One mistake people make, Rick, is considering all vagal responses minor. Some can tremendously severe. I’ve found that if I’m ready for any response they may have and being two minutes from the ER and tell them this, there rarely have a response. Since I learned this many years ago, we have not had anyone faint in 20+years in my office.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: Rick Coker [mailto:riccoker@gmail.com]
Sent: Monday, May 28, 2012 9:26 AM
To: Guy Moorman
Cc: Ace
Subject: Re: [ACEsthetics] What's the deal with anesthetic allergies lately?
These were both sharp, bright people who have experienced pretty serious sequelae after injections, not panicky teens. Certainly might have been vagal, of course, but they were unusual and to have two of them in one week was strange!
Rick
On Mon, May 28, 2012 at 8:24 AM, Guy Moorman <gmoor@windstream.net> wrote:
I think both of these were vagal responses and can be dealt with. I usually use either nitrous or, preferably 0.25 mg to 0.5 mg of triazalam or 0.5 mg of alprazolam.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recepient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Rick Coker
Sent: Monday, May 21, 2012 2:58 PM
To: Ace
Subject: [ACEsthetics] What's the deal with anesthetic allergies lately?
Two patients last week come in and tell me they can't take dental anesthetics, at all. One of them is very bright, and has investigated this, and thought he was okay with just plain 2%, but his blood pressure dropped to 65/40 after one carpule for a crown prep last week, and then another guy tells me he gets shockey and anaphylactic! Damn!
Rick
--
Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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