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jtitle_s:("anesti Prog")
1.  Survey of oral and maxillofacial surgeons' offices in Virginia: anesthesia team characteristics. 
Anesthesia Progress  2004;51(4):122-125.
This survey assesses whether oral and maxillofacial surgeons in the state of Virginia are prepared for inspection of their offices. A survey asking pertinent questions on the availability of specific equipment and the educational qualifications of the anesthesia care team was developed and sent to 155 offices. Seven questions were asked regarding the availability of nurses, types of life support training, (formal or informal), the surgeons and anesthesia care personnel, and the presence of a defibrillator. Questionnaires were short and simple to encourage compliance with the study guidelines. A total of 128 (82.6%) questionnaires were returned. Only 42 of 128 (32.8%) offices employed nurses, and 6 of the 42 nurses were not considered as part of the anesthesia care team. Only 36 of 128 (28.1%) of the offices had assistants with formal anesthesia assistant course training from the American Association of Oral and Maxillofacial Surgeons (AAOMS) or the American Dental Society of Anesthesiology (ADSA). However, 93% of the assistants who participated in the anesthesia had current basic life support training (BLS) training, and 74% of the surgeons had current advanced cardiac life support (ACLS) training. The AAOMS Office Emergency Manual was present in 118 of 128 offices (92.2%), and 124 of 128 offices (96.9%) had defibrillators. The survey suggests that the surgeons are well prepared from the standpoint of having a defibrillator present and the AAOMS Office Emergency Manual available as a template for the team to use in order to answer questions that the inspection team may ask of the primary anesthesia care provider and surgeon. The majority of the surgeons had current ACLS certification, and the office anesthesia assistants had current BLS training. Most of the assistants did not have formal course training, which indicates that on-the-job training is probably the norm. Less than one third of the offices had nurses.
PMCID: PMC2007491  PMID: 15675260
2.  Cardiopulmonary Parameters During Meperidine, Promethazine and Chlorpromazine Sedation for Pediatric Dentistry 
Anesthesia Progress  1987;34(3):92-96.
Twenty pediatric patients were sedated with a meperidine, Promethazine and chlorpromazine drug combination prior to dental rehabilitation. Heart rate, blood pressure, and oxygen saturation were recorded throughout the procedures, as well as level of patient cooperation. There were no statistically significant changes in either heart rate or blood pressure. Forty-seven percent of subjects treated experienced a decline in oxygen hemoglobin saturation. Fifty percent of the patients were well sedated and cooperative, with another forty-five precent exhibiting moderate sedation but an increased incidence of behavioral management difficulties. All procedures were completed on 95% of patients. One case (5%) was aborted because of uncontrollable patient behavior following initiation of dental procedures.
PMCID: PMC2186267  PMID: 3479915
3.  Analysis of Preoperative Laboratory Values Prior to Outpatient Dental Anesthesia 
Anesthesia Progress  1987;34(2):58-60.
A retrospective study of 672 ASA Class I patients undergoing outpatient general anesthesia for oral surgical procedures was performed to evaluate the significance and incidence of abnormal preoperative serum glucose and hematocrit levels. There was an 11% overall incidence of “abnormal” values. Specifically, 6% of the patients had serum glucose levels below 60 g/dl and 5% had hematocritis less than 35 mg/dl. These values are not outside the realm of normal and had no impact on the preoperative, perioperative, or postoperative anesthetic management. The results of this study and review of the suggest that routine laboratory analysis is of little value in the anesthetic management of ASA Class I patients in which a thorough history and physical examination is obtained.
PMCID: PMC2148570  PMID: 3474911
4.  Analysis of Cardiovascular Changes and Arterial Blood Gases in Patients Resistant to Methohexital Anesthesia 
Anesthesia Progress  1987;34(2):51-57.
Two studies were done to evaluate the patient who appears to be clinically resistant to incremental methohexital infusion for general anesthesia. A retrospective study revealed that 9% of the 513 patients developed resistance to methohexital maintenance and required a volatile inhalation anesthetic supplement. The cardiovascular and arterial blood gas analysis in a prospective study failed to disclose any gross changes that would explain the physiology associated with patients resistant to methohexital anesthesia. To maintain adequate anesthesia depth, doses of methohexital ranged from .07 to .12 mg/kg/min or 4.1 to 8.2 mg/min.
PMCID: PMC2148564  PMID: 3111313
5.  Pulmonary Aspiration During General Anesthesia 
Anesthesia Progress  1986;33(2):98-101.
A four-year-old female developed pulmonary aspiration during nasal tracheal intubation after induction of general anesthesia. The earliest sign of aspiration was the hypoxemia that was recorded with a pulse oximeter. A discussion of treatment and criteria for discharge is presented.
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PMCID: PMC2175452  PMID: 3459384
6.  The Prophylactic Use of Flurbiprofen to Prevent Post-Extraction Dental Pain 
Anesthesia Progress  1984;31(2):74-76.
This study was designed to evaluate the effectiveness of flurbiprofen when compared to aspirin and placebo. The study medications were administered 30 minutes preoperatively and at fixed intervals four and eight hours later in 107 patients undergoing surgical removal of third molars using a randomized, double-blind design. The treatment consisted of flurbiprofen 25mg, flurbiprofen 50mg, aspirin 650mg, and placebo. Flurbiprofen was significantly more effective than aspirin and placebo with respect to pain severity scores and patient evaluation of the pretreatment dose. Aspirin was significantly more effective than placebo. There were no differences between the two doses of flurbiprofen. Side effects were minor and not significantly different among the groups.
PMCID: PMC2515535  PMID: 6597687
7.  Survey of Curriculum and Instruction: Continuing Education Courses in Pain Control* 
Anesthesia Progress  1977;24(6):198-204.
Pain and anxiety control is taught at the continuing education level in a large number of diverse courses. This paper reports the results of a survey of those courses held in 1976. The majority of courses centered on the use of inhalation or intravenous sedation. Relatively few courses were offered on the other aspects of pain and anxiety control. Very little attempt is being made at formally evaluating the competence of participants in these courses. Few courses appear to adequately cover the prevention and management of complications. Suggestions for changes in the teaching of pain and anxiety control at the continuing education level are made based on these findings.
Pain and anxiety control encompasses the application of various physical, chemical and psychological modalities in the prevention and treatment of peri-operative patient apprehension and pain. Patient apprehension about dental procedures is felt to influence the seeking of remedial and preventive dental care by a significant portion of the population. Efforts to improve the training of dentists in pain and anxiety control modalities have included several workshops sponsored by the American Dental Society of Anesthesia, the formulation of guidelines for courses at the predoctoral, postdoctoral and continuing education levels, and the establishment of postdoctoral pain control training programs at several dental schools.
Recent graduates have been trained in pain control in predoctoral programs which vary widely in content and length. A large number of practitioners seek training in pain control through continuing education courses offered by dental schools, hospitals and a variety of other institutions. This paper reports the results of a survey of these courses and suggests several recommendations based on the findings.
PMCID: PMC2516152  PMID: 276282

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