Oral and maxillofacial surgery
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Oral Maxillofac Surg · Sep 2013
Comparative StudyEvaluation of pressure-controlled ventilation concepts during cardiopulmonary resuscitation (CPR) in dental chairs.
Infrequent training of lay rescuers in cardiopulmonary resuscitation may lead to stomach inflation during ventilation of the unsecured airway. This is caused by a pressure loss of the lower oesophageal sphincter (LOSP) after onset of cardiac arrest. To minimise the risk of stomach inflation, the SMART BAG® (SB), a disposable flow-limited bag-valve-mask resuscitator, has been designed. Aim The aim of this study was to evaluate the occurrence of stomach inflation by use of SB in comparison to two other ventilation devices with respect to the ventilation capability. ⋯ Even in the worst case scenario, use of SB and EG/R administered sufficient tidal volumes with a significantly smaller stomach inflation compared to EG. Combination of standard bag-valve devices with a reservoir bag may provide similar protection from gastric inflation as the SMART BAG®.
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Oral Maxillofac Surg · Sep 2013
Randomized Controlled Trial Comparative StudyAssessment of preemptive analgesia with ibuprofen coadministered or not with dexamethasone in third molar surgery: a randomized double-blind controlled clinical trial.
There is no conclusive evidence from clinical trial studies regarding preemptive analgesic interventions. Clinical trials are necessary to evaluate the efficacy of preemptive analgesic interventions already demonstrated in animal studies. Thus, it is necessary to evaluate the analgesic effect of preoperative administration of ibuprofen alone or coadministered with dexamethasone after third molar surgery. ⋯ The preemptive analgesia with ibuprofen was insufficient to inhibit central sensitization, whereas its association with dexamethasone was more effective in preventing pain in third molar surgery.
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Oral Maxillofac Surg · Sep 2013
Randomized Controlled Trial Comparative Study Historical ArticleAnalgesic efficacy and clinical acceptability of adjunct pre-emptive intravenous tramadol in midazolam sedation for third molar surgery.
This study aims to compare two routine procedures of sedation, with and without intravenous adjunct analgesia, in third molar surgery regarding postoperative pain and consumption of analgesics. ⋯ The lack of significant difference between the study and placebo groups indicates that tramadol at 1 mg/kg might be an insufficient dose, though the suitability for tramadol in oral and maxillofacial surgery has already been settled in other studies.