Archive for January, 2010

Subjects
Seventy infants under 2 years of age without any respiratory or cardiovascular dysfunction were studied during general anesthesia for repair of a cleft lip or palate. After informed written consent was obtained from the parents, subjects were allocated randomly into 3 groups (sevoflurane group, n = 24; enflurane group, n = 26; isoflurane group, n [...]

Sevoflurane is considered to be a safe volatile anesthetic that, in usual concentrations, does not cause any severe side effects on respiration. Uptake of sevoflurane from the lung and recovery from general anesthesia are both rapid and smooth. However, we have sometimes observed slightly lower pulse oximetry (Spo2) values than expected when infants under 3 [...]

The second aim was to determine the relationship between societal costs and treatment rendered for both GA and CS models. The goal with this aim was to develop a model that would explain cost of GA and CS. Using regression analyses for the GA model, this study found that the RBVUs explained more than 70% [...]

The sample included 12 boys (55%) and 10 girls (45%). The mean age of the sample was 40 months (SD, 5.1) with an age distribution as follows: 24-35 months, 32%; 36-47 months, 32%; and 48-60 months, 33%.

The 3 principal types of cost-effectiveness studies include (a) the cost-consequence model, (b) the cost-effectiveness model, and (c) the cost-minimization model. The cost-consequence model analyzes only the outcome of interest, under the assumption that there are no differences in costs. As an example, this model might be applied to a comparison of 2 dental materials [...]

An overwhelming majority of pediatric dental patients can be treated in the conventional dental environment without the use of pharmacologic agents, except for the occasional use of nitrous oxide or oxygen inhalation analgesia for the mildly anxious child. Pharmacologic management may be essential to provide invasive dental procedures for children who are develop-mentally or medically [...]

The most common untoward effect elicited by propofol is pain on injection. This is observed in 31% of patients when using the dorsum of the hand and 8% when accessing the vein in the anticubital fossa. Means of alleviating this discomfort include injecting intravenously 10 mg of 1% lidocaine 10 seconds before propofol delivery or [...]

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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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