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. · Dec 1992
Pediatric facial injuries associated with all-terrain vehicles.
All-terrain vehicles (ATVs) are becoming increasingly popular recreational devices. Multiple injuries have been associated with ATV accidents. This report reviews pediatric injuries treated at a regional pediatric trauma center, with special attention to facial trauma, as well as the ATV injury data for the United States.
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J. Oral Maxillofac. Surg. · Aug 1992
Practice Guideline GuidelineThe prevention and treatment of aspiration of vomitus during pharmacosedation and general anesthesia.
The aspiration of gastric contents can occur in patients with a depressed level of consciousness. Pulmonary aspiration is a serious potential complication of pharmacosedation and general anesthesia. ⋯ Treatment of aspiration is dependent on the nature of the aspirate. Identifying aspiration-susceptible patients, employing preventive measures, and using careful anesthetic technique can effectively reduce the risk of aspiration.
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J. Oral Maxillofac. Surg. · Jul 1992
Comparative StudyMorbidity and mortality from pharmacosedation and general anesthesia in the dental office.
Morbidity and mortality (M&M) statistics have been used to determine the safety of pharmacosedation and general anesthesia for dental procedures. Although relevant, these data often do not describe what actually caused the problems. Descriptive data are needed to understand etiologic factors and to accurately set malpractice insurance rates, establish legislative regulations, and determine means of prevention. ⋯ The mean number of pharmacological agents used was three, with a range from one to seven. In 32% of the cases heart rate was monitored, in 23% respiration was monitored, in 23% blood pressure was monitored, in 8% tissue oxygen saturation was monitored, and in 4% heart rhythm was monitored. Fifty-nine percent of the practitioners performed basic life support as a part of resuscitative efforts, 21% performed some measure of advanced cardiac life support, and in 45% of the cases narcotic reversal was attempted.(ABSTRACT TRUNCATED AT 250 WORDS)
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J. Oral Maxillofac. Surg. · Jul 1992
Comparative StudyCost of a genioplasty under deep intravenous sedation in a private office versus general anesthesia in an outpatient surgical center.
The cases of twenty-four patients who underwent genioplasties either under deep intravenous (IV) sedation in a dental office or under general anesthesia in a surgical center were reviewed. A cost comparison of this operation in these two environments showed that it was twice as expensive to have the same procedure done in an outpatient surgical suite under general anesthesia as it was in a private office under IV sedation.
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J. Oral Maxillofac. Surg. · May 1992
Biography Historical ArticleDr Horace Wells: the discoverer of general anesthesia.
The discovery of anesthesia in the second quarter of the 19th century was one of the greatest advances in the history of medicine. This discovery has been variously attributed to Long, Wells, Morton, Jackson, and others. In this article, the authors place in perspective the role each of these men has played. The conclusion is that to Wells belongs the singular honor and title of discoverer.