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  1. Article ; Online: Nasal foreign bodies in children: considerations for the anesthesiologist.

    Yasny, Jeffrey S

    Paediatric anaesthesia

    2011  Volume 21, Issue 11, Page(s) 1100–1102

    Abstract: The combination of a curious young child exploring his/her nasal cavities, with the abundance of small inert and natural objects in our society, culminates in a significant number of nasal foreign bodies (NFBs). Usually NFBs are benign entities, yielding ...

    Abstract The combination of a curious young child exploring his/her nasal cavities, with the abundance of small inert and natural objects in our society, culminates in a significant number of nasal foreign bodies (NFBs). Usually NFBs are benign entities, yielding relatively simple resolutions and mild morbidities. However, their presence can lead to much more serious consequences if they are inserted unwitnessed, grow asymptomatically for several months or years, and significantly affect surrounding tissues. Moreover, if these substances become displaced posteriorly and enter the lower respiratory tract, dire circumstances may occur. This article discusses the different types of NFBs, various clinical presentations, diagnosis, pathophysiology, and pertinent considerations for the anesthesia care provider. Increasing one's awareness of the implications of NFBs, can optimize the safe treatment of patients harboring this development.
    MeSH term(s) Anesthesia ; Child ; Foreign Bodies/complications ; Foreign Bodies/diagnosis ; Foreign Bodies/physiopathology ; Foreign Bodies/surgery ; Humans ; Infant ; Nasal Cavity/surgery
    Language English
    Publishing date 2011-11
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/j.1460-9592.2011.03578.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Perioperative dental considerations for the anesthesiologist.

    Yasny, Jeffrey S

    Anesthesia and analgesia

    2009  Volume 108, Issue 5, Page(s) 1564–1573

    Abstract: Although anesthesiologists consistently work in the mouth of patients, they may not have been exposed to a comprehensive education of teeth, surrounding tissues, and intraoral prostheses. Since perioperative dental damage is one of the most common ... ...

    Abstract Although anesthesiologists consistently work in the mouth of patients, they may not have been exposed to a comprehensive education of teeth, surrounding tissues, and intraoral prostheses. Since perioperative dental damage is one of the most common anesthesia-related adverse events and is responsible for the greatest number of malpractice claims against anesthesiologists, several dental considerations are warranted. The likelihood of perioperative dental trauma increases with the vulnerability of a patient's dentition and the presence of associated anesthesia risk factors. Minimizing dental injuries begins with the anesthesiologist's preoperative assessment of the patient's dentition and intraoral tissues. Clear documentation of the patient's preoperative dental condition and notifying the patient of the potential dental damage will diminish costs for any related postoperative dental treatment. Upon discovery of a potentially hazardous dental condition, a consultation with a dentist should be considered before proceeding with the surgical procedure. Exercising cautionary measures during provocative events, such as laryngoscopy and tracheal extubation, can aid in the prevention of dental trauma. In the event of such an injury, several management tactics can promote a swift and reasonable resolution. Establishing an increased awareness of intraoral conditions and the related perioperative risk factors may diminish the incidence of dental damage and financial costs.
    MeSH term(s) Adolescent ; Adult ; Anesthesia, General/adverse effects ; Anesthesia, General/economics ; Attitude of Health Personnel ; Awareness ; Child ; Diagnosis, Oral ; Documentation ; Health Knowledge, Attitudes, Practice ; Humans ; Incidence ; Liability, Legal ; Patient Care Team ; Patient Education as Topic ; Patient Satisfaction ; Perioperative Care ; Practice Guidelines as Topic ; Risk Assessment ; Risk Factors ; Stomatognathic Diseases/economics ; Stomatognathic Diseases/etiology ; Stomatognathic Diseases/pathology ; Stomatognathic Diseases/prevention & control ; Tooth Injuries/economics ; Tooth Injuries/etiology ; Tooth Injuries/pathology ; Tooth Injuries/prevention & control
    Language English
    Publishing date 2009-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ane.0b013e31819d1db5
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  3. Article: Environmental implications of anesthetic gases.

    Yasny, Jeffrey S / White, Jennifer

    Anesthesia progress

    2013  Volume 59, Issue 4, Page(s) 154–158

    Abstract: For several decades, anesthetic gases have greatly enhanced the comfort and outcome for patients during surgery. The benefits of these agents have heavily outweighed the risks. In recent years, the attention towards their overall contribution to global ... ...

    Abstract For several decades, anesthetic gases have greatly enhanced the comfort and outcome for patients during surgery. The benefits of these agents have heavily outweighed the risks. In recent years, the attention towards their overall contribution to global climate change and the environment has increased. Anesthesia providers have a responsibility to minimize unnecessary atmospheric pollution by utilizing techniques that can lessen any adverse effects of these gases on the environment. Moreover, health care facilities that use anesthetic gases are accountable for ensuring that all anesthesia equipment, including the scavenging system, is effective and routinely maintained. Implementing preventive practices and simple strategies can promote the safest and most healthy environment.
    MeSH term(s) Anesthesia, Dental/adverse effects ; Anesthetics, Inhalation/adverse effects ; Dental Waste/adverse effects ; Environmental Pollution/prevention & control ; Gas Scavengers ; Global Warming/prevention & control ; Greenhouse Effect/prevention & control ; Humans ; Hydrocarbons, Fluorinated/adverse effects ; Nitrous Oxide/adverse effects
    Chemical Substances Anesthetics, Inhalation ; Dental Waste ; Hydrocarbons, Fluorinated ; Nitrous Oxide (K50XQU1029)
    Language English
    Publishing date 2013-01-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603800-1
    ISSN 1878-7177 ; 0003-3006
    ISSN (online) 1878-7177
    ISSN 0003-3006
    DOI 10.2344/0003-3006-59.4.154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Perioperative dental evaluation.

    Yasny, Jeffrey S / Herlich, Andrew

    The Mount Sinai journal of medicine, New York

    2012  Volume 79, Issue 1, Page(s) 34–45

    Abstract: Typically, a patient's intraoral condition is not a chief perioperative concern. The need for proper dental care is often unmet prior to a surgical procedure. Consequently, patients presenting for surgery may possess untreated decayed teeth and/or ... ...

    Abstract Typically, a patient's intraoral condition is not a chief perioperative concern. The need for proper dental care is often unmet prior to a surgical procedure. Consequently, patients presenting for surgery may possess untreated decayed teeth and/or periodontal disease. These individuals may be harboring a quiescent and potent odontogenic infection. In the perioperative period, the deleterious effects of such an infection can not only compromise surgical outcome, but also magnify treatment and expenses. This article will elaborate on the connection between oral health and systemic disease, and discuss the barriers that exist with improving oral health. It will review pertinent dental nomenclature and anatomy, as well as emphasize the practice and value of a preoperative dental evaluation. Various compromised intraoral conditions are presented among a range of patient populations. The importance of treating an acute odontogenic infection before surgery is also discussed. Healthcare providers who recognize significant perioperative dental conditions can implement effective and preventive actions that can contain costs and achieve optimal patient care.
    MeSH term(s) Dental Care/methods ; Humans ; Oral Health/standards ; Perioperative Care/methods ; Postoperative Complications/prevention & control ; Tooth Diseases/therapy
    Language English
    Publishing date 2012-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 130499-9
    ISSN 1931-7581 ; 0027-2507
    ISSN (online) 1931-7581
    ISSN 0027-2507
    DOI 10.1002/msj.21292
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  5. Article: Nasal foreign body: an unexpected discovery.

    Yasny, Jeffrey S / Stewart, Stacy

    Anesthesia progress

    2011  Volume 58, Issue 3, Page(s) 121–123

    Abstract: Abstract Nasal foreign bodies may result from the abundant availability of tiny objects in our society and a curious child exploring his or her nasal cavities. An inserted object that is not witnessed or retrieved can remain relatively asymptomatic or ... ...

    Abstract Abstract Nasal foreign bodies may result from the abundant availability of tiny objects in our society and a curious child exploring his or her nasal cavities. An inserted object that is not witnessed or retrieved can remain relatively asymptomatic or cause local tissue damage and potentially yield more serious consequences. An unusual case of a young child who presented for dental rehabilitation under general anesthesia is described. Immediately prior to the nasotracheal intubation, an unanticipated foreign body was detected and safely removed before any injury occurred. This case report discusses the presentation and pathophysiology of nasal foreign bodies. Moreover, applicable suggestions are provided to aid in the prevention and management of the unexpected discovery of a nasal foreign body after the induction of general anesthesia.
    MeSH term(s) Anesthesia, General ; Child, Preschool ; Epistaxis/etiology ; Foreign Bodies/complications ; Foreign-Body Migration/prevention & control ; Humans ; Intubation, Intratracheal ; Male ; Nose ; Suction/instrumentation
    Language English
    Publishing date 2011-09-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 603800-1
    ISSN 1878-7177 ; 0003-3006
    ISSN (online) 1878-7177
    ISSN 0003-3006
    DOI 10.2344/11-00016.1
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  6. Article ; Online: Geriatric patients: oral health and the operating room.

    Yasny, Jeffrey S / Silvay, George

    Journal of the American Geriatrics Society

    2010  Volume 58, Issue 7, Page(s) 1382–1385

    Abstract: Many patients requiring surgery possess poor oral health. The presence of decayed teeth and periodontitis represent potentially potent causes of odontogenic infection that could significantly compromise the surgical outcome. Geriatric patients presenting ...

    Abstract Many patients requiring surgery possess poor oral health. The presence of decayed teeth and periodontitis represent potentially potent causes of odontogenic infection that could significantly compromise the surgical outcome. Geriatric patients presenting for surgery who have not had a dental examination for years may be harboring an undetected oral infection. In the perioperative period, the harmful effects of such an infection are amplified in terms of treatment and expenses. This article will elaborate on the association between oral health and systemic disease, present unique intraoral characteristics of elderly patients, and emphasize the importance of obtaining a dental evaluation and treating any acute oral infection before surgery. Augmenting the awareness of the perioperative dental considerations in the geriatric population can lead to the implementation of effective and preventive measures that can contain costs and achieve optimal patient care.
    MeSH term(s) Aged ; Diagnosis, Oral ; Geriatric Assessment ; Humans ; Mouth Diseases/complications ; Mouth Diseases/diagnosis ; Mouth Diseases/therapy ; Preoperative Care
    Language English
    Publishing date 2010-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/j.1532-5415.2010.02919.x
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  7. Article ; Online: Dental considerations for cardiac surgery.

    Yasny, Jeffrey S / White, Jennifer

    Journal of cardiac surgery

    2009  Volume 24, Issue 1, Page(s) 64–68

    Abstract: Many patients requiring cardiac surgery possess poor oral health. The presence of decayed teeth, untreated dental abscesses, and periodontitis can all represent potentially potent causes of an odontogenic infection. Ultimately, such an infection can have ...

    Abstract Many patients requiring cardiac surgery possess poor oral health. The presence of decayed teeth, untreated dental abscesses, and periodontitis can all represent potentially potent causes of an odontogenic infection. Ultimately, such an infection can have catastrophic consequences if it occurs during or soon after certain cardiac procedures. Since an association exists between poor oral hygiene and various systemic diseases, many patients scheduled for cardiac procedures inherently possess poor oral hygiene and untreated dental infections. Inadequate patient education, financial constraints, and dental phobia all serve as barriers for patients receiving routine intraoral care. Consequently, patients may unknowingly present for cardiac surgery with undetected oral infections that can magnify the likelihood of an adverse outcome, leading to increased costs, morbidity, and possibly mortality. It is recommended to view oral health in the perspective of systemic health, specifically, recognizing the deleterious impact that an untreated odontogenic infection can have upon cardiac surgery. Therefore, considering scheduling constraints and the urgency of the operation, if time and resources permit, then it is suggested that patients who undergo elective cardiac surgery should be screened preoperatively to ensure that any oral infection is diagnosed and definitively treated. Such an investment can yield significant improvements in surgical outcome and overall patient health.
    MeSH term(s) Cardiac Surgical Procedures ; Humans ; Oral Health/standards ; Postoperative Complications/prevention & control
    Language English
    Publishing date 2009-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/j.1540-8191.2008.00708.x
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  8. Article: Considerations for the use of enteral sedation in pediatric dentistry.

    Yasny, Jeffrey S / Asgari, Ali

    The Journal of clinical pediatric dentistry

    2008  Volume 32, Issue 2, Page(s) 85–93

    Abstract: Treating an uncooperative, uncontrollable child can be unpleasant for all parties involved. Despite the dentist's best efforts to employ traditional techniques, the behavioral management of challenging pediatric dental patients often requires more than " ... ...

    Abstract Treating an uncooperative, uncontrollable child can be unpleasant for all parties involved. Despite the dentist's best efforts to employ traditional techniques, the behavioral management of challenging pediatric dental patients often requires more than "tell, show, do". Consequently, pre-operative pharmacological intervention may be necessary. Enteral sedation may be the optimal adjunct for the dental treatment of such a challenging patient population. However it must be utilized with caution and is not an appropriate treatment modality for all. This paper will present various considerations for the safe, appropriate and effective use of enteral sedation in contemporary pediatric dentistry. With the strong demand for this service, properly trained practitioners can broaden their practice and provide a win-win scenario for themselves and their patients.
    MeSH term(s) Administration, Oral ; Anesthesia, Dental/methods ; Benzodiazepines/administration & dosage ; Benzodiazepines/classification ; Child ; Child, Preschool ; Dental Anxiety/prevention & control ; Dental Care for Children/methods ; Humans ; Hypnotics and Sedatives/administration & dosage ; Hypnotics and Sedatives/classification ; Narcotic Antagonists/administration & dosage ; Narcotic Antagonists/classification ; Premedication/classification ; Premedication/methods
    Chemical Substances Hypnotics and Sedatives ; Narcotic Antagonists ; Benzodiazepines (12794-10-4)
    Language English
    Publishing date 2008-01-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1062408-9
    ISSN 1053-4628 ; 0145-5508
    ISSN 1053-4628 ; 0145-5508
    DOI 10.17796/jcpd.32.2.20777386241103x8
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  9. Article: The value of optimizing dentition before cardiac surgery.

    Yasny, Jeffrey S / Silvay, George

    Journal of cardiothoracic and vascular anesthesia

    2007  Volume 21, Issue 4, Page(s) 587–591

    MeSH term(s) Cardiac Surgical Procedures ; Dentition ; Humans ; Incidence ; Oral Health/standards ; Postoperative Complications/prevention & control ; Preoperative Care/methods ; Risk Factors ; Tooth Diseases/diagnosis ; Tooth Diseases/epidemiology ; Tooth Diseases/therapy
    Language English
    Publishing date 2007-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2006.08.001
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