Each local anesthetic-epinephrine combination was tested in six patients. There was no significant difference in the arterial plasma epinephrine concentration after injection of 2 mL of the studied anesthetic-epinephrine combinations. The result was explained by the concentration difference in the local anesthetics. Although the vasodilating action of lidocaine and articaine is almost identical, there will be enhanced vasodilation by the doubled concentration in the case of articaine (4%) and the local resorption of epinephrine may be facilitated. There were no significant changes in the measured cardiovascular parameters.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 2","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}