Reversal of Soft-Tissue Local Anesthesia With Phentolamine Mesylate in Pediatric Patients

2008 ◽  
Vol 139 (8) ◽  
pp. 1095-1104 ◽  
Author(s):  
Mary Tavares ◽  
J. Max Goodson ◽  
Deborah Studen-Pavlovich ◽  
John A. Yagiela ◽  
Laura A. Navalta ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia ◽  
Pediatric Patients

Pain Perception: Computerized versus Traditional Local Anesthesia in Pediatric Patients

2015 ◽  
Vol 39 (5) ◽  
pp. 470-474 ◽  
Author(s):  
M Mittal ◽  
A Kumar ◽  
D Srivastava ◽  
P Sharma ◽  
S Sharma
Keyword(s):  
Heart Rate ◽  
Local Anesthesia ◽  
Study Design ◽  
Local Anesthetic ◽  
Pain Perception ◽  
Pediatric Patients ◽  
Computerized Method ◽  
Local Anesthetic Injection ◽  
Computerized System ◽  
Buccal Infiltration

Background: Local anesthetic injection is one of the most anxiety- provoking procedure for both children and adult patients in dentistry. A computerized system for slow delivery of local anesthetic has been developed as a possible solution to reduce the pain related to the local anesthetic injection. Study design: The present study was conducted to evaluate and compare pain perception rates in pediatric patients with computerized system and traditional methods, both objectively and subjectively. Study design: It was a randomized controlled study in one hundred children aged 8-12 years in healthy physical and mental state, assessed as being cooperative, requiring extraction of maxillary primary molars. Children were divided into two groups by random sampling - Group A received buccal and palatal infiltration injection using Wand, while Group B received buccal and palatal infiltration using traditional syringe. Visual Analog scale (VAS) was used for subjective evaluation of pain perception by patient. Sound, Eye, Motor (SEM) scale was used as an objective method where sound, eye and motor reactions of patient were observed and heart rate measurement using pulse oximeter was used as the physiological parameter for objective evaluation. Results: Patients experienced significantly less pain of injection with the computerized method during palatal infiltration, while less pain was not statistically significant during buccal infiltration. Heart rate increased during both buccal and palatal infiltration in traditional and computerized local anesthesia, but difference between traditional and computerized method was not statistically significant. Conclusion: It was concluded that pain perception was significantly more during traditional palatal infiltration injection as compared to computerized palatal infiltration, while there was no difference in pain perception during buccal infiltration in both the groups

scholarly journals Ultrasound-Guided Moving Shot Radiofrequency Ablation of Benign Soft Tissue Neoplasm

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 830
Author(s):  
Wei-Che Lin ◽  
Yi-Fan Tai ◽  
Meng-Hsiang Chen ◽  
Sheng-Dean Luo ◽  
Faye Huang ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Soft Tissue ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Venous Malformation ◽  
Volume Reduction ◽  
The Other ◽  
Invasive Treatment ◽  
Soft Tissue Neoplasm

Background and Objective: To evaluate the effectiveness of radiofrequency ablation (RFA) using the moving-shot technique for benign soft tissue neoplasm. Materials and Methods: This retrospective study reviewed eight patients with benign soft tissue neoplasm presenting with cosmetic concerns and/or symptomatic issues who refused surgery. Six patients had vascular malformation, including four with venous malformation and two with congenital hemangioma. The other two patients had neurofibroma. All patients underwent RFA using the moving-shot technique. Imaging and clinical follow-up were performed in all patients. Follow-up image modalities included ultrasound (US), computed tomography (CT), and magnetic resonance (MR) imaging. The volume reduction ratio (VRR), cosmetic scale (CS), and complications were evaluated. Results: Among the seven patients having received single-stage RFA, there were significant volume reductions between baseline (33.3 ± 21.2 cm3), midterm follow-up (5.1 ± 3.8 cm3, p = 0.020), and final follow-up (3.6 ± 1.4 cm3, p = 0.022) volumes. The VRR was 84.5 ± 9.2% at final follow-up. There were also significant improvements in the CS (from 3.71 to 1.57, p = 0.017). The remaining patient, in the process of a scheduled two-stage RFA, had a 33.8% VRR after the first RFA. The overall VRR among the eight patients was 77.5%. No complications or re-growth of the targeted lesions were noted during the follow-up period. Of the eight patients, two received RFA under local anesthesia, while the other six patients were under general anesthesia. Conclusions: RFA using the moving-shot technique is an effective, safe, and minimally invasive treatment for benign soft tissue neoplasms, achieving mass volume reduction within 6 months and significant esthetic improvement, either with local anesthesia or with general anesthesia under certain conditions.

scholarly journals Effect of phentolamine mesylate on duration of soft tissue local anesthesia in children

2012 ◽  
Vol 1 (2) ◽  
pp. 55 ◽  
Author(s):  
Mahdi Babaei ◽  
Nosrat Nourbakhsh ◽  
Farzaneh Shirani
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia

scholarly journals ′Sure closure′-skin stretching system, our clinical experience

2005 ◽  
Vol 38 (02) ◽  
pp. 132-137
Author(s):  
K I Subramania ◽  
S Mohit ◽  
P R Sasidharan ◽  
M K Abraham ◽  
P Arun ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia ◽  
Enterocutaneous Fistula ◽  
Wound Dehiscence ◽  
Skin Grafting ◽  
Soft Tissue Defect ◽  
Tissue Defect ◽  
Skin Stretching ◽  
Clinical Series ◽  
Secondary Closure

ABSTRACT Objective: In clinical practice of reconstructive surgery one of the problems one routinely comes across is skin and soft tissue defects, which require coverage. Coverage of such wounds requires primary/secondary closure, skin grafting or flaps. The objective of our clinical series was to assess the efficacy of sure closure skin stretching system for closure of defects which otherwise would have required major flap cover or skin grafting. Methods: Our series included five patients with different causes and types of wound defects namely:1. Post-traumatic soft tissue defect on dorsum of hand.2. Post fasciotomy wound on leg (anterolateral aspect).3. Abdominal wound dehiscence following surgery for enterocutaneous fistula.4. Leg soft tissue defect following dehiscence of fasciocutaneous flap.5. Secondary defect following harvesting a lateral arm/forearm free flap.The device was applied to skin edges after preparing the wound under local anesthesia and the skin edges were brought together by turning the skin-stretching knob. After adequate approximation of the edges of the wound it was sutured by conventional suturing techniques.Results: All the wounds could be successfully closed using the skin stretching system in our series. The time taken for the closure ranged from 2 to 48 h. Conclusions: Sure closure skin stretching system is an effective device for closing some of the skin defects which otherwise would have required skin flaps or grafts. In all the patients wound closure could be achieved by this method and was carried out under local anesthesia. Use of this technique is simple and helps to reduce the morbidity and cost of treatment by allowing the reconstructive surgeon to avoid using major flaps or grafts.

scholarly journals Soft tissue calcification in pediatric patients with end-stage renal disease

1990 ◽  
Vol 38 (5) ◽  
pp. 931-936 ◽  
Author(s):  
Dawn S. Milliner ◽  
Alan R. Zinsmeister ◽  
Ellin Lieberman ◽  
Benjamin Landing
Keyword(s):  
Soft Tissue ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Pediatric Patients ◽  
Soft Tissue Calcification ◽  
Tissue Calcification ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Robert A. Goldberg ◽  
Daniel B. Rootman ◽  
Nariman Nassiri ◽  
David B. Samimi ◽  
Joseph M. Shadpour
Keyword(s):  
Soft Tissue ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Case Series ◽  
Ocular Motility ◽  
Orbital Tumors ◽  
Retrospective Case ◽  
Fibrous Tumor ◽  
Orbital Varix

To present our experience of removing middle to deep orbital tumors using a combination of minimally invasive soft tissue approaches, sometimes under local anesthesia.Methods.In this retrospective case series, 30 patients (13 males and 17 females) underwent tumor removal through eyelid crease (17 eyes), conjunctival (nine eyes), lateral canthal (two eyes), and transcaruncular (two eyes) approaches. All tumors were located in the posterior half of the orbit. Six cases were removed under monitored anesthesia care with local block, and 24 were under general anesthesia.Results.The median (range) age and follow-up duration were 48.5 (31–87) years old and 24.5 (4–375) weeks, respectively. Visual acuity and ocular motility showed improvement or no significant change in all but one patient at the latest followup. Confirmed pathologies revealed cavernous hemangioma (15 cases), pleomorphic adenoma (5 cases), solitary fibrous tumor (4 cases), neurofibroma (2 cases), schwannoma (2 cases), and orbital varix (1 case). None of the patients experienced recurrence.Conclusions.Creating a bony marginotomy increases intraoperative exposure of the deep orbit but adds substantial time and morbidity. Benign orbital tumors can often be removed safely through small soft-tissue incisions, without bone removal and under local anesthesia.

scholarly journals Case Report: Pseudomonas can take a toll on a patient

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 526
Author(s):  
David K. Buchbinder ◽  
Jasjit Singh ◽  
Tuan Dao ◽  
Aaron Sassoon ◽  
Antonio Arrieta
Keyword(s):  
Soft Tissue ◽  
Immune Function ◽  
Host Defense ◽  
Pediatric Patients ◽  
Germ Line ◽  
Central Nervous System Infection ◽  
Chronically Ill ◽  
Definitive Treatment ◽  
Inborn Errors ◽  
Invasive Infections

Pseudomonas aeruginosa (P. aeruginosa) is an aerobic Gram-negative bacterium that is implicated in the development of severe systemic infections among pediatric patients.  It is identified in hospitalized chronically ill pediatric patients in association with genitourinary, respiratory tract, and skin or soft tissue infections as well as severe and life-threating infection including sepsis.  A variety of immunologic mechanisms play a vital role in the host defense mechanisms against invasive infections with P. aeruginosa. Rarely, specific inborn errors of immune function are implicated in deficiencies that predispose to invasive infections with P. aeruginosa.  Innate immune function including germ-line encoded pattern recognition receptors such as toll-like receptors (TLRs) and their downstream signaling is vital in the host defense against P. aeruginosa through the generation of antimicrobial peptides, cytokines/chemokines, and shaping of adaptive immune responses. Herein, we describe a previously healthy two-year-old female with an invasive skin, soft tissue, and central nervous system infection secondary to P. aeruginosa.  The invasive nature of this infection prompted a careful evaluation for an inborn error of immunity. Decreased cytokine response to agonists of TLRs was documented. Targeted sequencing of interleukin-1 receptor-associated kinase (IRAK)-4 documented a homozygous deletion of exons 8-13 consistent with IRAK-4 deficiency.  This report provides a vital educative message in the existing scientific literature by underscoring the importance of considering inborn errors of immunity in all patients with severe P. aeruginosa infections.  Functional assessments of immune function often in combination with sequencing can accurately assign a diagnosis in a timely fashion allowing for definitive treatment and the use of necessary supportive care.

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