The pH of the plain lidocaine solution was 6.6; the epi-nephrine-containing solution’s pH was 4.4.
Twelve volunteers (6 men, 6 women) recorded at least one of their buccal injections at a minimum of 30 mm on the VAS, and 17 participants (10 men, 7 women) had palatal injection scores of at least 30 mm for one [...]
A batch of 2-mL 2% plain lidocaine and a pack of 2% lidocaine containing 1:80,000 epinephrine were supplied by the manufacturer (AstraZeneca, King’s Langley, Herts, UK). The cartridges were identical except for an individual label on each cartridge that contained an identifying code number. The pH of a sample of each solution from the same [...]
In: Anesthesia
21 Nov 2009Anumber of factors may influence the discomfort of dental local anesthetic injections. Parameters independent of technique but relating to materials that might affect pain at delivery include the temperature and the pH of the local anesthetic solution. Buffering the solution can reduce injection discomfort. However, this is impractical when using prefilled dental local anesthetic cartridges. [...]
In November 2001, the Centers for Medicare and Medicaid Services (CMS), formerly known as the Health Care Financing Administration, reversed a rule passed in the last few hours of the Clinton administration that would have allowed certified registered nurse anesthetists (CRNAs) to administer anesthesia without physician supervision. Inherent in this new CRNA independent practice privilege [...]
In: Health
19 Nov 2009DISCUSSION
Ketamine has been used as an oral sedative in the management of uncooperative patients. Common side effects of ketamine are nausea and vomiting, which have been reported in 0-43% of patients. In this study, the addition of promethazine, a potent antiemetic drug, reduced the vomiting incidence from 27% (control group) to 0% (experimental group).
In: Health
18 Nov 2009The age range of the subjects was 21-43 months, with a mean age of 33V2 months. There were no significant differences in age (for controls, range, 21-43 months; mean, 33 months; for experimental patients, range, 25-43 months; mean, 34 months) (Table 3). Under the conditions of this study, the average time in the operatory, from [...]
In: Health
17 Nov 2009Pediatric dental patients from the Houston Medical Center Pediatric Dental Clinic, Houston, Tex, were chosen for the study, which was approved by the Committee for the Protection of Human Subjects. The selection criteria included healthy patients between IV2 and 3Vi years of age with no previous dental experience and those who demonstrated such poor behavior [...]
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