In: Anesthesia
7 Mar 2010This pilot study attempted to determine whether sevoflurane as a sole agent could be used as a deep sedative agent for minor surgical procedures in healthy young adults. Additionally, the quality of the sedation and the vital signs changes were compared with a common intravenous technique used by most dentist anesthesiologists and in many hospital [...]
In: Anesthesia
6 Mar 2010Twenty-four patients were initially enrolled in the study. One patient, a 25-year-old, 80-kg woman, developed nausea after 2 minutes of sevoflurane administration at a final vaporizer setting of 0.5%. After 3 to 4 minutes, her feeling of nausea subsided. The patient was withdrawn from the study. A conscious sedation was then planned and 10 mg [...]
In: Anesthesia
5 Mar 2010After approval from the Ohio State University Human Subjects Review Committee, 24 patients (17 women and 7 men) were enrolled in the study. All patients were American Society of Anesthesiologists (ASA) Physical Status I or II and between 18 and 40 years of age. Patients who were currently using benzodiazepines, antidepressants, or long-term analgesics were [...]
The use of the conscious inhalation sedative nitrous oxide has a long history of success and safety in the dental office provided that supplemental oxygen is administered. Nitrous oxide-oxygen inhalation sedation has a rapid onset and recovery, provides varying degrees of analgesia, and has minimal respiratory, cardiovascular, and other adverse effects. This is likely the [...]
In the recovery room, the patient remains in the same position and is given oxygen through a ventimask and is monitored until the patient is able to respond to commands. During this period, the most common problems are airway obstruction and bleeding. Before discharging from the recovery room, the patient is made comfortable. If the [...]
The patient is brought to the theater on a tilting trolley with the head on a pillow. The patient is properly positioned on the trolley with the head at the end of the trolley and shoulders on the edge of the pillow. Noninvasive blood pressure, ECG, and oxygen saturation monitoring are commenced. Preoxygenation of the [...]
As for any other operation, significant past medical history, drug history, allergies, and past anesthetic history are recorded. Respiratory and cardiovascular systems and any other related systems are examined. Hb, blood picture, and biochemistry, ie, electrolytes and urea, assessments and an ECG, as a baseline, are carried out as routine investigations.
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.