Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · Oct 2002
Survey of trauma patients requiring maxillofacial intervention, ages 56 to 91 years, with length of stay analysis.
The purpose of this study was to analyze trauma patients, ages 55 and older, sustaining multiple injuries including maxillofacial trauma. Factors influencing length of intensive care unit stay (ICUS) and length of total hospital stay were delineated and examined to determine if specific causes of increased length of stay could be elucidated, and, once known, if these causes could translate into recommendations tailored to the oral and maxillofacial surgery trauma practice. ⋯ The number of complications the patient incurs after an injury can predict length of ICUS. Length of ICUS, ISS, and number of complications incurred were the strongest predictors for total length of hospital stay. Other variables, including age, gender, living or dead, blunt versus penetrating injury, ISS, fracture site (skull, midface, or lower face), and comorbidities on presentation were not statistically significant in this patient population. Infectious, respiratory, and hematologic complications were the complications most closely correlated with increasing length of ICUS and total hospital stay.
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J. Oral Maxillofac. Surg. · Sep 2002
Randomized Controlled Trial Clinical TrialRopivacaine for dental anesthesia: a dose-finding study.
The purpose of this study was to determine the optimal concentration and volumes of ropivacaine for dental anesthesia as regards onset and duration of action. ⋯ This study shows that ropivacaine could be useful as a local anesthetic for mandibular nerve block in dentistry and that the very long duration of both pulpal and soft tissue anesthesia may be favorable in reducing postoperative pain.
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The purpose of this study was to determine the prevalence and the nature of the relationships between 3 temporomandibular joint disease (TMD) symptoms and symptoms of associated structures. ⋯ The prevalence of TMD signs and symptoms as determined by this examination was in accord with the findings in women or mixed samples of other workers. Prior experience of a dislocated disc was found to be the most risky factor in TMD. Stress was related to limitations of mouth opening, and the experience of trauma in the TMJ was found to be related to pain in the joint region. Bruxism may not be a direct risk factor in TMD, and the clenching habit found to be more harmful than bruxism.
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J. Oral Maxillofac. Surg. · Mar 2002
Randomized Controlled Trial Clinical TrialRemifentanil for use during conscious sedation in outpatient oral surgery.
Remifentanil is a new, short-acting opioid that is similar pharmacodynamically to currently available opioids but differs in its pharmacokinetics. In the present study, we compared the use of remifentanil with the use of meperidine during intravenous conscious sedation for third molar surgery. ⋯ The lower peak heart rate and systolic blood pressure levels indicate that remifentanil may allow for less fluctuation in cardiovascular parameters. This could prove beneficial in patients with cardiovascular compromise.