{"title":"Victory over pain: an historical perspective.","authors":"P H Jacobsohn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Horace Wells, a dentist, is credited with the discovery of anesthesia. However, there are others who experimented with inhalation agents long before Wells' time. This paper reviews the history of anesthesia and recounts its discovery by Wells in 1844 as we approach the 150th anniversary of the event.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565247","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":"Displacement of the endotracheal tube caused by postural change: evaluation by fiberoptic observation.","authors":"K Sugiyama, W Mietani, Y Hirota, H Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unexpected displacement of the endotracheal tube during anesthesia caused by postural change of the neck or passive compression by the mouth gag was investigated under transluminal fiberoptic observation. Twenty-two patients were divided into orotracheal and nasotracheal intubation groups according to the technical requirements of the planned oral and maxillofacial surgery. Under nasotracheal intubation, the mean length of displacement from the carina was 21 mm by extension of the neck, and 8 and 7 mm by lateral rotation of the neck to the right and left sides, respectively. Under orotracheal intubation, the mean length of displacement from the carina was 12 mm by extension of the neck and almost 28 mm with application of the mouth gag. To avoid accidental extubation or one-sided bronchial intubation during anesthesia, the tip (distal end) of the endotracheal tube should be located less than 32 mm from the carina before extension of the neck and more than 41 mm from the carina before application of the mouth gag.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12566039","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}
S F Malamed, P Sykes, Y Kubota, H Matsuura, M Lipp
{"title":"Local anesthesia: a review.","authors":"S F Malamed, P Sykes, Y Kubota, H Matsuura, M Lipp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Local anesthetics are the most widely administered drugs in dentistry. Significant advances have been made in past decades that have greatly increased both the safety and the efficacy of these important drugs. This paper reviews the history of local anesthesia, pharmacokinetics and clinical implications, techniques, complications, and future directions in the quest for more effective pain control in dentistry.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 1","pages":"11-24"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12566037","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":"Emergency treatment in Australia.","authors":"I Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This short communication describes the key points of the emergency medical treatment situation for dentists in Australia. Dental school training and postgraduate educational opportunities in emergency medicine, emergency equipment and drugs found in a typical dental office, and use of the EMS by dentists are covered.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"167-70"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593263","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":"IFDAS Research Council Report 1988-91: Midazolam.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"184-92"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593265","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":"Tenoxicam for pain relief following third molar surgery.","authors":"L K Cheung, C Rodrigo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tenoxicam is a long-acting nonsteroidal anti-inflammatory agent that appears to have the ability to control pain of musculoskeletal origin. A double-blind randomized crossover study was designed to determine the efficacy of tenoxicam for pain relief following third molar surgery by comparing it with paracetamol. Immediately before surgery, 30 Chinese patients with bilateral symmetrically impacted mandibular third molars were given 40 mg of tenoxicam for surgery on one side and 1,000 mg of paracetamol for surgery on the other. Both paracetamol and tenoxicam were efficient as pain relievers after third molar surgery. Tenoxicam had comparable efficacy to paracetamol, but did not provide any advantage in terms of duration of action. The discrepancy between the clinical observation and pharmacokinetic prediction may be related to the strong serum binding property of tenoxicam.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 4","pages":"229-33"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472992","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 of the head and neck.","authors":"M Bernal-Sprekelsen, A Schmelzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In theory, most ear, nose, and throat surgery involving the soft tissues of the head and neck may be performed under local anesthesia. This includes surgery on the middle ear, even mastoidectomy; partial or total laryngectomies; surgery on the nose and paranasal sinuses; and surgery on the major salivary glands. For this purpose, local anesthetics, with or without epinephrine, are administered either by infiltration injection or by topical application. The selection of either local or general anesthesia for a surgical procedure will depend on many important factors, not the least of which is the preference of the patient. This paper presents factors to be considered in making this choice, as well as surgical indications and contraindications to the use of local anesthesia.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 2","pages":"81-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565253","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":"Incidence of positive aspiration in the Gow-Gates mandibular block.","authors":"J E Watson, G A Gow-Gates","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evidence strongly suggests that rigorous precautions should be taken to avoid accidental intravascular injection of local anesthetic solutions. In this study, 3,000 patients each received a Gow-Gates mandibular block, resulting in a positive aspiration frequency of 1.6%. In the conventional inferior alveolar block technique, a range of positive aspirations from 3.6% to 22% has been noted. The Gow-Gates block has other important advantages over the conventional block. By observing the landmarks and the depth of penetration, it is possible to reinsert the needle with a reasonable assurance of a negative aspiration at the second attempt. The conventional technique suffers the major disadvantage that needle insertion techniques which produce the highest rates of clinically successful pain control run the greatest risk of vascular penetration. Operators skilled in the Gow-Gates technique should be able to achieve a positive aspiration rate of less than 2%. The technique is unique among oral nerve block procedures in that the preferred injection site for maximum efficacy is also the site that is least likely to result in vascular penetration.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 2","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12565251","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":"Analysis of abnormal electrocardiogram observed during surgery: Part 1. Lead placement methods and artifacts.","authors":"A Osawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The fundamentals of electrocardiographic diagnosis and the types of abnormal ECGs frequently found during surgery are described in this two-part article. Part 1 discusses lead placement and artifact recognition. Part 2 will describe arrhythmia and atrial fibrillation and flutter. Clinical situations of each are analyzed.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 4","pages":"235-45"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472993","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}
P Sykes, M Lipp, S F Malamed, Y Kubota, H Matsuura
{"title":"Physical evaluation of the patient.","authors":"P Sykes, M Lipp, S F Malamed, Y Kubota, H Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The physical evaluation of the patient before and during anesthesia and sedation is assuming an ever greater importance with the advent of sophisticated and reliable monitoring devices. This paper reviews the possible methods of evaluation and describes the types of mechanical monitors most suited to the dental office.</p>","PeriodicalId":76997,"journal":{"name":"Anesthesia & pain control in dentistry","volume":"1 3","pages":"171-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12593264","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}