screws over the past few years, the administration of anesthesia in the orthodontic office has also been on the increase. Fortunately, there are several topical anesthetic agents, more profound than ever, that can provide adequate anesthesia for most procedures, avoiding the need for injections. A lso available is a novel method of providing local infiltrative anesthesia without a needle. B oth...

The development of topical anesthetics has provided the family physician with multiple options in anesthetizing open and intact skin. The combination of tetracaine, adrenaline (epinephrine), and cocaine, better known as TAC, was the first topical agent available for analgesia of lacerations to the face and scalp. Cocaine has been replaced with lidocaine in a newer formulation called LET (lidoca...

Lidocaine allergy presents a unique difficulty for both patients and providers who undergo/perform bronchoscopy. We present a case of a 73 yo male with severe lidocaine allergy who successfully underwent bronchoscopy with chloroprocaine topical anesthesia and discuss alternative topical anesthetic agents that may be used in this special situation.

OBJECTIVE To compare the pain level and complications during cataract surgery with topical anesthesia in Prechop MPF versus phacoemulsification. STUDY DESIGN Prospective randomized comparative study. MATERIAL AND METHOD One hundred patients, undergoing small incision cataract surgery under topical anesthesia, were allocated randomly to perform Prechop MPF (n = 50) or phacoemulsification (n ...

Background: Obstruction of the nasolacrimal duct is the most common abnormality of the lacrimal system in childhood leading to epiphora. It is found in about 20% of newborns. If not treated in time, it may be complicated by recurrent conjunctivitis, chronic dacryocystitis, and lacrimal abscess formation. Objectives: To study the outcome and complications of probing for congenital nasolacrimal d...

STUDY OBJECTIVE To describe our systematic approach to securing the airway in patients with laryngeal tumors, developed over a 10-year period. DESIGN Retrospective analysis. SETTING University-affiliated veterans administration medical center. PATIENTS Eight hundred one patients presenting for laryngeal tumor surgery in a 10-year period, 285 of whom underwent tracheostomy (25 with local a...

BACKGROUND Cataract is one of the most common surgical procedures in the elderly. In most cases, the elderly have cardiac ischemia or chronic coronary diseases, which would lead to more ischemic events during general anesthesia. Therefore, surgeons and anesthetists prefer regional aesthesia to the general one owing to its more advantages and less complications. OBJECTIVES Therefore, this stud...

There is substantial national and international variation in the conduct of anesthesia for ophthalmic surgical procedures. Ophthalmic regional anesthetic techniques include traditional needle-based blocks, such as intraconal or extraconal injections; sub-Tenon's blocks which can be accomplished with needles, but are more commonly performed with blunt cannulae; and topical anesthesia. Needle-bas...

In the past decade ophthalmic anesthesia has witnessed a major transformation. The sun has set on the landscape of ophthalmic procedures performed under general anesthesia at in-hospital settings. In its place a new dawn has ushered in the panorama of eye surgeries conducted under regional and topical anesthesia at specialty eye care centers. The impact of the burgeoning geriatric population is...