Anesthesia of the soft and hard tissues of the maxilla may require up to 5 injections. Thus, the aim of this study was to evaluate the anesthetic efficacy of the anterior middle superior alveolar (AMSA) and supraperiosteal injection techniques during subgingival scaling and root planing (SRP). Thirty individuals with periodontitis were scheduled for SRP on the buccal aspect of teeth in the ante...

PULPECTOMY – Treatment Considerations Anesthesia It is essential to eliminate any sensation from the tooth being treated prior to endodontic therapy. While it is true that some necrotic teeth can be treated without anesthesia, placement of rubber dam clamps and instrumentation beyond the apex (patency filing) normally make the use of local anesthetic desirable. This is typically achieved throug...

Spinal anesthesia is a simple technique that provides a deep and fast surgical block through the injection of small doses of local anesthetic solution into the subarachnoid space. The purpose of this review is to provide an overview on recent developments on local anesthetic drugs, side effects, and special techniques of intrathecal anesthesia. Spinal anesthesia can be considered adequately saf...

PURPOSE Immediate postoperative adjustment after adjustable-suture strabismus surgery has been suggested as a viable alternative to the classic adjustment that is performed, usually within 6 to 24 hours after surgery. The purpose of this study was to compare the immediate postoperative eye measurements with those taken 24 hours postoperatively and to determine whether there was any significant ...

www.aana.com/aanajournalonline.aspx Emergence agitation (EA) is an important issue in pediatric anesthesia. This phenomenon arises more frequently with the use of inhalational agents. Three commonly used general anesthesia techniques in children were evaluated as to the associated incidence of emergence reactions. An extensive literature review was performed to evaluate these anesthetic practic...

This review outlines the anatomy of the obturator nerve and the indications for obturator nerve block (ONB). Ultrasound-guided ONB techniques and unresolved issues regarding these procedures are also discussed. An ONB is performed to prevent thigh adductor jerk during transurethral resection of bladder tumor, provide analgesia for knee surgery, treat hip pain, and improve persistent hip adducto...

The inferior alveolar nerve (IAN) block is the most frequently used mandibular injection technique for achieving local anesthesia for dental treatment. However, the IAN block does not always result in successful anesthesia. Various other nerve blocks were introduced over the period of time to improve the success rate of anesthesia. The objective of this systematic review was to compare and eval...

This article looks at the current techniques and equipment recommended for the management of the difficult intubation scenario in pediatric practice. We discuss the general considerations including preoperative preparation, the preferred anesthetic technique and the use of both rigid laryngoscopic and fiberoptic techniques for intubation. The unanticipated scenario is also discussed.

Local anesthetics are commonly utilized in the practice of dermatology. Minimizing local anesthetic injection pain can be beneficial to both physicians and patients. Easily implemented techniques that reduce injection pain of intralesional local anesthetics are reviewed.

Tumor progression during end-of-life care can lead to significant pain, which at times may be refractory to routine analgesic techniques. Although regional anesthesia is commonly used for postoperative pain care, there is limited experience with its use during home hospice care. We present a 24-year-old male with end-stage metastatic osteosarcoma who required anesthetic care for a right-sided a...