Archive for September, 2009

Acute pain, the pain felt at the moment of injury, results from activation of the nociceptive sensory endings in the affected tissues. This direct nociceptive activation is usually gone within minutes after withdrawal of the noxious stimulus, but the resulting pain often lasts much lon ger—from hours to days. In surgery the nociceptive input (indirect) [...]

Understanding orofacial pain begins with a sound knowledge of the neuroanatomy of the orofacial structures. This section will briefly review the important structures that are basic to the understanding of orofacial pain. Information from the tissues outside the CNS needs to be transferred from the periphery into the CNS and on to the higher centers [...]

INTRODUCTION Undertreatment of postoperative pain is common in surgical patients. It has been reported that approximately 40% of surgical patients suffer from moderate to severe pain during the first 24 hours postoperatively in the general surgical setting. Recently, the Royal College of Surgeons and Anesthetists opened their working party report on pain with the statement [...]

According to an Associated Press article written by Nick Trougakos, an Oklahoma City nurse anesthetist was accused of reusing needles and syringes for up to 25 patients per day while injecting intravenous pain medications. Obviously, reusing any needle, tubing, intravenous (IV) bag, syringe, or other injectable device in another patient can spread disease that can [...]

The adverse drug reactions during pregnancy may affect either the mother or the fetus. Hypersensitivity, allergy, or toxicity reactions in the mother may compromise her health and limit her ability to support a pregnancy. Fortunately, doses of local anesthetics in dentistry are usually relatively small and are generally unlikely to cause complications during pregnancy. All [...]

Failure of local anesthetics to achieve profound analgesia may be related to: • inaccurate anatomic placement of local anesthetic solution • placing too little solution • allowing insufficient time for it to diffuse and take effect • injecting into inflamed or infected tissues • using an outdated or improperly stored anesthetic solution.

Local anesthesia is defined as a loss of sensation in a circumscribed area of the body by a depression of excitation in nerve endings or an inhibition of the conduction process in the peripheral nerves. In clinical practice a localized loss of pain sensation is desired. Although the terms dental anesthesia and dental analgesia are [...]

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Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.

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