anesthesia

Propofol-Remifentanil Versus Propofol-Ketamine for Third Molar Surgery

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A study titled “Comparison of Propofol-Remifentanil Versus Propofol-Ketamine Deep Sedation for Third Molar Surgery” appears in the 2012 Anesthesia Progress journal. The authors of the study set out to better determine what anesthetic to provide during third molar (aka wisdom teeth) surgery. In the study, two drug combinations for use as deep sedation during oral surgery were evaluated. Patients in a control group received a continuous intravenous infusion of propofol-remifentanil,  and patients in an experimental group received a continuous intravenous infusion of propofol-ketamine. This study was double blind in that neither patients nor surgeons were aware of which treatment was given. In this study, 37 patients  were monitored while sedated for respiratory, heart rate, and blood pressure stability. Emergence from the effects of anesthesia and total recovery time were recorded. In addition, patients and surgeons were both asked to rate … Read more

Politics of Dental Anesthesiology

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A recent article titled “Dental anesthesiology falls short of becoming ADA specialty,” by Rob Goskowski, Nov. 1, 2012, located at http://www.drbicuspid.com/index.aspx?sec=sup&sub=rst&pag=dis&ItemID=311903, discusses a recent vote that took place at the House of Delegates during the 2012 American Dental Association (ADA) Annual Session. The House of Delegates voted against recognizing Dental anesthesiology as the 10th ADA recognized specialty. Steven Ganzberg, a clinical professor and the chair of dental anesthesiology at UCLA says: “This action by the ADA confirms that the ADA process of specialty approval is fatally flawed….This was clearly an effort by the ADA, through AAOMS [the American Association of Oral and Maxillofacial Surgeons], to restrict professional activities that specialty recognition would have provided.” Dr. Ganzberg and some other supporters were hoping that the specialty would be approved as they felt it would lead to increased training and emergency preparedness … Read more

Thirteen Year Old Girl Dies After Dentist Visit

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I was sad to hear about the death of a 13 year old girl recently after she had a visit to the dentist. Marissa Kingery visited Dr. Henry Mazorow, an 80 year old dentist, who has been in practice since 1956, to remove two baby teeth and uncover an impacted tooth. The tentative cause of death is lack of oxygen to the brain following the administration of anesthesia. Marissa died in early January 2011 after being on life support for nearly two weeks. She was an eighth grade honor student and her fellow classmates and staff recently held a vigil to remember her along with a moment of silence. This occurred in Ohio. In May of 2010  a six year old boy who died during a dentist visit. For additional details visit http://www.morningjournal.com/articles/2011/01/07/news/doc4d27207bd2d5d011029191.txt and http://chronicle.northcoastnow.com/2011/01/08/court-records-show-dentist-settled-wrongful-death-lawsuit-in-1997/

Anesthesia in the Oral and Maxillofacial Surgeons Office

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The American Association of Oral and Maxillofacial Surgeons (AAOMS) is continuing to attempt to increase their ability to attract young adults to elect to have their wisdom teeth removed. Back in May 2010 they released a video called “Anesthesia: Safety and Comfort in the OMS Office.” The video is over nine minutes long and takes viewers into actual Oral and Maxillofacial surgeon’s offices with interviews by Dr. M. Anthony Pogrel who is Professor and Chair of the Department of Oral and Maxillofacial Surgery at the University of California, San Fransisco, Dr. Andrew Herlich who is Chief of Anesthesiology at the University of Pittsburgh Medical Center, Dr. Michael Miloro who is director for the Postgraduate Residency Training Program at the University of Illinois at Chicago College of Dentistry, Dr. Michael Ding who is Chief Resident of Oral and Maxillofacial Surgery at … Read more

Dental Needle Could be Replaced

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I find this study to be quite interesting as I have had anesthesia delivered directly in my nose before in an attempt to prevent my constant 24/7 headache. New evidence has emerged that a common local anesthetic, when administered to the nose as nose drops or a nasal spray, travels through the main nerve in the face and collects in high concentrations in the jaw, teeth, and structures of the mouth. William H. Frey II and colleagues found that drugs administered to the nose travel along nerves and go directly to the brain, although I really don’t think this finding is novel. One of those nerves is the trigeminal nerve, which brings feelings to the face, nose and mouth. Until now scientists never paid much attention to intranasal drugs passing the nerve in the nose and how it might reach … Read more