anesthesia

Litigation Resulting from Anesthesia in Oral Surgery

by

A very interesting article titled “Medical Malpractice Litigation Associated With Anesthesia in Oral and Maxillofacial Surgery,” by Ji et al. appears in the Journal of Oral and Maxillofacial Surgery (vol. 76, pp. 1606-1610, 2018). The article attempts to explore malpractice in oral and maxillofacial surgery where anesthesia is involved that does not purely rely on media reports. In the study the authors used the Thomson Reuters Westlaw Next Database, to identify medical malpractice cases filed from 1985 through 2017. The cases included must have involved an oral and maxillofacial surgeon as a defendant. Furthermore, complications had to be attributable to local, intravenous, or general anesthesia delivered and the cases had to have progressed to trial by jury in a state or federal court. The authors identified an initial list of 112 cases but reduced the sample down to just 13 … Read more

Delivering Sedation in Dentistry

by

It has become increasing popular to deliver sedation to patients receiving dental work. Sedation is defined as the deliberate drug-induced depression of consciousness used to reduce anxiety and awareness associated with unpleasant medical procedures. Sedation is used to reduce anxiety.  In some cases dentists or oral surgeons deliver both the dental work and the sedation, while in others there is a separate anesthesiologist to do so. One should always verify proper training and license prior to undertaking any sedation from a healthcare professional. Sedation is generally considered very safe as long as it is performed by an appropriately trained practitioner in a monitored environment. Sedation dentistry uses different approaches depending on personal choice and comfort. In the order of increasing anesthesia these are local anesthesia, minimal sedation, nitrous oxide/oxygen, moderate (conscious) sedation, deep sedation, and general anesthesia. A more thorough discussion … Read more

Two million settlement in wisdom teeth extraction death

by

A 17 year old woman died in June 2015, after having her wisdom teeth removed. This has been reported on http://teethremoval.com/death.html since 2015. The woman was from Minnesota and went into cardiac arrest during the surgery. The woman’s parents in early 2017, filed a wrongful death lawsuit against the oral and maxillofacial surgeon. The court documents said that the surgeon and staff did not appropriately anticipate or respond to the emergency. The lawsuit said there were dangerous actions, from incorrectly administering general anesthesia to failing to provide proper monitoring during surgery. The attorney said the parents sued the doctor as it “…gave the family a better understanding of how the death of their daughter came about… They had the courage in a difficult situation to seek the truth about why their daughter died.” The attorney also said “I’m absolutely convinced that … Read more

Continuing to Assess the Death Rate of Dental Treatment

by

For years on teethremoval.com one has been able to find more information about deaths from dental treatment and wisdom teeth removal. In addition it has been estimated that the death rate in dentistry occurs in 1 out of every 400,000 cases. Due to a few recent review articles that appeared in 2017, the mortality rate in dentistry page at http://www.teethremoval.com/mortality_rates_in_dentistry.html has been updated. Two articles that may be of note are H. Mortazavi, M. Baharvand, and Y. Safi, Death Rate of Dental Anaesthesia, Journal of Clinical and Diagnostic Research, Jun., Vol-11 (6): ZE07-ZE09 2017, and N. G. Reuter, P. M. Westage, M. Ingram, and C. S. Miller, Death related to dental treatment: a systematic review, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, vol. 123, iss. 2, pp. 194-204. e10, Feb. 2017. The first article performed a review of over 20 studies focused on death … Read more

Comparing Complications from Anesthesia with Wisdom Teeth Extractions

by

An article titled “Anesthesia Complications of Diazepam Use for Adolescents Receiving Extraction of Third Molars,” appears in the 2016 Journal of Oral and Maxilofacial Surgery by Gino Inverso and et. al, vol. 74, pp. 1140-1144. The article seeks to evaluate the safety of midazolam and diazepam for adolescents during wisdom teeth extraction and whether any differences in complications exist when using the 2 benzodiazepines alone or in combination. Compared with diazepam, midazolam has a faster onset of action, greater incidence of amnesia, and shorter recovery time. The authors hypothesized that diazepam, when used as an intravenous sedative agent for third molar extraction, would be associated with a higher rate of anesthetic complication than midazolam. The study included patients enrolled in the OMSOS from January 2001 through December 2010. To be included, patients had to be adolescents (<21 yr old) who … Read more