• 00:01    |    
    Initial credits
  • 00:20    |    
  • 01:43    |    
    Personal background
  • 02:42    |    
    How dentists are judged by patients?
    • Top ten factors patients consider when seeking a dentist
      • Quality of staff
      • Unpainful dentists
      • Videoclip: Why patients hate going to the dentist?
    • The importance of a painless injection
      • Fainting: The most common medical emergency
      • When emergencies happen?
        • When most medical emergencies occur
        • Ignoring fear
  • 16:16    |    
    Local anesthesia
    • Definition of pain
    • The purpose of sedation
  • 19:30    |    
    General anesthesia
    • Problems of general anesthesia
    • Pain during general anesthesia
      • How does a patient feel pain? Monitoring the Patient's vital signs
      • Dose-related adverse drug reactions
  • 30:01    |    
    The role of a local anesthetist
    • Pain containment
    • Example: Use of water
    • Pharmacodynamics
      • Process of Pulpal Anesthesia
      • Duration of Soft Tissue Anesthesia
    • Patients complain about the extended period of Soft Tissue Anesthesia
    • Results of the LARA study: Place of injection for the drug
  • 41:04    |    
    Local anesthetic drugs
    • Abailable local anesthetic drugs
      • Warning: Problems with having only one drug
      • Medical contraindications
      • Need for hemostasis
    • Choosing local anesthetics
      • Intermediate-acting drugs
      • Short acting drugs
      • Long acting drugs
  • 56:22    |    
    Factors to consider
    • Individual variation in response
    • Accuracy in delivery of the drug
    • Status of tissue at site
    • Anatomical variation among patients
      • Duration of local anesthesia
      • Difference between hypo and hyper respondents
    • Type of injection
    • Chronobiology
      • Definition of urban legend
      • The importance of circadian rhythms
      • Tooth sensitivity during at different times during the day
      • Effectivity of local anesthetics during day time
  • 01:18:54    |    
    Types of drugs
    • Lidocaine HCl
    • When you give a patient a local injection, how long do you wait before you start to treat the patient?
    • Mepivacaine HCl
    • Mepivacaine HCl with Vasoconstrictor
    • Prilocaine HCl
    • Prilocaine HCl with a Vasoconstrictor
    • Articaine HCl
    • Bupivacaine HCl
    • Classical Anesthetics
  • 01:31:35    |    
    Post-Surgical Analgesia
    • Non-steroidal Anti-Inflammatory Dose (NSAID)
    • Local anesthetic choice for surgeon
    • Bupivicaine at end of surgery
    • Continued NSAID for 77 days
    • Post-treatment telephone call
  • 01:38:44    |    
    Advances in the management of endodontic pain emergencies
  • 01:39:29.5    |    
    A TV commercial
  • 01:40:37    |    
    Final words
  • 01:40:47    |    
    Final credits

Local Anesthetic Technique (Part 1)

New Media  | 26 de abril de 2006  | Vistas: 2938

About this video

In order to perform surgery efficiently and without the factor of pain inflicted upon the patient, the proper application of anesthesia is essential. In this conference, Stanley F. Malamed talks about such technique that is used to make the procedure as painless as possible. He lists the top ten factors that a patient should take into consideration when seeking a dentist. He also defines pain, comments on the purpose of sedating a patient and describes local and general anesthesia including their benefits and deficits. Malamed mentions that the real responsibility of an anesthesiologist is to wake the patient up, not to make him fall asleep – the key point is that the patient that goes through the procedure will be able to wake afterwards. He analyzes the role of a local anesthetist, and the drugs that are available to carry out an anesthetic procedure.


Local Anesthetic Technique (Part 1)
Stanley F. Malamed

Juan Bautista Gutiérrez Auditorium
Universidad Francisco Marroquín
Guatemala, April 26, 2006

A New Media - UFM production. Guatemala, April 2006
Camera 1: Jorge Samayoa; camera 2: Manuel Alvarez; digital editing: Alexander Arauz; index: Christiaan Ketelaar; synopsis: Sebastian del Buey; synopsis reviser: Daphne Ortiz; publication: Pedro David España


Stanley F. Malamed is professor of Medicine and Anesthesia in the…