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jtitle_s:("anesti Prog")
1.  Essentials of Airway Management, Oxygenation, and Ventilation: Part 1: Basic Equipment and Devices 
Anesthesia Progress  2014;61(2):78-83.
Offices and outpatient dental facilities must be properly equipped with devices for airway management, oxygenation, and ventilation. Optimizing patient safety using crisis resource management (CRM) involves the entire dental office team being familiar with airway rescue equipment. Basic equipment for oxygenation, ventilation, and airway management is mandated in the majority of US dental offices per state regulations. The immediate availability of this equipment is especially important during the administration of sedation and anesthesia as well as the treatment of medical urgencies/emergencies. This article reviews basic equipment and devices essential in any dental practice whether providing local anesthesia alone or in combination with procedural sedation. Part 2 of this series will address advanced airway devices, including supraglottic airways and armamentarium for tracheal intubation and invasive airway procedures.
PMCID: PMC4068090  PMID: 24932982
Airway management; Oxygenation; Ventilation; Equipment; Devices
2.  Adverse Drug Reactions in Dental Practice 
Anesthesia Progress  2014;61(1):26-34.
Adverse reactions may occur with any of the medications prescribed or administered in dental practice. Most of these reactions are somewhat predictable based on the pharmacodynamic properties of the drug. Others, such as allergic and pseudoallergic reactions, are less common and unrelated to normal drug action. This article will review the most common adverse reactions that are unrelated to drug allergy.
PMCID: PMC3975611  PMID: 24697823
Adverse drug reactions; Drug side effects; Dentistry
3.  Drug Allergies and Implications for Dental Practice 
Anesthesia Progress  2013;60(4):188-197.
Adverse reactions to medications prescribed or administered in dental practice can be worrying. Most of these reactions are somewhat predictable based on the pharmacodynamic properties of the drug. Others, such as allergic and pseudoallergic reactions, are generally unpredictable and unrelated to normal drug action. This article will review immune and nonimmune-mediated mechanisms that account for allergic and related reactions to the particular drug classes commonly used in dentistry. The appropriate management of these reactions will also be addressed.
PMCID: PMC3891459  PMID: 24423421
Drug allergy; Drug side effects; Dentistry
4.  Antimicrobial Drugs 
Anesthesia Progress  2013;60(3):111-123.
Antibiotics play a vital role in dental practice for managing orofacial infections. They are used to manage existing infection and they are also used as prophylaxis for certain medical conditions and surgical procedures. This article will review pharmacological and therapeutic considerations for the proper use of these agents for dental infections.
PMCID: PMC3771199  PMID: 24010989
Antibiotics; Antifungals; Dental infections; Antibiotic prophylaxis
5.  Antithrombotic Drugs: Pharmacology and Implications for Dental Practice 
Anesthesia Progress  2013;60(2):72-80.
Appropriate preoperative assessment of the dental patient should always include an analysis of the patient's medications. This article reviews the actions and indications for the various categories of antithrombotic medications and considers actual risks for postoperative bleeding and potential interactions with drugs the dental provider might administer or prescribe.
PMCID: PMC3683884  PMID: 23763563
Drug interactions; Drug side effects; Antiplatelet drugs; Anticoagulants; Postoperative bleeding; Dental treatment
6.  Basic and Clinical Pharmacology of Glucocorticosteroids 
Anesthesia Progress  2013;60(1):25-32.
Glucocorticosteroids are a product of the adrenal cortex and perform a staggering number of physiological effects essential for life. Their clinical use is largely predicated on their anti-inflammatory and immunosuppressive properties, but they also have notable efficacy in the prophylaxis of postoperative nausea and vomiting. This article reviews the basic functions of glucocorticoids and their clinical use in dental practice.
PMCID: PMC3601727  PMID: 23506281
Glucocorticosteroid; Trauma; Postoperative swelling; PONV; Dentistry; Mucosal lesions
7.  Basic and Clinical Pharmacology of Autonomic Drugs 
Anesthesia Progress  2012;59(4):159-169.
Autonomic drugs are used clinically to either imitate or inhibit the normal functions of the sympathetic and parasympathetic nervous systems. A large number of additional drug classes also interact with these systems to produce a stunning number of possible side effects. This article reviews the basic function of the autonomic nervous system and the various drug classes that act within these neural synapses.
PMCID: PMC3522494  PMID: 23241039
Autonomic drugs; Sympathomimetics; Adrenergic agonists; Adrenergic antagonists; Cholinergic drugs; Anticholinergic drugs
8.  Pharmacodynamic Considerations for Moderate and Deep Sedation 
Anesthesia Progress  2012;59(1):28-42.
Moderate and deep sedation can be provided using various classes of drugs, each having unique mechanisms of action. While drugs within a given classification share similar mechanisms and effects, certain classes demonstrate superior efficacy but added concern regarding safety. This continuing education article will highlight essential principles of pharmacodynamics and apply these to drugs commonly used to produce moderate and deep sedation.
PMCID: PMC3309299  PMID: 22428972
Pharmacodynamics; Drug actions; Drug mechanisms; Sedation
9.  Pharmacokinetic Considerations for Moderate and Deep Sedation 
Anesthesia Progress  2011;58(4):166-173.
Moderate and deep sedation can be provided using several routes of drug administration including oral (PO), inhalation, and parental injection. The safety and efficacy of these various techniques is largely dependent on pharmacokinetic principles. This continuing education article will highlight essential principles of absorption, distribution, and elimination of commonly used sedative agents.
PMCID: PMC3237326  PMID: 22168806
Pharmacokinetics; Drug administration; Sedation
10.  Recognition and Management of Complications During Moderate and Deep Sedation Part 1: Respiratory Considerations 
Anesthesia Progress  2011;58(2):82-92.
The risk for complications while providing any level of sedation or general anesthesia is greatest when caring for patients having significant medical compromise. It is reassuring that significant untoward events can generally be prevented by careful preoperative assessment, along with attentive intraoperative monitoring and support. Nevertheless, we must be prepared to manage untoward events should they arise. This continuing education article will review respiratory considerations and will be followed by a subsequent article addressing cardiovascular considerations.
PMCID: PMC3198131  PMID: 21679044
Medical emergencies; Sedation; Anesthesia; Complications
11.  Adverse Drug Interactions 
Anesthesia Progress  2011;58(1):31-41.
The potential for interactions with current medications should always be considered when administering or prescribing any drug. Considering the staggering number of drugs patients may be taking, this task can be daunting. Fortunately, drug classes employed in dental practice are relatively few in number and therapy is generally brief in duration. While this reduces the volume of potential interactions, there are still a significant number to be considered. This article will review basic principles of drug interactions and highlight those of greatest concern in dental practice.
PMCID: PMC3265267  PMID: 21410363
Drug interactions; CYP450; Drug potentiation; Drug synergism
12.  Nausea, Vomiting, and Hiccups: A Review of Mechanisms and Treatment 
Anesthesia Progress  2010;57(4):150-157.
Nausea, vomiting, and hiccups are troubling complications associated with sedation and general anesthesia. This article will review the basic pathophysiology of these events and current recommendations for their prevention and management.
PMCID: PMC3006663  PMID: 21174569
Nausea; Vomiting; PONV; Hiccups; Anesthetic complications; Antiemetics
13.  Pain Management: Part 1: Managing Acute and Postoperative Dental Pain 
Anesthesia Progress  2010;57(2):67-79.
Safe and effective management of acute dental pain can be accomplished with nonopioid and opioid analgesics. To formulate regimens properly, it is essential to appreciate basic pharmacological principles and appropriate dosage strategies for each of the available analgesic classes. This article will review the basic pharmacology of analgesic drug classes, including their relative efficacy for dental pain, and will suggest appropriate regimens based on pain intensity. Management of chronic pain will be addressed in the second part of this series.
PMCID: PMC2886920  PMID: 20553137
Pain management; Analgesics; Postoperative pain; Dental pain
14.  Thermoregulation: Physiological and Clinical Considerations during Sedation and General Anesthesia 
Anesthesia Progress  2010;57(1):25-33.
Mild hypothermia is common during deep sedation or general anesthesia and is frequently associated with patient discomfort and shivering. Greater declines in temperature can produce an even greater number of significant detrimental effects. This article reviews principles of thermoregulation and influences of anesthetic agents. An understanding of these will provide a foundation for strategies to reduce heat loss and better manage patient discomfort when it occurs.
PMCID: PMC2844235  PMID: 20331336
Sedation; General anesthesia; Thermoregulation; Hypothermia; Shivering
15.  Assessment and Management of Cardiovascular Urgencies and Emergencies: Cognitive and Technical Considerations 
Anesthesia Progress  1988;35(5):212-217.
Cardiovascular emergencies represent the most feared complications in dental practice. Not only do they present the greatest possibility for morbidity and mortality, but their pathogenesis and treatment are poorly understood. This article reviews fundamental physiologic and pathological concepts that will guide the clinician toward a more cognitive approach to patient assessment and management. The treatment algorithms presented develop rationally from these fundamental scientific principles.
PMCID: PMC2167870  PMID: 3074673
16.  Continuing Education in Preoperative Sedation: Perspectives on Educational Methodology 
Anesthesia Progress  1986;33(5):258-261.
Preoperative sedation is a vital component of general dental practice. The final goal and supporting objectives for training programs have been developed. An emphasis must now be placed on effective methods for accomplishing this goal. The design found in the American Heart Association's ACLS training program may serve as an excellent model for future curriculum development.
PMCID: PMC2177482  PMID: 3465264

Results 1-16 (16)