S413
The Pump or the Bump
7:00 AM-8:30 AM
323A (Hawaii Convention Center)
This is a Ticketed Session
Richard C. Robert JR, DDS, MS
South San Francisco, CA, USA
Mark F. Sosovicka DMD
Pittsburgh, PA, USA
Over the last decade short-acting anesthetic agents such as propofol and remifentanil have become more commonly utilized in office-based anesthesia for oral and maxillofacial surgery. Traditionally OMSs used the incremental bolus (“bump”) technique to deliver agents such as methohexital and fentanyl. 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 presentation will contrast the two delivery options utilizing real patient examples, 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;
- Fast track the learning curve for use of an infusion pump for delivery of anesthetic agents; and
- Explain the factors within the pharamacodynamic and pharmacokinetic profiles of propofol and remifentanil that make delivery by an infusion pump appropriate.