Everyday Oral Surgery - Anesthesia Topics: Using beta blockers with ketamine, nitrous oxide as an adjunct to sedation, advising patients on which medications to take prior to sedation, and treating patients with kidney failure (with Dr. Dallen Mill, Anesthesiologist)

Anesthesia Topics: Using beta blockers with ketamine, nitrous oxide as an adjunct to sedation, advising patients on which medications to take prior to sedation, and treating patients with kidney failure (with Dr. Dallen Mill, Anesthesiologist)

03/11/24 • 39 min

Dr. Dallen Mills from Peak View Anesthesia joins us once again to cast a wide net over the topic of anesthesia as we discuss beta blockers, ketamine, kidney failure, and a whole lot more! The last time he was here, Dr. Mills walked us through the ins and outs of Precedex. Today, he answers some follow-up questions by explaining how long you can use a Precedex solution after it’s been diluted. Our guest goes on to describe his treatment plan for post-surgery combatant patients, his thoughts on using beta blockers with ketamine, how he uses nitrous oxide as an adjunct to sedation, and how he approaches sedating patients who have kidney complications. To end, Dr. Mills thoroughly examines everything related to taking medication before surgery. Tune in for all this and more!

Key Points From This Episode:

Dr. Dallen Mills explains the shelf life of a diluted Precedex solution.
His go-to treatment for patients who wake up agitated from surgery.
What he thinks about routinely using beta blockers with ketamine.
How he deals with increased secretions of ketamine.
The way Dr. Mills uses nitrous oxide in his daily operations.
His protocol for treating patients with kidney failures and those on dialysis.
Everything you need to know about taking medication prior to sedation.

Links Mentioned in Today’s Episode:

Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/

Peak View Anesthesia — https://www.pvanesthesia.com/

‘The Pros and Cons of Precedex and Remifentanil, Plus a Dive into an Innovative Non-Pharmaceutical Approach (with Dr. Dallen Mill, MD Anesthesiologist)’ — https://www.buzzsprout.com/1404670/14398433-the-pros-and-cons-of-precedex-and-remifentanil-plus-a-dive-into-an-innovative-non-pharmaceutical-approach-with-dr-dallen-mill-md-anesthesiologist.mp3

KLS Martin — https://www.klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Key Points From This Episode:

Dr. Dallen Mills explains the shelf life of a diluted Precedex solution.
His go-to treatment for patients who wake up agitated from surgery.
What he thinks about routinely using beta blockers with ketamine.
How he deals with increased secretions of ketamine.
The way Dr. Mills uses nitrous oxide in his daily operations.
His protocol for treating patients with kidney failures and those on dialysis.
Everything you need to know about taking medication prior to sedation.

Links Mentioned in Today’s Episode:

Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/

Peak View Anesthesia — https://www.pvanesthesia.com/

KLS Martin — https://www.klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Previous Episode

Perspectives on Management of TMJ Disease, with Dr. Michael Miloro

Treating TMJ and TMD in patients can be a daunting prospect for oral surgeons, especially if they weren’t exposed to the relevant treatment procedures during residency. But that doesn’t mean general care can’t be improved upon. In today’s episode, Dr. Michael Miloro joins us to share his expertise on the management of TMD and TMJ and how he believes we can ensure better education among dental students going forward. Find out why Dr. Miloro is such a big proponent of having a multidisciplinary team before learning how he and his colleagues prioritize individualized, conservative, reversible, and minimally invasive patient care. Our conversation also unpacks the evidence-based literature on the topic, how the studies can be improved upon, and why we need to invest in better education at the dental student level in terms of TMD and myofascial pain. To hear Dr. Miloro’s informative advice and thought-provoking insights on TMD, TMJ, and how to give the best patient care possible, tune in now!

Key Points From This Episode:

An overview of the shortcomings in the academic literature on TMD.
The challenges of TMJ and TMD diagnosis and treatment.
Dr. Miloro’s philosophy for treating patients who have TMD or TMJ.
Why he believes in individualized, conservative, reversible, minimally-invasive patient care.
The benefits of being treated in a multidisciplinary setting with a team of specialists.
Arthrocentesis; how the procedure can help patients with TMD or TMJ.
Determining whether a patient is a good candidate for arthrocentesis.
Insight into what helps make arthrocentesis effective and what to avoid during the procedure.
What Dr. Miloro considers before undertaking a discopexy or discectomy.
Four reasons why Dr. Miloro doesn’t like the idea of disc repositioning.
Clinical tips for doing a discectomy and a breakdown of Dr. Miloro’s approach.
How many of his patients typically need a unilateral versus bilateral discectomy.
Benefits and drawbacks of a modified condylotomy and when to consider it.
What it’s like treating patients long-term with the support of a team.
Dr. Miloro’s answers to our rapid-fire questions!

Links Mentioned in Today’s Episode:

Dr. Michael Miloro on Linkedin — https://www.linkedin.com/in/michaelmiloro/

UIC College of Dentistry — https://dentistry.uic.edu/

Dr. Michael Miloro’s email — [email protected]

TMD (Temporomandibular Disorders) — https://www.nidcr.nih.gov/health-info/tmd

‘Temporomandibular Joint Disorder Management in Oral and Maxillofacial Surgery’ — https://pubmed.ncbi.nlm.nih.gov/27889533/

KLS Martin — https://www.klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059

Next Episode

Oral Health Collaborative: Bridging the Gap Between Periodontists and Oral Surgeons (with Drs. Robert McNeill and Stephanie Ganter)

If you don’t want periodontists and oral surgeons working together, then turn off this podcast right now, because today is all about bridging the gap between a divide that’s stood for far too long. Joining us today is oral surgeon, Robert McNeill, DDS, MD, MBA, FACD, FICD, and periodontist, Stephanie Ganter, DDS, MS, FACD, FICD. The pair jointly host a podcast and share a dental practice, and they are here to explain how their two specialties can work together in harmony (against all odds). We discuss the importance of building better systemic channels of communication, how periodontists and oral surgeons can forge meaningful relationships, what leaders and dental practices need to do to facilitate these relationships, and why referrals are key players in the effort to bridge the gap. We also learn about approaching unwilling colleagues, throwing away the ego, managing expectations, and operating in the workplace with clarity and kindness.

Key Points From This Episode:

How Stephy and Bobby, as a periodontist and oral surgeon respectively, work harmoniously.
Why communication needs to get better systematically, starting from med school.
How oral surgeons and periodontists can build trust with one another, and why they should.
What dental practices need to consider about how they staff surgeons.
The value of respect, and learning how to be effective.
How you can’t blame every periodontist or oral surgeon for a bad experience with another.
Crossing the aisle: what the two specialties can learn from each other.
The role of referrals in bridging the gap.
How to approach disgruntled colleagues who are averse to working together.
Doubling down on the importance of establishing good channels of communication.
Managing expectations, discarding the ego, and purposely reaching across the aisle.

Links Mentioned in Today’s Episode:

Dr. Robert McNeill on LinkedIn — https://www.linkedin.com/in/bobddsmd/

Dr. Stephanie Ganter on LinkedIn — https://www.linkedin.com/in/ganterddsms/

Between Two Teeth — https://b2teeth.com/

Between Two Teeth on YouTube — https://www.youtube.com/@BetweenTwoTeeth

DFW Dental Implants — https://www.dfwdentalimplants.com/

American Dental Association — https://www.ada.org/

What Got You Here Won’t Get You There — https://www.amazon.com/What-Got-Here-Wont-There/dp/1401301304

KLS Martin — https://www.klsmartin.com/en/

KLS Martin 35% Discount Code — StuckiFavs

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/