Anesthesia progress最新文献

Identification and Management of Dental Anxiety by New Zealand Dentists. 新西兰牙医对牙科焦虑症的识别和管理。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/201833

Arthi Veerasamy, Zac Morse, William Murray Thomson

{"title":"Identification and Management of Dental Anxiety by New Zealand Dentists.","authors":"Arthi Veerasamy, Zac Morse, William Murray Thomson","doi":"10.2344/201833","DOIUrl":"10.2344/201833","url":null,"abstract":"Objective: More than 1 in 8 New Zealand (NZ) adults are dentally anxious, which can lead to avoiding dental care and a higher risk of poor oral health. However, little is known about how dentally anxious patients are identified and managed by NZ general dentists. This survey aimed to investigate how NZ dentists identify and manage dentally anxious patients.Methods: We conducted an email survey of NZ dentists in 2022, obtaining 212 responses. Along with demographic information, respondents were queried about whether they ask patients about past/current dental fears and their likely origin, how they assessed those fears, their usual management of dentally anxious patients, and how the management of dentally anxious patients could be improved.Results: Almost three-quarters reported personally asking patients about past and/or current dental fears, and half enquired about bad life experiences that had led to those fears. Only 6 respondents (2.8%) reported using a formal dental anxiety/phobia assessment tool prior to treatment. For managing severely anxious adult dental patients, all dentists used at least 1 pharmacologic or psychological technique or referral to a colleague.Conclusion: The study identified several weaknesses among NZ dentists in identifying and managing dental anxiety patients. The use of formal dental anxiety/phobia assessment tools prior to treatment needs improvement. Addressing dental anxiety is a complex issue that requires a multipronged approach involving improved education, the development and implementation of better assessment tools, and a greater understanding of how dentists' current assessment and management of dental anxiety can be improved.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intranasal Premedication With Dexmedetomidine in an Adult Patient With Intellectual Disabilities: A Case Report. 在一名成年智障患者中使用右美托咪定进行鼻内预处理：病例报告。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/anpr-23-0057

Jotaro Tanaka, Saki Miyake, Maki Fujimoto, Yukiko Nishioka, Hitoshi Higuchi, Takuya Miyawaki

引用次数: 0

Efficacy of QuickSleeper Intraosseous Injection of 4% Articaine in Mandibular First Molars With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial. QuickSleeper 骨内注射 4% 阿替卡因对下颌第一磨牙症状性不可逆牙髓炎的疗效：随机对照试验

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/363591

Mohammadreza Vatankhah, Omid Dianat, Nazanin Zargar, Saeid Gharibian Bejestani, Alireza Akbarzadeh Baghban, Shiva Shojaeian

{"title":"Efficacy of QuickSleeper Intraosseous Injection of 4% Articaine in Mandibular First Molars With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial.","authors":"Mohammadreza Vatankhah, Omid Dianat, Nazanin Zargar, Saeid Gharibian Bejestani, Alireza Akbarzadeh Baghban, Shiva Shojaeian","doi":"10.2344/363591","DOIUrl":"10.2344/363591","url":null,"abstract":"Objective: To evaluate the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine via primary intraosseous (IO) injection with the QuickSleeper device vs inferior alveolar nerve block (IANB) for mandibular first molars diagnosed with symptomatic irreversible pulpitis (SIP).Methods: Sixty-four patients with a first mandibular molar with SIP were randomly divided into 2 groups: IO (n = 32) and IANB (n = 32). Each received either an IO injection with the 5th generation QuickSleeper device or a conventional IANB with 1.7 mL 4% articaine with 1:100,000 epinephrine. Success was defined as no/mild pain upon the access cavity preparation and initial filing. Injection pain, anesthetic onset, heart rate (HR) change, HR recovery time, and duration of anesthesia were also recorded and analyzed.Results: The success rates were 40.6% for IANB and 81.2% for IO (P < .001). IO exhibited a significantly lower injection pain (P = .027), a shorter onset of action (P < .001), a greater heart rate increase (P < .001), a faster heart rate recovery time (P < .001), and a shorter duration of action (P < .001) vs IANB.Conclusion: Primary IO anesthesia using the fifth generation of the QuickSleeper device was more successful than IANB when using 4% articaine with 1:100,000 epinephrine to anesthetize mandibular first molars with SIP. The QuickSleeper device appeared to be a viable alternative to IANB for mandibular anesthesia.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraoperative Endobronchial Intubation After Successful Submental Intubation. 成功进行气门下插管后的术中支气管内插管。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/973799

Shivika Nath, Priya Sikka

引用次数: 0

An Automatic Cuff Pressure Controller (SmartCuff) Detected Cuff Damage in a Tracheal Tube: A Case Report. 自动袖带压力控制器（SmartCuff）检测到气管导管袖带损伤：病例报告。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/623662

Yuzo Imai, Naotaka Kishimoto, Shigenobu Kurata, Yutaka Tanaka, Tatsuru Tsurumaki, Hiroko Kanemaru, Toru Yamamoto, Kenji Seo

引用次数: 0

Petroleum Jelly-Based Foreign Body in the Nasopharynx: A Case Report. 鼻咽部的凡士林异物：病例报告。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/862982

Daniel Lim, Ralph Epstein

{"title":"Petroleum Jelly-Based Foreign Body in the Nasopharynx: A Case Report.","authors":"Daniel Lim, Ralph Epstein","doi":"10.2344/862982","DOIUrl":"10.2344/862982","url":null,"abstract":"Nasotracheal intubation can reveal unexpected findings like a foreign body in the airway. In such instances, expeditious decision-making is crucial to achieve ideal outcomes. This case report describes a petroleum jelly-based foreign body discovered in the nasopharynx during nasotracheal intubation and the subsequent airway management. A 64-year-old man with no prior history of adverse anesthetic events presented to an oral surgery office for extraction of teeth and placement of implants. While video laryngoscopy for nasotracheal intubation was performed, a blue foreign body was discovered inside the tip of the nasal endotracheal tube. Subsequent attempts to locate the source of the foreign body revealed in the nasopharynx a strip of blue gelatinous foreign body which was removed with suction. Due to the persistent presence of foreign body residues in the nasopharynx, orotracheal intubation was performed. Nasopharyngeal foreign bodies may elude even the most thorough preoperative medical history review and airway assessment. Therefore, it is reasonable for practitioners to ask explicitly about any foreign bodies in the nasal passages. Practitioners should become familiar with cognitive aids for relevant airway emergency management techniques and equipment for expeditious decision-making when unexpected foreign bodies are found.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"131-135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do You Have a Backup Plan or Exit Strategy? 您有后备计划或退出战略吗？

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/725411

Kyle J Kramer

引用次数: 0

A Review of Current Literature of Interest to the Office-Based Anesthesiologist. 办公室麻醉师感兴趣的最新文献综述。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/466208

Mark A Saxen

引用次数: 0

Anesthetic Management of a Pediatric Patient With Pfeiffer Syndrome. 对一名患有菲佛综合征的儿科患者的麻醉管理。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/523400

Emiko Inoue, Chikako Owada, Ayumi Kiyohara, Tomoyuki Miyata, Hina Wajima, Yasuko Iwahori, Gentaro Tsujimoto, Asako Yasuda, Yoshiki Shionoya

{"title":"Anesthetic Management of a Pediatric Patient With Pfeiffer Syndrome.","authors":"Emiko Inoue, Chikako Owada, Ayumi Kiyohara, Tomoyuki Miyata, Hina Wajima, Yasuko Iwahori, Gentaro Tsujimoto, Asako Yasuda, Yoshiki Shionoya","doi":"10.2344/523400","DOIUrl":"10.2344/523400","url":null,"abstract":"Pfeiffer syndrome (PS) is a rare inherited disorder that affects the craniofacial and extremity bones but can also include anomalies of the upper and lower airways. Among the 3 subtypes, PS types 2 and 3 are the most severe. We describe the anesthetic management of a 10-year-old boy with PS type 2 scheduled for dental treatment under general anesthesia. Because of his history of Chiari malformation, avoiding neck hyperextension was recommended to prevent worsening of his neurologic function. Preoperative computed tomography revealed significant nasal stenosis but no tracheal anomalies. Considering the difficulty of nasotracheal intubation, we planned for an oral intubation. General anesthesia was induced using sevoflurane, nitrous oxide, and oxygen along with an oropharyngeal airway. After lidocaine was topically applied to the oropharynx, fiber-optic orotracheal intubation was performed under spontaneous ventilation to minimize head and neck movement. Anesthesia was maintained using desflurane and remifentanil, and no postoperative complications were observed. General anesthesia for patients with PS requires careful planning, which should include preoperative assessment of the airway to determine the feasibility of nasotracheal intubation and identify airway irregularities.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"140-144"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dental Sedation and General Anesthesia Considerations for Patients Posthepatic Transplantation. 肝移植术后患者的牙科镇静和全身麻醉注意事项。

Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/616992

Tiffany Hoang, Alon Frydman, Regina A E Dowdy

引用次数: 0