S232
The Pump or the “Bump” – Which is Better?
1:30 PM-3:30 PM
23B (San Diego Convention Center)
The Pump or the “Bump” – Which is Better?
This is a ticketed session.
Richard Robert JR, DDS, MS
South San Francisco, CA, USA
Mark Sosovicka DMD
Pittsburgh, PA, USA
Over the last decade, short-acting anesthetic agents such as propofol and remifentanil have become more commonly utilized in oral and maxillofacial surgery-related office-based anesthesia. Traditionally OMSs used the incremental bolus (“bump”) technique to deliver agents such as methohexital and fentanyl. For the majority of practices this technique has been carried over into delivery of propofol and remifentanil. However, anesthesiologists have found that infusion pumps enable the anesthetist to provide a smoother, more predictable anesthetic and the opportunity to titrate doses more carefully. This session will contrast the two delivery options utilizing real patient examples, and extensive video and graphic content to delve into the “ins and outs” of the anesthesia delivery systems.
- Describe the pros and cons of a constant infusion vs. incremental bolus technique for office-based anesthesia.
- Explain the use of an infusion pump for delivery of anesthetic agents.
- Identify the factors within the pharmacodynamic and pharmacokinetic profiles of propofol and remifentanil that make delivery by an infusion pump appropriate.