Anesthesia & pain control in dentistry最新文献_第5页

The management of craniofacial pain in a pain relief unit. 缓解疼痛单位颅面疼痛的处理。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

L Hillman, M T Burns, A Chander, Y M Tai

引用次数: 0

Management of an emergency: to be prepared for the unwanted event. 紧急事件的管理:为不希望发生的事件做好准备。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

M Lipp, Y Kubota, S F Malamed, H Matsuura, P Sykes

{"title":"Management of an emergency: to be prepared for the unwanted event.","authors":"M Lipp, Y Kubota, S F Malamed, H Matsuura, P Sykes","doi":"","DOIUrl":"","url":null,"abstract":"Every dental office needs an adequate emergency treatment structure. While theoretical and practical pregraduate education in emergency medicine is included (in differing degrees) in the curricula of dental schools throughout the world, postgraduate training is generally undertaken on a voluntary basis. Repeated training in emergency techniques is encouraged for the dentist and dental office staff, as the trained and coordinated action of the whole team in the dental office is necessary when an emergency occurs. Whenever possible, a recognized risk factor should be eliminated or its possible influence minimized prior to dental treatment. Patients requiring immediate dental therapy will need appropriate monitoring, adequate application of systemically acting drugs, or even treatment under standby conditions. Diagnostic equipment as well as equipment for monitoring the respiratory and cardiovascular systems should be available. Several monitors (blood pressure, ECG, and pulsoximetry) have been introduced to dentistry and have their indications in special patient groups. Clear therapeutic concepts are the endpoint of proper emergency management. The restoration of an undisturbed vital function has to be achieved, followed by detailed therapy. Dentists should refresh their knowledge of emergency treatment techniques and prepare themselves with therapeutic guidelines.","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 2","pages":"90-102"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565255","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}

引用次数: 0

Duration of anesthesia using the periodontal ligament injection: a comparison of bupivacaine to lidocaine. 牙周韧带注射麻醉持续时间:布比卡因与利多卡因的比较。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

M E McLean, B E Wayman, R B Mayhew

引用次数: 0

Education in dental anesthesia in the United Kingdom. 英国的牙科麻醉教育。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

A M Skelly

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Vertex potentials evoked by nociceptive laser stimulation of oral mucosa: a comparison of four stimulation paradigms. 口腔粘膜损伤性激光刺激引起的顶点电位:四种刺激模式的比较。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

P Svensson, L Arendt-Nielsen, S Kaaber, P Bjerring

引用次数: 0

Practical application of meridian acupuncture treatment for trigeminal neuralgia. 经络针刺治疗三叉神经痛的实际应用。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

S Beppu, Y Sato, Y Amemiya, I Tode

引用次数: 0

Clinical investigation of potency and onset of different lidocaine sprays for topical anesthesia in dentistry. 不同利多卡因喷雾剂用于口腔表面麻醉的效价和起效的临床研究。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

M Daubländer, W Roth, P P Kleeman

{"title":"Clinical investigation of potency and onset of different lidocaine sprays for topical anesthesia in dentistry.","authors":"M Daubländer, W Roth, P P Kleeman","doi":"","DOIUrl":"","url":null,"abstract":"The clinical effects of three lidocaine-containing solutions with and without frigen (freon-113) as a propellant, after different waiting periods, and with different dosages applied were investigated in 130 outpatients who were undergoing dental treatment in the maxilla under local anesthesia. They were divided randomly into five groups (A through E): (A) Xylocaine spray with frigen, two applications (20 mg lidocaine); (B) Xylestesin spray with frigen, two applications (14 mg lidocaine); (C) Xylestesin spray with frigen, three applications (21 mg lidocaine); (D) Xylestesin pump spray without frigen, two applications (14 mg lidocaine); and (E) no topical anesthesia. They were further divided into 12 subgroups to evaluate waiting periods between the application of the topical anesthesia and the injection (1, 2, or 3 minutes). Patients assessed the pain of the injection, intensity of numbness, and intensity of the taste on a visual analog scale; they also assessed the pain of the injection compared to former injections. Pain during injection was reduced by topical application of lidocaine. A waiting period of 2 minutes proved to be sufficient and can be justified to avoid impatience and increased numbness in patients. However, a 3-minute waiting period may be appropriate for sensitive patients. An increase in the dosage failed to show better analgesia. The pump spray without frigen proved to be effective.","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12566038","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}

引用次数: 0

Effects of epinephrine and norepinephrine contained in 2% lidocaine on hemodynamics of the carotid and cerebral circulation in older and younger adults. 2%利多卡因中肾上腺素和去甲肾上腺素对老年人和年轻人颈动脉和脑循环血流动力学的影响。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

Y Hirota, T Hori, K Kai, H Matsuura

引用次数: 0

Anesthesia for temporomandibular arthroplasty in a quadriplegic patient: a case report. 四肢瘫痪患者颞下颌关节置换术麻醉1例。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

J A Roelofse, J A Morkel

{"title":"Anesthesia for temporomandibular arthroplasty in a quadriplegic patient: a case report.","authors":"J A Roelofse, J A Morkel","doi":"","DOIUrl":"","url":null,"abstract":"A 41-year-old male quadriplegic patient with bilateral TMJ ankylosis was admitted for surgery under general anesthesia. Preoperative tests showed abnormal lung function and a low total serum calcium level. Premedication consisted of diazepam 10 mg orally and glycopyrrolate 0.2 mg intramuscularly 90 minutes before the start of the operation. Because of an inability to open the mouth more than 0.5 cm, a nasal fiberoptic endoscopic intubation was done under sedation and local anesthesia. For maintenance of anesthesia the patient received nitrous oxide 50% in oxygen, halothane, and alfentanil. No muscle relaxant was administered. The 2-hour operation was completed uneventfully and the patient needed no ventilatory support afterward. Major anesthetic problems of spinal injury patients can be compared to those with cervical cord transection. The stage that the condition has reached determines the dominant anesthetic problems. The chronic stage (greater than 3 months postinjury, as in this patient) is usually characterized by sympathetic overactivity. Anesthetic problems during this stage may include risk of hyperkalemia from succinylcholine, cardiovascular instability and autonomic hyperreflexia, impaired thermoregulation, anemia, chronic infections, risk of hypercalcemia, and alveolar hypoventilation. None of these problems was encountered in this patient. A surprising finding was that the low serum calcium concentration did not influence the anesthetic outcome.","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"153-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593260","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}

引用次数: 0

Effects of different lidocaine sprays for topical anesthesia on cardiovascular parameters and oxygen saturation. 不同表面麻醉用利多卡因喷雾剂对心血管参数和血氧饱和度的影响。

Anesthesia & pain control in dentistry Pub Date : 1992-01-01

M Daubländer, W Roth, M Lipp

{"title":"Effects of different lidocaine sprays for topical anesthesia on cardiovascular parameters and oxygen saturation.","authors":"M Daubländer, W Roth, M Lipp","doi":"","DOIUrl":"","url":null,"abstract":"The effects of three lidocaine-containing solutions with and without frigen (freon-113) as a propellant on cardiovascular parameters and oxygen saturation, after different waiting periods and with different dosages applied, were investigated in 130 outpatients undergoing dental treatment in the maxilla under local anesthesia. They were divided randomly into five groups: (A) Xylocaine spray with frigen, two applications (20 mg lidocaine); (B) Xylestesin spray with frigen, two applications (14 mg lidocaine); (C) Xylestesin spray with frigen, three applications (21 mg lidocaine); (D) Xylestesin pump spray without frigen, two applications (14 mg lidocaine); and (E) no topical anesthesia. They were further divided into 12 subgroups to evaluate the influence of waiting periods between the application of the local anesthetic and the injection (1, 2, or 3 minutes). Without topical anesthesia and after the 1-minute waiting period, cardiovascular parameters increased immediately after the injection; after 2- and 3-minute waiting periods the increases were far less pronounced. The mean oxygen saturations did not change during the observed period. The higher lidocaine dosage administered (21 mg) did not intensify the positive impact on the cardiovascular parameters compared to the lower dosage (14 mg). The new pump spray without frigen proved to be as effective as the traditional, ecologically harmful aerosol sprays.","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"161-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593262","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}

引用次数: 0